Longitudinal Changes in Growth Parameters Are Correlated With Changes in Pulmonary Function in Children With Cystic Fibrosis

作者: M. L. Peterson , D. R. Jacobs , C. E. Milla

DOI: 10.1542/PEDS.112.3.588

关键词: Repeated measures designRespiratory diseaseCohort studySurgeryMedicineWeight gainProspective cohort studyEl NiñoPulmonary function testingPediatricsCystic fibrosis

摘要: Objective Nutritional status is associated with pulmonary health and survival in children cystic fibrosis (CF). This study evaluated the weight gain pattern of CF relation to longitudinal trends their function. Our hypothesis was that who experience continuous at a given rate will have better average forced expiratory volume 1 second (FEV(1)) change FEV(1) than patterns deviate from this rate, even when total seems adequate. Methods Prospectively collected data were examined 319 children, aged 6 8, routinely followed Minnesota Cystic Fibrosis Center. One 67 measurements (kg), height (cm), (mL) taken per child during 2-year period. The analyzed by repeated measure regression analysis growth analysis. Results At baseline, 1-kg higher initial 55-mL FEV(1). During follow-up period, an increase 32 mL. Children had steady tended greater increases experienced periodic losses weight. Conclusions We established weigh more appropriate uninterrupted trajectory. Aggressive nutritional support maintain these may therefore improve FEV(1), which can be as surrogate for lung health, ultimately lead survival.

参考文章(26)
J. Stuart Elborn, Sally M. Cordon, Philip J. Western, Ian A. MaCdonald, Dennis J. Shale, Tumour necrosis factor-alpha, resting energy expenditure and cachexia in cystic fibrosis Clinical Science. ,vol. 85, pp. 563- 568 ,(1993) , 10.1042/CS0850563
K. J. Gaskin, D. L. M. Waters, V. L. Soutter, L. Baur, B. J. Allen, N. Blagojevic, D. Parsons, Body composition in cystic fibrosis. Basic life sciences. ,vol. 55, pp. 15- 21 ,(1990) , 10.1007/978-1-4613-1473-8_2
Das Rm, The effects of intermittent starvation on lung development in suckling rats. American Journal of Pathology. ,vol. 117, pp. 326- 332 ,(1984)
Carl F. Doershuk, Arthur S. Tucker, Samuel Spector, LeRoy W. Matthews, Evaluation of a prophylactic and therapeutic program for patients with cystic fibrosis. Pediatrics. ,vol. 36, pp. 675- 688 ,(1965)
Robert M. Rogers, David O. Wilson, Robert M. Hoffman, Nutrition and chronic lung disease. The American review of respiratory disease. ,vol. 132, pp. 1347- 1365 ,(2015) , 10.1164/ARRD.1985.132.6.1347
Myron Winick, Adele Noble, Cellular response in rats during malnutrition at various ages. Journal of Nutrition. ,vol. 89, pp. 300- 306 ,(1966) , 10.1093/JN/89.3.300
David C Wilson, Paul B Pencharz, Nutrition and cystic fibrosis Nutrition. ,vol. 14, pp. 792- 795 ,(1998) , 10.1016/S0899-9007(98)00086-0
Babette S Zemel, Deborah A Kawchak, Avital Cnaan, Huaqing Zhao, Thomas F Scanlin, Virginia A Stallings, Prospective Evaluation of Resting Energy Expenditure, Nutritional Status, Pulmonary Function, and Genotype in Children with Cystic Fibrosis Pediatric Research. ,vol. 40, pp. 578- 586 ,(1996) , 10.1203/00006450-199610000-00011
J. S. Elborn, S. C. Bell, Nutrition and survival in cystic fibrosis. Thorax. ,vol. 51, pp. 971- 972 ,(1996) , 10.1136/THX.51.10.971
S. C. Bell, M. J. Saunders, J. S. Elborn, D. J. Shale, Resting energy expenditure and oxygen cost of breathing in patients with cystic fibrosis. Thorax. ,vol. 51, pp. 126- 131 ,(1996) , 10.1136/THX.51.2.126