ESPEN 2022 Late Breaking Abstracts
Topic: Nutritional assessment
Abstract Submission Identifier: ESPEN22-LB-2200
RELATIONSHIP BETWEEN ENERGY INTAKE AND CHANGES IN BMI OVER TIME IN PERSONS WITH SEVERE MOTOR AND INTELLECTUAL DISABILITIES(SMID)
A. Fujitani*, 1, M. Ishii 2, K. Matsui 2, T. Kudou 3, K. Takekawa 3, S. Sakai 4
1Shukutoku University, Chiba, 2KANAGAWA UNIVERSITY O HUMAN SERVICES FACULTY OF HEALTH & SOCIAL SERVICES SCHOOL OF NUTRITION & DIETETICS, Yokosuka-city Kanagawa, 3Nutrition and Dietiics, 4SMID facility, Saiseikai TOBU hosipital, Yokohama, Japan
Rationale: This study examined the relationship between energy intake and the growth or the body weight of a person with SMID.
Methods: Participants are 57 people who had been admitted to a facility in Yokohama City between May 2007 and September 2019. The statistical analysis was performed on 27 people who were period of admission was 7 years or more. We retrospectively grasped the height/weight, nutritional intake, and biochemical test results from the medical records. BMI was calculated from height and weight, and %SBMI was a ratio to BMI of the aged standard. In addition, the basal metabolic energy was calculated using the National Institute of Health and Nutrition of Japan formula. The energy intake was taken as the average value for one week before the survey date. Furthermore, we divided into 2 groups by the age at admission (under 18ys or not). The relationship with the energy sufficiency rate (ratio to the basal metabolic rate) and %SBMI, age, and serum Alb were examined using the correlation coefficient of Spearman.
Results: BMI gradually decreased from the median of 79.5% at the time of admission to 70.5% after 7 years and 66.4% at the time of the survey in the group under 18 years old. There was no change from 68.2% at the time of admission to 67.1% at the time of the survey in 18 and over. The mean values were 111.8 ± 45.9% and 113.5 ± 33.0% for both groups respectively but no relationship between energy sufficiency and age. There was a weak positive correlation between the %SBMI and the energy sufficiency rate or the Alb value under the age of 18, " r " being 0.62 and 0.63 (p <0.01), respectively. But there was found correlation nothing the ages of 18 and over.
Conclusion: The %SBMI of children with SMID is decreasing, but that is almost constantly in adulthood, regardless of the amount of energy supplemented. Weight gain in healthy people is typically based on an increase in muscle mass accompanying an increase in activity, but in children with disabilities with low activity, the increase in muscle mass stagnates, resulting in a decrease or constant %BMI. It needs to know the detail of the body composition of the person with SMID near future.
References: Norimasa Hosoya. Edited by JS Grrrow, WPT james. A Ralph. Human Nutrition and Dietetcs 10th edition. P14-23,33-34.Churchill Livingstone (Ishiyaku Japan)
Disclosure of Interest: None Declared
Keywords: SMID,energy intake,BMI