Factors Affecting Bone Mineral Density in Adults with Cerebral Palsy.
10.5535/arm.2012.36.6.770
- Author:
Young Kwon YOON
1
;
Ae Ryoung KIM
;
On Yoo KIM
;
Kilchan LEE
;
Young Joo SUH
;
Sung Rae CHO
Author Information
1. Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea. srcho918@yuhs.ac
- Publication Type:Original Article
- Keywords:
Bone mineral density;
Adult;
Cerebral palsy;
Body mass index;
Functional level
- MeSH:
Absorptiometry, Photon;
Adult;
Body Mass Index;
Bone Density;
Cerebral Palsy;
Femur;
Gait;
Humans;
Spine;
Weight-Bearing
- From:Annals of Rehabilitation Medicine
2012;36(6):770-775
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To clarify factors affecting bone mineral density (BMD) in adults with cerebral palsy (CP). METHOD: Thirty-five patients with CP participated in this study. Demographic data including gender, age, body mass index (BMI), subtype according to neuromotor type and topographical distribution, ambulatory function, and functional independence measure (FIM) were investigated. The BMD of the lumbar spine and femur were measured using Dual-energy X-ray absorptiometry, and the factors affecting BMD were analyzed. RESULTS: The BMD had no significant association with factors such as gender, age, and subtype in adults with CP. However, BMI was significantly correlated with the BMD of lumbar spine and femur (p<0.05). The FIM score was also positively correlated with the BMD of femur (p<0.05). Moreover, CP patients with higher ambulatory function had significantly higher BMD of femur (p<0.05). CONCLUSION: These findings suggest that BMI and functional levels such as FIM and ambulatory function can affect BMD in adults with CP. The results might be used as basic data, suggesting the importance of treatment including weight bearing exercise and gait training in adults with CP.
