Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018

Background: An adequate nutritional status in patients with cystic fibrosis correlates with higher survival and better pulmonary function. Body mass index (BMI) is an anthropometric indicator with independent association with pulmonary function, and it can hide alterations of nutritional status in c...

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Main Authors: Aura María Salazar-Solarte, Laura Torres-Canchala, Frank Carrera-Gil, Diana María Quimbayo-Wilches
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957224000470
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author Aura María Salazar-Solarte
Laura Torres-Canchala
Frank Carrera-Gil
Diana María Quimbayo-Wilches
author_facet Aura María Salazar-Solarte
Laura Torres-Canchala
Frank Carrera-Gil
Diana María Quimbayo-Wilches
author_sort Aura María Salazar-Solarte
collection DOAJ
description Background: An adequate nutritional status in patients with cystic fibrosis correlates with higher survival and better pulmonary function. Body mass index (BMI) is an anthropometric indicator with independent association with pulmonary function, and it can hide alterations of nutritional status in cystic fibrosis. Objective: To determine the relationship of lung function with BMI and body composition parameters in children with cystic fibrosis in a Hight Complexity institution between 2015 and 2018. Materials and methods: It was an observational study with analytical, cross-sectional, and retrospective scope, including 33 patients between 5 and 17 years old. Spearman's test was applied to evaluate correlation of FEV1 (forced expiratory volume in first second) with BMI and five body composition parameters by bioelectrical impedance using InbodyS10 equipment. Statistical significance was considered with p < 0.05. Results: Positive correlation was obtained between FEV1 and appendicular skeletal muscle mass between lung function and percentage of fat-free mass (p = 0.006) and phase angle (p = 0.001). Percent fat mass had a negative correlation with FEV1 (p = 0.007). BMI and fat free mass index did not correlate with lung function (p = 0.085). Conclusions: Appendicular skeletal muscle mass correlated better than BMI with lung function in children with cystic fibrosis. It is recommended to perform anthropometric follow-up by BMI complemented with body composition study in children with cystic fibrosis. Analyses with larger populations are required to standardize its use.
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spelling doaj-art-6f7d482fe0f54890b0ce0cc48cea8acb2024-11-15T06:11:32ZengElsevierPediatrics and Neonatology1875-95722024-11-01656576580Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018Aura María Salazar-Solarte0Laura Torres-Canchala1Frank Carrera-Gil2Diana María Quimbayo-Wilches3Pediatrics Department, Hospital Universitario Fundación Valle del Lili, Cali, Colombia; Faculty of Health Sciences, Universidad Icesi, Cali, Colombia; Interdisciplinary Research Group in Epidemiology and Public Health, Universidad Libre, Seccional, Cali, Colombia; Corresponding author. Pediatrics department. Hospital Universitario Fundación Valle del Lili, 760035, Colombia.Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia; Department of Pediatrics, Universidad del Valle, Cali, ColombiaDepartment of Food and Nutrition, Faculty of Health Sciences, Pontificia Universidad Javeriana, Cali, ColombiaPediatrics Department, Hospital Universitario Fundación Valle del Lili, Cali, Colombia; Faculty of Health Sciences, Universidad Icesi, Cali, Colombia; Pediatrics and Gastroenterology Department. Hospital Universitario Fundación Valle del Lili, Cali, ColombiaBackground: An adequate nutritional status in patients with cystic fibrosis correlates with higher survival and better pulmonary function. Body mass index (BMI) is an anthropometric indicator with independent association with pulmonary function, and it can hide alterations of nutritional status in cystic fibrosis. Objective: To determine the relationship of lung function with BMI and body composition parameters in children with cystic fibrosis in a Hight Complexity institution between 2015 and 2018. Materials and methods: It was an observational study with analytical, cross-sectional, and retrospective scope, including 33 patients between 5 and 17 years old. Spearman's test was applied to evaluate correlation of FEV1 (forced expiratory volume in first second) with BMI and five body composition parameters by bioelectrical impedance using InbodyS10 equipment. Statistical significance was considered with p < 0.05. Results: Positive correlation was obtained between FEV1 and appendicular skeletal muscle mass between lung function and percentage of fat-free mass (p = 0.006) and phase angle (p = 0.001). Percent fat mass had a negative correlation with FEV1 (p = 0.007). BMI and fat free mass index did not correlate with lung function (p = 0.085). Conclusions: Appendicular skeletal muscle mass correlated better than BMI with lung function in children with cystic fibrosis. It is recommended to perform anthropometric follow-up by BMI complemented with body composition study in children with cystic fibrosis. Analyses with larger populations are required to standardize its use.http://www.sciencedirect.com/science/article/pii/S1875957224000470Cystic fibrosisNutritionLung functionBioelectrical impedance
spellingShingle Aura María Salazar-Solarte
Laura Torres-Canchala
Frank Carrera-Gil
Diana María Quimbayo-Wilches
Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
Pediatrics and Neonatology
Cystic fibrosis
Nutrition
Lung function
Bioelectrical impedance
title Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
title_full Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
title_fullStr Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
title_full_unstemmed Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
title_short Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
title_sort pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018
topic Cystic fibrosis
Nutrition
Lung function
Bioelectrical impedance
url http://www.sciencedirect.com/science/article/pii/S1875957224000470
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