Low skeletal muscle mass and liver fibrosis in children with cerebral palsy

Marie Mostue Naume*, Marianne Hørby Jørgensen, Christina Engel Høi-Hansen, Maja Risager Nielsen, Alfred Peter Born, John Vissing, Lise Borgwardt, Dorte Marianne Rohde Stærk, Mette Cathrine Ørngreen

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Abstract

The purpose of the study was to conduct a nutritional and metabolic assessment of children with cerebral palsy, including an investigation of liver status, body composition, and bone mineral density. In this cross-sectional study we included 22 children with cerebral palsy. By using ultrasound, transient elastography, dual x-ray absorptiometry (DXA) scan, blood samples, anthropometric measurements, and a three-day diet registration, the nutritional and metabolic status was evaluated. Liver fibrosis and steatosis were found in four patients (18.2%), all with severe motor impairments, low skeletal muscle mass, and epilepsy. All patients with liver involvement had normal liver-related blood samples. Decreased bone mineral density was found in 26.3%, and 91.0% had low skeletal muscle mass. Fat mass and muscle mass were significantly lower in the patients with severe motor impairments compared to the patients with less severe motor impairments. Within the children classified as ‘underweight’ or ‘normal’ according to body mass index, body fat determined by DXA scan was normal or high in 50% of these patients.

Conclusions: This study is the first to report liver fibrosis and steatosis in children with cerebral palsy. Possible causes of liver fibrosis and/or steatosis are altered body composition with low skeletal muscle mass, decreased mobility and medical drug intake. Further investigations of liver involvement and risk factors are needed.
OriginalsprogEngelsk
TidsskriftEuropean Journal of Pediatrics
Vol/bind182
Udgave nummer11
Sider (fra-til)5047-5055
Antal sider9
ISSN0340-6199
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
Open access funding provided by Royal Library, Copenhagen University Library. The work was supported by the Elsass Foundation.

Publisher Copyright:
© 2023, The Author(s).

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