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  • Title: The measurement of body composition in children with spina bifida: Feasibility and preliminary findings.
    Author: Polfuss M, Simpson P, Stolzman S, Moerchen V, Hovis S, Zhang L, Miranda H, Sawin K.
    Journal: J Pediatr Rehabil Med; 2016 May 31; 9(2):143-53. PubMed ID: 27285807.
    Abstract:
    PURPOSE: To assess the feasibility of obtaining and comparing various methods of height and body composition (BC) measurements in children with spina bifida (SB). METHODS: Fifteen children (7M/8F) with SB (4-18 years old) underwent weight, four height measurements (arm span, wall-mounted stadiometer, segmental and recumbent length) and five BC measurements: (BMI; BodPod®; DEXA; Bioelectrical Impedance Analysis; and skinfold). Data collectors, parents, and study participants evaluated procedures. The four heights as paired with the BC measurements were compared to the gold standard DEXA measurements. RESULTS: Procedures were successfully completed in 14 of 15 children. Skinfolds and segmental length had a midlevel ranking of comfort. While no measures substituted for the DEXA scan, preliminary findings suggest that an algorithm may estimate BC in this high-risk population. Currently, arm span used within BodPod® measurements provided the closest agreement with the DEXA scan. CONCLUSION: Study protocol was feasible and provided necessary information, including recommended modifications, for successful implementation of the planned subsequent study.
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