title: Nutritional status and body fat distribution in children and adolescentes with Cystic Fibrosis.
abstract: OBJECTIVE
  assessing the nutritional status and body fat distribution in children and adolescents with cystic fibrosis.
  
  
  METHODS
  Fifty-six (56) 8-18 year old patients were assessed for fat distribution by dual energy X-ray absorptiometry, for nutritional status by height/age, and for body mass index to age and dietary intake by 24-hour dietary recall.
  
  
  RESULTS
  Approximately 50% of the sample showed adequate nutritional status. Most of it showed inadequate caloric and lipid intake. BMI/age was the nutritional indicator that best showed the increased percentage of trunk fat, android/gynecoidratio and trunk fat/total fat ratio. Patients with Pancreatic Insufficiency and eutrophic individuals showed higher median android/gynecoidratio.
  
  
  CONCLUSIONS
  Increased abdominal adiposity was evidenced by DXA. The BMI did not identify decreased lean body mass. However, when body mass was high, it was significant for abdominal adiposity. The anthropometric assessment of patients with cystic fibrosis should be associated with body composition and body fat distribution to obtain an earlier malnutrition and cardiometabolic risk factor diagnosis.
authors.affiliation: Instituto Fernandes Figueira, Fiocruz, Rio de Janeiro, RJ, Brasil, crchaves@iff.fiocruz.br.
authors.forename: Célia Regina Moutinho de Miranda
authors.initials: CR
authors.lastname: Chaves
authors.affiliation: Instituto Fernandes Figueira, Fiocruz, Rio de Janeiro, RJ, Brasil, crchaves@iff.fiocruz.br.
authors.forename: Ana Lúcia Pereira da
authors.initials: AL
authors.lastname: Cunha
authors.affiliation: Escola Nacional de Saúde Pública, Fiocruz, Brasil.
authors.forename: Ana Carolina da
authors.initials: AC
authors.lastname: Costa
authors.affiliation: Instituto Fernandes Figueira, Fiocruz, Rio de Janeiro, RJ, Brasil, crchaves@iff.fiocruz.br.
authors.forename: Roseli de Souza Santos da
authors.initials: Rde S
authors.lastname: Costa
authors.affiliation: Instituto Fernandes Figueira, Fiocruz, Rio de Janeiro, RJ, Brasil, crchaves@iff.fiocruz.br.
authors.forename: Speranza Vieira
authors.initials: SV
authors.lastname: Lacerda
mesh_terms: D015502:Absorptiometry, Photon; D000293:Adolescent; D001823:Body Composition; D050218:Body Fat Distribution; D015992:Body Mass Index; D002648:Child; D003550:Cystic Fibrosis; D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status