Obesity and myelomeningocele: anthropometric measures.
OBJECTIVE
To evaluate the appropriate use of arm span measurements as a substitute for height/linear length to evaluate obesity in people with myelomeningocele by comparing calculated body mass indices (BMIs) with recently published BMI graphs by the Centers for Disease Control and Prevention (CDC) and National Center for Health Statistics standards (NCHS) published in 2000.


METHODS
Retrospective analysis of collected data on patients seen in the University of Washington Birth Defects Clinic from July 1, 1965, through June 1, 2008. Observations included degree of paralysis, presence of scoliosis, height (linear length), weight, and arm span. We compared published CDC/NCHS BMIs with our data using both height and arm span in place of height/linear length. There were 14,701 measures collected during 4968 visits from 709 patients. Mean values were calculated using age, gender, and lesion level as independent variables.


RESULTS
Comparison of BMI means of patients with myelomeningocele suggests that our observations using arm span and height are comparable with the CDC/NCHS BMI means using height for the 2 least paralyzed groups but not for those groups with paralysis from high-level lesions that are more likely to exhibit lower extremity deformities or scoliosis.


CONCLUSIONS
Published CDC/NCHS graphs, with their percentiles, are appropriate for estimating normal growth by BMI for children born with myelomeningocele when arm span is substituted for length if severe body differences due to high-level paralysis are taken into consideration.
Department of Pediatrics, University of Washington, Seattle, USA.
David B
DB
Shurtleff
William Otis
WO
Walker
Sharon
S
Duguay
Do
D
Peterson
Diana
D
Cardenas
D000293:Adolescent; D000367:Age Factors; D000886:Anthropometry; D015992:Body Mass Index; D001835:Body Weight; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008591:Meningomyelocele / Q000453:epidemiology* / Q000473:pathology*; D009309:National Center for Health Statistics, U.S.; D009765:Obesity / Q000453:epidemiology* / Q000473:pathology*; D012189:Retrospective Studies; D012737:Sex Factors; D014481:United States; D055815:Young Adult