Universität zu Köln

Duran, Ibrahim ORCID: 0000-0003-4044-8822, Schulze, Josefa, Martakis, KyriakoS, Stark, Christina ORCID: 0000-0003-4247-0679 and Schoenau, Eckhard (2018). Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy. Dev. Med. Child Neurol., 60 (7). S. 680 - 688. HOBOKEN: WILEY. ISSN 1469-8749

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Abstract

AimTo assess the diagnostic performance of body mass index (BMI) cut-off values according to recommendations of the World Health Organization (WHO), the World Obesity Federation (WOF), and the German Society for Adiposity (DAG) to identify excess body fat in children with cerebral palsy (CP). MethodThe present study was a monocentric retrospective analysis of prospectively collected data among children and adolescents with CP participating in a rehabilitation programme. Excess body fat was defined as a body fat percentage above the 85th centile assessed by dual-energy X-ray absorptiometry. ResultsIn total, 329 children (181 males, 148 females) with CP were eligible for analysis. The mean age was 12years 4months (standard deviation 2y 9mo). The BMI cut-off values for overweight' according to the WHO, WOF, and DAG showed the following sensitivities and specificities for the prediction of excess body fat in our population: WHO: sensitivity 0.768 (95% confidence interval [CI] 0.636-0.870), specificity 0.894 (95% CI 0.851-0.928); WOF: sensitivity 0.696 (95% CI 0.559-0.812), specificity 0.934 (95% CI 0.898-0.960); DAG: sensitivity 0.411 (95% CI 0.281-0.550), specificity 0.993 (95% CI 0.974-0.999). InterpretationBody mass index showed high specificity, but low sensitivity in children with CP. Thus, normal-weight obese' children with CP were overlooked, when assessing excess body fat only using BMI.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Duran, Ibrahim UNSPECIFIED orcid.org/0000-0003-4044-8822 UNSPECIFIED Schulze, Josefa UNSPECIFIED UNSPECIFIED UNSPECIFIED Martakis, KyriakoS UNSPECIFIED UNSPECIFIED UNSPECIFIED Stark, Christina UNSPECIFIED orcid.org/0000-0003-4247-0679 UNSPECIFIED Schoenau, Eckhard UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-180278
DOI:	10.1111/dmcn.13714
Journal or Publication Title:	Dev. Med. Child Neurol.
Volume:	60
Number:	7
Page Range:	S. 680 - 688
Date:	2018
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1469-8749
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SECONDARY CONDITIONS; UNITED-STATES; OBESITY; ADOLESCENTS; DISABILITIES; PREVALENCE; OVERWEIGHT; PERCENTAGE; CUTOFFS; RISK Multiple languages Clinical Neurology; Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18027