Evaluation of Body Composition in Disabled People: A Traditional Review


DAZIROĞLU M. E. Ç., KÖKSAL E.

Türkiye Klinikleri Sağlık Bilimleri Dergisi, cilt.8, sa.2, ss.343-353, 2023 (Hakemli Dergi) identifier

Özet

Anthropometric measurements and laboratory methods allow the determination of body sizes and composition of individuals. In this way, it is possible to evaluate the nutritional status of people and to intervene. However, sometimes the body composition can be diffi- cult to assess, and one of them is disability. The term of disability is used to describe the individual who is affected by the attitudes and en- vironmental conditions that restrict their full and effective participation in equal conditions with other individuals due to their loss of physical, mental, spiritual, and sensory abilities at various levels. Although the disabled can be examined under different subgroups, there are all dif- ficulties when considering the anthropometric measurement and labo- ratory methods used for nutritional use in orthopedically and mentally disabled patients from these groups. For example, limb loss in ampu- tation, postural disorders in cerebral palsy and spinal deformities, and different growth and development in cerebral palsy and Down syn- drome make it difficult to evaluate the body composition of these dis- abled groups. For this reason, various equations have been developed for these groups, specific to the disability group. At the same time, there are group-specific growth curves in groups with different growth and development. For this reason, the characteristics of the disabled group should be well known and the right decision should be made on the methods to be used for the alternative and a path should be fol- lowed accordingly. In this review, 4 disability groups, namely ampu- tation, cerebral palsy, spinal deformities, and Down syndrome, are discussed.