Obesity and myelomeningocele: Anthropometric measures

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

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


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 (US)
Pages (from-to)410-419
Number of pages10
JournalJournal of Spinal Cord Medicine
Issue number4
StatePublished - Oct 2010


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

ASJC Scopus subject areas

  • Clinical Neurology


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