Ultrasound assessment of malnutrition in infancy: a pilot case-control study

被引:0
作者
Meng-Fan Tai
Ruth Bvalani
Bazwell Nkhalema
Emmie Mbale
Karen Chetcuti
Pui-Ying Iroh Tam
机构
[1] Paediatrics and Child Health Research Group,Department of Paediatrics and Child Health
[2] Malawi-Liverpool Wellcome Research Programme,Department of Radiology
[3] Queen Elizabeth Central Hospital,Current affiliation: Department of Paediatrics
[4] Queen Elizabeth Central Hospital,undefined
[5] Kamuzu University of Health Sciences,undefined
[6] Liverpool School of Tropical Medicine,undefined
[7] Taipei Tzu Chi Hospital,undefined
[8] Malawi-Liverpool Wellcome Research Programme,undefined
[9] Queen Elizabeth Central Hospital,undefined
[10] Kamuzu University of Health Sciences,undefined
来源
BMC Pediatrics | / 24卷
关键词
Ultrasonography; Malnutrition; Infant; Subcutaneous fat; Skeletal muscle;
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摘要
This study aimed at determining the intra- and inter-rater reliability in ultrasound body composition measurements and investigating the differences between malnourished and non-malnourished infants. Sonographic images for measurements of fat and muscle thickness were compared between 9 malnourished and 9 non-malnourished hospitalized infants. The mean of fat and muscle thickness sums were 12.44 ± 7.58 mm and 28.98 ± 7.18 mm, respectively. The intra- and inter-rater intraclass correlation coefficient were above 0.9 for both measurements, indicating high intra- and inter-rater reliability. Compared to non-malnourished infants, malnourished infants have 45% of fat thickness sum and 71% of muscle thickness sum. Ultrasound measurements of body composition in infants were different between hospitalized malnourished and non-malnourished infants. This approach has the potential to be utilized more broadly, from assessing the nutritional status of critically ill infants in intensive care units to screening for malnutrition in high-risk infant populations.
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