Growth and Body Composition Analysis in Children with Cerebral Palsy

腦性麻痺孩童體位及身體組成的分析

楊翠芬(Tsui-Fen Yang) ； 林佩欣(Pei-Hsin Lin) ； 楊雀戀(Chueh-Lien Yang) ； 詹瑞棋(Rai-Chi Chan) ； 高念慈(Nien-Tzu Kao)

《台灣復健醫學雜誌》 32卷2期 (2004/06) Pp. 55-62

https://doi.org/10.6315/2004.32(2)01

摘要

本研究藉由體位及身體組成的分析來瞭解腦性麻痺患者與正常孩童在成長發育方面的異同，同時探討不同的身體組成分析方法之間的相關性以及效度。總共收集了39位3至13歲的腦性麻痺患者，並以39位性別、年齡相當的正常孩童為對照組加以分析。結果發現腦性麻痺組的平均身高及體重，顯著低於對照組，但是腦性麻痺組體脂肪百分比顯著高於對照組，而瘦肉組織、水含量及基礎代謝率顯著低於對照組。臨床上身體重高指數、身體質量指數及生物電阻分析都是可行的體脂肪測量法，但是本研究發現雖然這三種測量法互相之間有不錯的相關性，但只有生物電阻分析法可鑑別出兩組在身體組成上的差異。腦性麻痺組中其臨床嚴重程度及行動能力與身高及體重的百分等級顯著相關，但與體脂肪百分比無關。本研究證實生物電阻分析法是一個簡單又敏感的身體組成分析法，並且適用於年幼的腦性麻痺孩童。

關鍵字

身體組成分析 ； 腦性麻痺 ； 生物電阻分析法

並列摘要

The objective of the present study was to investigate the growth and body composition of younger children with cerebral palsy, using anthropometric measures and bioelectrical impedance analysis (BIA). We also looked into the relative strength and consistency between different measurements in analyzing body composition. Thirty-nine patients, aged 3 to 13, with an established diagnosis of cerebral palsy, and age- and sex-matched control subjects, were recruited for this study. Distribution of height-by-age and weight-by-age percentiles differed significantly between the study and the control groups, whereby the subjects of cerebral palsy grew shorter and lighter than normal subjects. The body fat percentage was statistically higher and the lean body mass, basal metabolic rate (BMR) and total body water were statistically lower in the study group as compared to the normal subjects. There was favorable agreement between BMI, weight-for-length index and percent body fat as measured by BIA, although only the last measurement differed statistically between the two groups. Gross motor function and self-care capability correlated significantly with height-and weight-by-age percentiles, but not with the body fat percentage in the study group. BIA was proved to be a simple and sensitive method to estimate body composition and applicable for young children with cerebral palsy.

並列關鍵字

body composition analysis ； cerebral palsy ； bioelectrical impedance analysis