PMID- 32102088
OWN - NLM
STAT- MEDLINE
DCOM- 20210618
LR  - 20210618
IS  - 1536-4801 (Electronic)
IS  - 0277-2116 (Linking)
VI  - 71
IP  - 1
DP  - 2020 Jul
TI  - Comparison of International Growth Standards for Assessing Nutritional Status in 
      Cystic Fibrosis: The GreeCF Study.
PG  - e35-e39
LID - 10.1097/MPG.0000000000002679 [doi]
AB  - OBJECTIVE: The aim of the study was to compare 3 international growth references 
      and explore their differences in assessing growth in Greek school-aged patients 
      with cystic fibrosis (CF). METHODS: Sample included 114 patients (50 boys, age 
      11.5 +/- 3.9 years), provided care at Aghia Sofia Children's Hospital, Greece. 
      Anthropometrics and predicted forced expiratory volume in 1 second (FEV1%) were 
      measured. Body mass index (BMI) and height z scores were computed according to 
      the Centers for Disease Control and Prevention (CDC), World Health Organization 
      (WHO), and International Obesity Task Force (IOTF) references. Agreement between 
      methods was analyzed with kappa statistics, repeated-measures analysis of 
      variance, and Bland-Altman analysis. The relationship between FEV1% and BMI was 
      explored with linear regression. RESULTS: Mean CDC BMI z score was the lowest 
      (0.06 +/- 1.08), followed by WHO (0.17 +/- 1.14) and IOTF (0.35 +/- 1.05) (P </= 0.001 
      for all). The CDC and WHO growth references highly agreed for most weight status 
      strata and stunting; all other comparisons produced lower agreements. Except for 
      CDC and IOTF BMI z scores, all other comparisons produced wide levels of 
      agreement and proportional bias. CDC reference classified more children as 
      attaining low or normal weight, against WHO or IOTF (P </= 0.001 for all). Lowest 
      prevalence of ideal and excess weight was recorded by CDC, compared to all other 
      standards (P </= 0.001 for all). All BMI z scores provided moderate associations 
      with FEV1%. CONCLUSION: Large variations across weight status classification were 
      present when employing 3 growth standards in school-aged patients . Given than 
      BMI z-scores from all references provided comparable associations with pulmonary 
      function, our data indicate that no studied reference is better than others in 
      assessing growth in CF.
FAU - Poulimeneas, Dimitrios
AU  - Poulimeneas D
AD  - Department of Public Health Policy, University of West Athens.
AD  - Department of Nutrition and Dietetics, Harokopio University, Athens.
FAU - Grammatikopoulou, Maria G
AU  - Grammatikopoulou MG
AD  - Department of Nutritional Sciences and Dietetics, International Hellenic 
      University, Thessaloniki.
FAU - Petrocheilou, Argyri
AU  - Petrocheilou A
AD  - Department of Cystic Fibrosis.
FAU - Kaditis, Athanasios G
AU  - Kaditis AG
AD  - Department of Cystic Fibrosis.
AD  - Pediatric Pulmonology Unit, First Department of Pediatrics, Aghia Sophia 
      Children's Hospital, Athens, Greece.
FAU - Troupi, Evgenia
AU  - Troupi E
AD  - Department of Cystic Fibrosis.
FAU - Doudounakis, Stavros E
AU  - Doudounakis SE
AD  - Department of Cystic Fibrosis.
FAU - Laggas, Dimitrios
AU  - Laggas D
AD  - Department of Public and Community Health, University of West Athens, Greece.
FAU - Vassilakou, Tonia
AU  - Vassilakou T
AD  - Department of Public Health Policy, University of West Athens.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Pediatr Gastroenterol Nutr
JT  - Journal of pediatric gastroenterology and nutrition
JID - 8211545
SB  - IM
MH  - Adolescent
MH  - Body Mass Index
MH  - Body Weight
MH  - Child
MH  - *Cystic Fibrosis
MH  - Humans
MH  - Male
MH  - *Nutritional Status
MH  - Obesity
MH  - Prevalence
EDAT- 2020/02/27 06:00
MHDA- 2021/06/22 06:00
CRDT- 2020/02/27 06:00
PHST- 2020/02/27 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2020/02/27 06:00 [entrez]
AID - 00005176-202007000-00028 [pii]
AID - 10.1097/MPG.0000000000002679 [doi]
PST - ppublish
SO  - J Pediatr Gastroenterol Nutr. 2020 Jul;71(1):e35-e39. doi: 
      10.1097/MPG.0000000000002679.