Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels

Children with cerebral palsy (CP) typically suffer from congenital deformities, such as scoliosis and contractures, therefore, it is a challenge to measure the stature of CP children. Studies have suggested that predictive equations based on tibia length (TL) may be used as an alternative method in...

Full description

Bibliographic Details
Main Authors: Mahnon Suria Mokhy, Rosita Jamaluddin, Abd Rasyid Ismail, Norhasmah Sulaiman, Siti Nur ‘Asyura Adznam, Intan Hakimah Ismail, Malina Osman
Format: Article
Language:English
Published: Cambridge University Press 2021-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679021001014/type/journal_article
_version_ 1811155920796778496
author Mahnon Suria Mokhy
Rosita Jamaluddin
Abd Rasyid Ismail
Norhasmah Sulaiman
Siti Nur ‘Asyura Adznam
Intan Hakimah Ismail
Malina Osman
author_facet Mahnon Suria Mokhy
Rosita Jamaluddin
Abd Rasyid Ismail
Norhasmah Sulaiman
Siti Nur ‘Asyura Adznam
Intan Hakimah Ismail
Malina Osman
author_sort Mahnon Suria Mokhy
collection DOAJ
description Children with cerebral palsy (CP) typically suffer from congenital deformities, such as scoliosis and contractures, therefore, it is a challenge to measure the stature of CP children. Studies have suggested that predictive equations based on tibia length (TL) may be used as an alternative method in measuring the actual height or stature. The present study aimed to develop and validate predictive equations based on TL for CP children in Malaysia across all five levels of gross motor functions (GMFCS I to V) through a cross-sectional study. All subjects were recruited from Hospitals and Community-Based Rehabilitation (CBR) in the central and southern regions of Malaysia. Two predictive equation models were developed using multiple linear regression. For Model 1, the predictive equation was developed based on TL. On the other hand, Model 2 was developed based on TL with age was included. A flexible Seca measuring tape was used to measure the stature and TL. CP children aged 2–18 years were classified into the equation development group (EDG), n 177 and the validation group (VG), n 139. Model 1, Height = 32⋅3 + 3⋅14 (TL), demonstrated a strong correlation with the actual height (R2 0⋅834), small SEE (1⋅42), and high intra correlation coefficient (0⋅929). The findings suggested that Model 1 was more accurate in estimating the height of CP children aged 2–18 years. This model was shown to suit the Malaysian population and applicable across all GMFCS levels.
first_indexed 2024-04-10T04:42:55Z
format Article
id doaj.art-74be1925151642698cddd4ff30f03bd1
institution Directory Open Access Journal
issn 2048-6790
language English
last_indexed 2024-04-10T04:42:55Z
publishDate 2021-01-01
publisher Cambridge University Press
record_format Article
series Journal of Nutritional Science
spelling doaj.art-74be1925151642698cddd4ff30f03bd12023-03-09T12:38:46ZengCambridge University PressJournal of Nutritional Science2048-67902021-01-011010.1017/jns.2021.101Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levelsMahnon Suria Mokhy0Rosita Jamaluddin1Abd Rasyid Ismail2Norhasmah Sulaiman3Siti Nur ‘Asyura Adznam4Intan Hakimah Ismail5Malina Osman6Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia Department of Dietetics, Hospital Melaka, MalaysiaDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Paediatric, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaChildren with cerebral palsy (CP) typically suffer from congenital deformities, such as scoliosis and contractures, therefore, it is a challenge to measure the stature of CP children. Studies have suggested that predictive equations based on tibia length (TL) may be used as an alternative method in measuring the actual height or stature. The present study aimed to develop and validate predictive equations based on TL for CP children in Malaysia across all five levels of gross motor functions (GMFCS I to V) through a cross-sectional study. All subjects were recruited from Hospitals and Community-Based Rehabilitation (CBR) in the central and southern regions of Malaysia. Two predictive equation models were developed using multiple linear regression. For Model 1, the predictive equation was developed based on TL. On the other hand, Model 2 was developed based on TL with age was included. A flexible Seca measuring tape was used to measure the stature and TL. CP children aged 2–18 years were classified into the equation development group (EDG), n 177 and the validation group (VG), n 139. Model 1, Height = 32⋅3 + 3⋅14 (TL), demonstrated a strong correlation with the actual height (R2 0⋅834), small SEE (1⋅42), and high intra correlation coefficient (0⋅929). The findings suggested that Model 1 was more accurate in estimating the height of CP children aged 2–18 years. This model was shown to suit the Malaysian population and applicable across all GMFCS levels.https://www.cambridge.org/core/product/identifier/S2048679021001014/type/journal_articleActual heightCerebral palsyEstimated heightPredictive equationTibia length
spellingShingle Mahnon Suria Mokhy
Rosita Jamaluddin
Abd Rasyid Ismail
Norhasmah Sulaiman
Siti Nur ‘Asyura Adznam
Intan Hakimah Ismail
Malina Osman
Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
Journal of Nutritional Science
Actual height
Cerebral palsy
Estimated height
Predictive equation
Tibia length
title Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
title_full Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
title_fullStr Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
title_full_unstemmed Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
title_short Validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2–18 years, across all GMFCS levels
title_sort validated predictive equations based on tibial length in estimating height for children with cerebral palsy for 2 18 years across all gmfcs levels
topic Actual height
Cerebral palsy
Estimated height
Predictive equation
Tibia length
url https://www.cambridge.org/core/product/identifier/S2048679021001014/type/journal_article
work_keys_str_mv AT mahnonsuriamokhy validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT rositajamaluddin validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT abdrasyidismail validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT norhasmahsulaiman validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT sitinurasyuraadznam validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT intanhakimahismail validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels
AT malinaosman validatedpredictiveequationsbasedontibiallengthinestimatingheightforchildrenwithcerebralpalsyfor218yearsacrossallgmfcslevels