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Athetosis increases resting metabolic rate in adults with cerebral palsy.
J Am Diet Assoc. 1996 Feb; 96(2):145-8.JA

Abstract

OBJECTIVES

To determine whether resting metabolic rate (RMR) is higher or lower in adults with cerebral palsy compared with the RMR of control subjects and to further examine physical characteristics of cerebral palsy that might affect RMR.

DESIGN

Twenty-one adults with cerebral palsy (9 women, 12 men) were compared with 50 control subjects (25 men, 25 women) within the same age range (18 through 50 years). The following measurements were made: RMR by indirect calorimetry, anthropometrics, body composition, and habitual physical activity patterns. The study was conducted at the University of Vermont General Clinical Research Center and the Ball State University Human Performance Laboratory.

STATISTICAL ANALYSES

Mean values +/- standard deviations, t tests, Pearson product-moment correlation coefficients, analysis of covariance, and stepwise multiple correlation regression analysis were used to examine the relationships among variables of interest.

RESULTS

No significant differences were found in body weight, body mass index, fat mass, percentage body fat, and measured RMR between the two groups. The subjects with cerebral palsy were significantly shorter, had less fat-free mass, and expended fewer kilocalories in leisure time activities than the control subjects. After statistical adjustment for differences in fat-free mass, the subjects with cerebral palsy had a 14% (P < .001) higher adjusted RMR (1,742 kcal/day) compared with that of the control subjects (1,534 kcal/day). According to stepwise regression analysis, RMR was best predicted in the entire sample by fat-free mass and the presence or absence of athetosis (multiple R = .83, P < .001). The presence of cerebral palsy alone was not significantly correlated with RMR.

CONCLUSIONS

The increased energy requirements of adults with cerebral palsy can be partially explained by athetotic movements. In this sample, the presence of athetosis increased RMR by an average of 524 kcal/day.

Authors+Show Affiliations

Department of Nutritional Sciences, University of Vermont, Burlington 05405, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8557940

Citation

Johnson, R K., et al. "Athetosis Increases Resting Metabolic Rate in Adults With Cerebral Palsy." Journal of the American Dietetic Association, vol. 96, no. 2, 1996, pp. 145-8.
Johnson RK, Goran MI, Ferrara MS, et al. Athetosis increases resting metabolic rate in adults with cerebral palsy. J Am Diet Assoc. 1996;96(2):145-8.
Johnson, R. K., Goran, M. I., Ferrara, M. S., & Poehlman, E. T. (1996). Athetosis increases resting metabolic rate in adults with cerebral palsy. Journal of the American Dietetic Association, 96(2), 145-8.
Johnson RK, et al. Athetosis Increases Resting Metabolic Rate in Adults With Cerebral Palsy. J Am Diet Assoc. 1996;96(2):145-8. PubMed PMID: 8557940.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Athetosis increases resting metabolic rate in adults with cerebral palsy. AU - Johnson,R K, AU - Goran,M I, AU - Ferrara,M S, AU - Poehlman,E T, PY - 1996/2/1/pubmed PY - 1996/2/1/medline PY - 1996/2/1/entrez SP - 145 EP - 8 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 96 IS - 2 N2 - OBJECTIVES: To determine whether resting metabolic rate (RMR) is higher or lower in adults with cerebral palsy compared with the RMR of control subjects and to further examine physical characteristics of cerebral palsy that might affect RMR. DESIGN: Twenty-one adults with cerebral palsy (9 women, 12 men) were compared with 50 control subjects (25 men, 25 women) within the same age range (18 through 50 years). The following measurements were made: RMR by indirect calorimetry, anthropometrics, body composition, and habitual physical activity patterns. The study was conducted at the University of Vermont General Clinical Research Center and the Ball State University Human Performance Laboratory. STATISTICAL ANALYSES: Mean values +/- standard deviations, t tests, Pearson product-moment correlation coefficients, analysis of covariance, and stepwise multiple correlation regression analysis were used to examine the relationships among variables of interest. RESULTS: No significant differences were found in body weight, body mass index, fat mass, percentage body fat, and measured RMR between the two groups. The subjects with cerebral palsy were significantly shorter, had less fat-free mass, and expended fewer kilocalories in leisure time activities than the control subjects. After statistical adjustment for differences in fat-free mass, the subjects with cerebral palsy had a 14% (P < .001) higher adjusted RMR (1,742 kcal/day) compared with that of the control subjects (1,534 kcal/day). According to stepwise regression analysis, RMR was best predicted in the entire sample by fat-free mass and the presence or absence of athetosis (multiple R = .83, P < .001). The presence of cerebral palsy alone was not significantly correlated with RMR. CONCLUSIONS: The increased energy requirements of adults with cerebral palsy can be partially explained by athetotic movements. In this sample, the presence of athetosis increased RMR by an average of 524 kcal/day. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/8557940/Athetosis_increases_resting_metabolic_rate_in_adults_with_cerebral_palsy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(96)00043-0 DB - PRIME DP - Unbound Medicine ER -