Utility of skinfold thickness measurement in non-ambulatory patients with Duchenne muscular dystrophy

被引:2
|
作者
Ishizaki, Masatoshi [1 ,2 ]
Kedoin, Chika [3 ]
Ueyama, Hidetsugu [1 ]
Maeda, Yasushi [1 ]
Yamashita, Satoshi [4 ]
Ando, Yukio [4 ]
机构
[1] Natl Hosp Org, Kumamoto Saishunsou Natl Hosp, Dept Neurol, 2338 Toyohuku, Uki, Kumamoto 8690593, Japan
[2] Natl Hosp Org, Kumamoto Minami Hosp, Dept Neurol, Kumamoto, Japan
[3] Natl Hosp Org, Kuntamoto Saishunsoh Natl Hosp, Dept Nutr, Kumamoto, Japan
[4] Kumamoto Univ, Grad Sch Med Sci, Dept Neurol, Kumamoto, Japan
关键词
Duchenne muscular dystrophy; Abdominal fat; Nutritional assessment; Obesity; Skinfold thickness measurement; BIOELECTRICAL-IMPEDANCE ANALYSIS; RESTING ENERGY-EXPENDITURE; BODY-COMPOSITION; ANTHROPOMETRY; CHILDREN;
D O I
10.1016/j.nmd.2016.09.021
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Nutritional disorders in Duchenne muscular dystrophy (DMD) worsen the medical condition. In particular, obesity is a serious problem that increases the risk of cardiomyopathy and affects nursing care. However, it is often difficult to evaluate body fatness in the advanced stages of DMD. Skinfold thickness measurement is a classical method to evaluate body fatness and is easily performed, even for bed-bound patients at home. We aimed to investigate the utility of skinfold thickness measurement in non-ambulatory DMD patients. Twenty-two patients with non-ambulatory, steroid-naive DMD ranging in age of 12-47 years were evaluated by body mass index (BMI), blood tests, measurement of triceps skinfold thickness (TSF), and abdominal computed tomography (CT) measurement of the areas of both subcutaneous and visceral fat. TSF showed good correlation with BMI (r = 0.80; p < 0.001), serum triglycerides (r = 0.67; p < 0.01), area of subcutaneous fat (r = 0.85; p < 0.0001), and area of visceral fat (r = 0.76; p < 0.0001). These results indicate the skinfold thickness measurement may be applicable as a screening tool in clinical practice where CT and magnetic resonance imaging assessment is often difficult in patients with advanced DMD. (c) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:24 / 28
页数:5
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