Stallings V A, Charney E B, Davies J C, Cronk C E
Division of Gastroenterology, Children's Hospital of Philadelphia, PA 19104.
Dev Med Child Neurol. 1993 Feb;35(2):126-38. doi: 10.1111/j.1469-8749.1993.tb11614.x.
Growth failure and nutritional status were evaluated in 142 children with quadriplegic cerebral palsy, aged between two and 18 years. Linear growth was assessed by upper-arm and lower-leg lengths: both means were significantly reduced. Mean bodyweight and triceps skinfold thickness fat stores were reduced to 65 per cent medians and subcapsular skinfold fat stores to 81 per cent median. Muscle stores were the most preserved and reduced to 88 per cent median. Examination of the sample by age-group showed significant reductions in growth and nutrition status indicators, even at two to four years, except for muscle area. To determine the degree to which nutritional status affected linear growth, a set of two-step regression analyses was conducted. The linear growth measures were significantly correlated with the measures of nutritional status.
对142名年龄在2至18岁之间的四肢瘫痪型脑瘫患儿的生长发育不良和营养状况进行了评估。通过上臂和小腿长度评估线性生长：两者的平均值均显著降低。平均体重和肱三头肌皮褶厚度脂肪储备降至中位数的65%，而肩胛下皮褶脂肪储备降至中位数的81%。肌肉储备保存得最好，降至中位数的88%。按年龄组对样本进行检查发现，除肌肉面积外，即使在2至4岁时，生长和营养状况指标也显著降低。为了确定营养状况对线性生长的影响程度，进行了一组两步回归分析。线性生长指标与营养状况指标显著相关。
