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The appendicular lean mass index is a suitable surrogate for muscle mass in children with cerebral palsy

The Journal of Nutrition Jun 20, 2019

Duran I, et al. - In this monocentric retrospective analysis of children and adolescents with cerebral palsy (CP) participating in a rehabilitation program, researchers assessed skeletal muscle mass using total lean BMI (LBM/height2) (LMItot) and appendicular lean mass index (LMIapp). For the analysis, 329 children with CP (148 females; Gross Motor Function Classification Scale [GMFCS] I, 32 children; GMFCS II, 73 children; GMFCS III, 133 children; GMFCS IV, 78 children; and GMFCS V, 13 children) met the eligibility criteria. The mean age of the sample was 12.3 ± 2.75 years. The possible underestimation of the prevalence of low skeletal muscle mass by LMItot in children with CP was suggested in this study. In children with CP, the more appropriate tool for the assessment of skeletal muscle mass is LMIapp.

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