Michele Polfuss1, Kathleen J Sawin2, Paula E Papanek3, Linda Bandini4, Bethany Forseth5, Andrea Moosreiner6, Kimberley Zvara7, Dale A Schoeller8. 1. University of Wisconsin-Milwaukee, College of Nursing, 1921 E. Hartford Avenue, Milwaukee, WI, 53211-3060, United States; Children's Hospital of Wisconsin, Department of Nursing Research, PO Box 1997, MS C140, Milwaukee, WI, 53201, United States. Electronic address: mpolfuss@uwm.edu. 2. University of Wisconsin-Milwaukee, College of Nursing, 1921 E. Hartford Avenue, Milwaukee, WI, 53211-3060, United States; Children's Hospital of Wisconsin, Department of Nursing Research, PO Box 1997, MS C140, Milwaukee, WI, 53201, United States. 3. Marquette University, College of Health Sciences, USA. 4. Eunice Kennedy Shriver Center/UMASS Medical School and Boston University, Sargent College, Department of Health Sciences, USA. 5. University of Wisconsin - Milwaukee, Department of Kinesiology, USA. 6. Medical College of Wisconsin, Adult Translational Research Unit, USA. 7. Medical College of Wisconsin and Children's Hospital of Wisconsin, Physical Medicine and Rehabilitation, USA. 8. University of Wisconsin - Madison, Biotech Center and Nutritional Sciences, USA.
Abstract
BACKGROUND: Obesity prevalence is increased in children with developmental disabilities, specifically in children with spina bifida and Down syndrome. Energy expenditure, a critical aspect of weight management, has been extensively studied in the typically developing population, but not adequately studied in children with developmental disabilities. OBJECTIVE: Determine energy expenditure, fat-free mass and body fat percentile and the impact of these findings on recommended caloric intake in children with spina bifida and Down syndrome. METHODS/MEASURES: This pilot study included 36 children, 18 with spina bifida, 9 with Down syndrome and 9 typically developing children. Half of the children with spina bifida were non-ambulatory. Doubly labeled water was used to measure energy expenditure and body composition. Descriptive statistics described the sample and MANOVA and ANOVA methods were used to evaluate differences between groups. RESULTS: Energy expenditure was significantly less for children with spina bifida who primarily used a wheelchair (p = .001) and children with Down syndrome (p = .041) when compared to children without a disability when adjusted for fat-free mass. However, no significant difference was detected in children with spina bifida who ambulated without assistance (p = .072). CONCLUSIONS: Children with spina bifida and Down syndrome have a significantly decreased energy expenditure which directly impacts recommended caloric intake. No significant difference was detected for children with spina bifida who ambulated, although the small sample size of this pilot study may have limited these findings. Validating these results in a larger study is integral to supporting successful weight management of these children.
BACKGROUND:Obesity prevalence is increased in children with developmental disabilities, specifically in children with spina bifida and Down syndrome. Energy expenditure, a critical aspect of weight management, has been extensively studied in the typically developing population, but not adequately studied in children with developmental disabilities. OBJECTIVE: Determine energy expenditure, fat-free mass and body fat percentile and the impact of these findings on recommended caloric intake in children with spina bifida and Down syndrome. METHODS/MEASURES: This pilot study included 36 children, 18 with spina bifida, 9 with Down syndrome and 9 typically developing children. Half of the children with spina bifida were non-ambulatory. Doubly labeled water was used to measure energy expenditure and body composition. Descriptive statistics described the sample and MANOVA and ANOVA methods were used to evaluate differences between groups. RESULTS: Energy expenditure was significantly less for children with spina bifida who primarily used a wheelchair (p = .001) and children with Down syndrome (p = .041) when compared to children without a disability when adjusted for fat-free mass. However, no significant difference was detected in children with spina bifida who ambulated without assistance (p = .072). CONCLUSIONS:Children with spina bifida and Down syndrome have a significantly decreased energy expenditure which directly impacts recommended caloric intake. No significant difference was detected for children with spina bifida who ambulated, although the small sample size of this pilot study may have limited these findings. Validating these results in a larger study is integral to supporting successful weight management of these children.
Authors: M B E Livingstone; P J Robson; A E Black; W A Coward; J M W Wallace; M C McKinley; J J Strain; P G McKenna Journal: Eur J Clin Nutr Date: 2003-03 Impact factor: 4.016
Authors: Rungsinee Amanda Liusuwan; Lana M Widman; Richard Ted Abresch; Dennis M Styne; Craig M McDonald Journal: J Spinal Cord Med Date: 2007 Impact factor: 1.985
Authors: Kathryn R Hesketh; Alison M McMinn; Simon J Griffin; Nicholas C Harvey; Keith M Godfrey; Hazel M Inskip; Cyrus Cooper; Esther M F van Sluijs Journal: BMC Public Health Date: 2013-10-03 Impact factor: 3.295
Authors: Michele Polfuss; Bethany Forseth; Dale A Schoeller; Chiang-Ching Huang; Andrea Moosreiner; Paula E Papanek; Kathleen J Sawin; Kimberley Zvara; Linda Bandini Journal: J Pediatr Rehabil Med Date: 2021
Authors: Ankeeta Menona Jacob; Sreekantaiah Pruthvish; Nandakumar Bidare Sastry; Radhika Kunnavil; Mohanraju Shankarappa; Avinash K Shetty Journal: J Family Med Prim Care Date: 2021-02-27