Obesity and myelomeningocele: Anthropometric measures

David B. Shurtleff, William Otis Walker, Sharon Duguay, Do Peterson, Diana Cardenas

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To evaluate the appropriate use of arm span measurements as a substitute for height/linear length to evaluate obesity in people with myelomeningocele by comparing calculated body mass indices (BMIs) with recently published BMI graphs by the Centers for Disease Control and Prevention (CDC) and National Center for Health Statistics standards (NCHS) published in 2000. Study Design: Retrospective analysis of collected data on patients seen in the University of Washington Birth Defects Clinic from July 1, 1965, through June 1, 2008. Observations included degree of paralysis, presence of scoliosis, height (linear length), weight, and arm span. We compared published CDC/NCHS BMIs with our data using both height and arm span in place of height/linear length. There were 14,701 measures collected during 4,968 visits from 709 patients. Mean values were calculated using age, gender, and lesion level as independent variables. Results: Comparison of BMI means of patients with myelomeningocele suggests that our observations using arm span and height are comparable with the CDC/NCHS BMI means using height for the 2 least paralyzed groups but not for those groups with paralysis from high-level lesions that are more likely to exhibit lower extremity deformities or scoliosis. Conclusions: Published CDC/NCHS graphs, with their percentiles, are appropriate for estimating normal growth by BMI for children born with myelomeningocele when arm span is substituted for length if severe body differences due to high-level paralysis are taken into consideration.

Original languageEnglish
Pages (from-to)410-419
Number of pages10
JournalJournal of Spinal Cord Medicine
Volume33
Issue number4
StatePublished - Oct 1 2010
Externally publishedYes

Fingerprint

Meningomyelocele
National Center for Health Statistics (U.S.)
Body Mass Index
Obesity
Centers for Disease Control and Prevention (U.S.)
Arm
Paralysis
Scoliosis
Lower Extremity
Retrospective Studies
Weights and Measures
Growth

Keywords

  • Anthropometric measures
  • Body mass index
  • Myelomeningocele
  • Obesity
  • Paralysis
  • Spina bifida

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Shurtleff, D. B., Walker, W. O., Duguay, S., Peterson, D., & Cardenas, D. (2010). Obesity and myelomeningocele: Anthropometric measures. Journal of Spinal Cord Medicine, 33(4), 410-419.

Obesity and myelomeningocele : Anthropometric measures. / Shurtleff, David B.; Walker, William Otis; Duguay, Sharon; Peterson, Do; Cardenas, Diana.

In: Journal of Spinal Cord Medicine, Vol. 33, No. 4, 01.10.2010, p. 410-419.

Research output: Contribution to journalArticle

Shurtleff, DB, Walker, WO, Duguay, S, Peterson, D & Cardenas, D 2010, 'Obesity and myelomeningocele: Anthropometric measures', Journal of Spinal Cord Medicine, vol. 33, no. 4, pp. 410-419.
Shurtleff DB, Walker WO, Duguay S, Peterson D, Cardenas D. Obesity and myelomeningocele: Anthropometric measures. Journal of Spinal Cord Medicine. 2010 Oct 1;33(4):410-419.
Shurtleff, David B. ; Walker, William Otis ; Duguay, Sharon ; Peterson, Do ; Cardenas, Diana. / Obesity and myelomeningocele : Anthropometric measures. In: Journal of Spinal Cord Medicine. 2010 ; Vol. 33, No. 4. pp. 410-419.
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