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Nutricion Hospitalaria | 2018

Energy expenditure is associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy

Jorge Abraham García Íñiguez; Edgar M Vásquez Garibay; Andrea García Contreras; Enrique Romero Velarde; Rogelio Troyo Sanromán; Juan Hernández Rocha; Alejandro Rea Rosas; Monserrat Rodríguez León; Elvira Uribe Martínez

INTRODUCTION proper estimation of energy requirements in children with cerebral palsy (CP) is essential in ensuring that their energy needs are optimally met. OBJECTIVE therefore, the purpose of this study was to demonstrate that resting energy expenditure (REE) and total energy expenditure (TEE) are associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy. METHODS a cross-sectional study included 79 participants with spastic CP from 24 months to 16 years nine months. Weight and height (estimated by lower leg length) were obtained; body composition and energy expenditure were estimated by bioelectrical impedance analysis. ANOVA, post hoc tests, the Pearson correlation and determination coefficients (R2) were performed. RESULTS significant gradual increases according to age in REE and TEE (both in kcal/d) were observed. There were highly significant positive correlations between REE and TEE (kcal/d, kcal/cm/d) with fat-free mass (FFM) and fat mass (FM), but negative correlations between REE (kcal/ kg/d) with body composition and energy indicators. FFM and total body water, and to a lesser extent FM, explained a high percentage of the direct variability of REE and TEE in kcal/d and the inverse in kcal/kg/d. CONCLUSIONS as age increased, energy expenditure also increased. The estimated energy expenditure in kcal/cm/d did not differ with age and sex. The estimated energy expenditure, based on height, would be a practical and reliable method for estimating energy expenditure and ensuring adequate nutritional status.


Nutricion Hospitalaria | 2015

The distribution of the indicator height for age of Mexican children and adolescents with Down syndrome according to different reference standards

Adriana Graciela Peña Rivera; Edgar M Vásquez Garibay; Rogelio Troyo Sanromán; Enrique Romero Velarde; Erika Caro Sabido; Joanie Ramírez Díaz

OBJECTIVE To compare the indicator height for age in Mexican children with Down Syndrome (DS) with two different reference patterns of growth (American and Spanish) that might be suitable for the Mexican population. METHODS A cross-sectional study was performed including 235 Mexican children and adolescents of both sexes with DS aged 45 days to 16 years enrolled in two specialized schools in the metropolitan area of Guadalajara. The dependent variables were weight/age; height/age; weight/ height and BMI. The data expressed was percentiles and the chi-square test was used to compare the distribution of the height/age index with American and Spanish reference patterns. In addition, a chi-square test was performed for the goodness of fit of the height/age index, with breakpoints lower and greater than the 50th percentile. RESULTS The percentage of participants who were below the 50th percentile in the height/age index was significantly higher with the Spanish vs. the American reference pattern. The chi-square test for goodness of fit showed that the frequency of cases located below the 50th percentile in the height/age index was significantly higher with the American pattern in the age groups of 0 to 36 months (p = 0.022) and 37 to 72 months (p <0.001), but it was not significant (p = 0.225) in the older than 72 months age group. CONCLUSION The American reference pattern is a better fit for the growth of Mexican children with DS compared with the Spanish reference pattern, and the distribution profile obtained with the standard growth and WHO reference was not suitable for the assessment of children with Down syndrome.


Nutricion Hospitalaria | 2015

Risk factors associated with iron depletion and parasites in preschool and school children of Arandas, Jalisco, México

Edgar M. Vásquez-Garibay; Liliana Romina Campos Barrera; Enrique Romero Velarde; Lizette Miranda Ríos; María Eugenia Nuño Cosío; Francisco Nápoles Rodríguez

OBJECTIVE The objective of this study is to explore factors associated with iron depletion and parasites in preschool and school children attending the Instituto Alteño para el Desarrollo de Jalisco (INADEJ) and children who attend preschools and schools in Arandas, Jalisco. METHODS This cross sectional study assessed two groups of children. In the INADEJ group, 102 children aged 60 to 144 months old were included, and in the School group of Arandas, Jalisco, 206 children were randomly selected from schools and preschools in the same municipality. VARIABLES Ferritin concentration (μg/ml), parasites, demographic, socioeconomic, educational and dietary data were collected. The Students t test, U Mann Whitney, chi square, odds ratio and logistic regressions were estimated. RESULTS Family income in the Schools group was


Boletín médico del Hospital Infantil de México | 2003

Instrumento de medición de la dinámica de la familia nuclear mexicana: un enfoque cuantitativo

Edgar M Vásquez Garibay; Eva Sánchez Talamantes; María Eugenia Navarro Lozano; Enrique Romero Velarde; Leticia Pérez Cortes; Miguel Roberto Kumazawa Ichikawa

5,707 Mexican pesos (MP), which was higher than the family income in the INADEJ group (


Revista Mexicana de Pediatría | 2013

Estado de nutrición y perfil de lípidos en adolescentes de una escuela rural

Zoila Gómez Cruz; Enrique Romero Velarde; Araceli Hernández Tinoco; Hortensia Verdín Sánchez; Rosa Marina Figueroa Gómez; Yolanda López Illan; Lorena Godoy Mejía; Rogelio Troyo Sanromán R

4,311 MP), p = 0.031. The proportion of parents with incomplete primary education was higher in the INADEJ group (41.3%) than in the Schools group (35.4%) [OR = 1.88 (1.0-3.55)]. Unstable work was more frequent in the INADEJ group than in the Schools group [OR = 5.6 (3.26-9.62)]. The ferritin concentration was lower in the INADEJ group than in the Schools group (25 μg/L vs. 60 μg/mL, respectively), p <0.001. Having giardiasis and two or more parasites was more common in the INADEJ group compared with the Schools group [OR = 7.2 (2.25-23.0)] and [RM 3.86 (1.35-10.98)]. Heme iron intake was lower in the INADEJ group. CONCLUSION Low family income, fathers job instability, lower levels of education, overcrowding, living with animals and lower consumption of heme iron were associated with parasites and iron depletion.


Pediatría de México | 2012

Recomendaciones para la alimentación del niño durante los primeros 23 meses de vida

Edgar M Vásquez Garibay; Enrique Romero Velarde; Alfredo Larrosa Haro; Anselmo Machado Domínguez


Boletín médico del Hospital Infantil de México | 1999

Hábitos de alimentación en niños con desnutrición proteico calórica primaria y secundaria grave

Edgar M Vásquez Garibay; María Eugenia Navarro Lozano; Enrique Romero Velarde; Barbara Vizmanos Lamotte


Archivos Latinoamericanos De Nutricion | 2008

Factores de riesgo de retraso en el crecimiento linear en niños de 12 a 120 meses de edad en Arandas, Jalisco, México

Edgar M Vásquez Garibay; Miguel Ángel Ortiz Ortega; Enrique Romero Velarde; Francisco Nápoles Rodríguez


Boletín médico del Hospital Infantil de México | 2002

Estado de nutrición en niños con insuficiencia renal crónica en fase terminal en tratamiento sustitutivo

Enrique Romero Velarde; Alfredo Plácito Bravo; Gustavo Pérez Cortés; Edgar M Vásquez Garibay


Bol. méd. Hosp. Infant. Méx | 1995

Disfunción de la dinámica familiar como un factor asociado a desnutrición primaria grave en el niño

Edgar M Vásquez Garibay; Georgina Vallarta Corona; Eva Sánchez Talamantes; Francisco Nápoles Rodríguez; Enrique Romero Velarde

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