PMID: 3747093Jul 1, 1986Paper

Body composition in quadriplegic patients

JPEN. Journal of Parenteral and Enteral Nutrition
H M ShizgalC Yaffe

Abstract

The nutritional state of 12 patients with quadriplegia, secondary to spinal cord injury, was assessed by determining body composition with a multiple isotope dilution technique. For comparative purposes, similar measurements were obtained in 25 normal volunteers. The mean duration of quadriplegia was 14.8 +/- 8.5 months. All the patients were hospitalized, receiving a regular hospital diet and all were on a similar rehabilitation program. Because skeletal muscle atrophy is extensive in quadriplegics, we had expected a reduced body size, which was otherwise normal in composition, with a comparable decrease in both the body cell mass (BCM) and the extracellular mass (ECM). Instead, a body composition characteristic of malnutrition was observed in an unexpectedly large percentage (58%) of patients. In the normally nourished individual, the BCM and ECM are approximately equal in size. However, in seven of the 12 quadriplegic patients, the body composition was characteristic of malnutrition, with a BCM (13.5 +/- 1.6 kg) which was reduced relative to the ECM (28.7 +/- 1.9 kg). Their body composition was significantly (p less than 0.05) different from the body composition of both the healthy volunteers and the other five quadriplegic ...Continue Reading

References

May 1, 1977·Paraplegia·A DavidR Rozin
Sep 1, 1970·Canadian Anaesthetists' Society Journal·J Desmond
Jun 1, 1980·Paraplegia·J Claus-Walker, G P Rodriguez
Oct 28, 1955·Annals of the New York Academy of Sciences·J E RHOADS, C E ALEXANDER

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Citations

Feb 15, 2012·The Journal of Spinal Cord Medicine·Claudio Perret, Nadine Stoffel-Kurt
Jun 17, 2003·Archives of Physical Medicine and Rehabilitation·Andrea C BuchholzPaul B Pencharz
Nov 10, 2004·Current Opinion in Clinical Nutrition and Metabolic Care·Andrea C Buchholz, Paul B Pencharz
Aug 12, 2003·Journal of Applied Physiology·Ann M SpungenWilliam A Bauman
Apr 6, 2000·Journal of Applied Physiology·A M SpungenW A Bauman

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