Anthropometric Nutritional Assessment in Children with Severe Neurological Impairment and Intellectual Disability



This chapter discusses the current evidence and best practices of anthropometric measurements in children with severe neurological impairment and intellectual disability, who both have a severe motor impairment and moderate to profound intellectual disability due to congenital or acquired neurological damage. First the target population is described in detail, with regard to the etiology of the disorder, frequent concomitant medical problems and life expectancy. The necessity of regularly measuring the nutritional state is underlined in the light of these children’s nutrition-related problems, such as dysphagia and gastro-esophageal reflux, which are potential causes of malnutrition. In contrast, a subgroup of these children is at risk of developing obesity due to tube feeding. An overview of the feasibility of commonly used anthropometric measurements in the target population, such as weight, height and skinfold measurements, is presented and where possible, alternative methods are described, such as the use of segmental measures when accurate measurement of standing height is not possible. Outcome of body composition measurement is interpreted by means of specific equations. An overview of frequently applied and, if available, group-specific norm values and equations for interpretation of the outcome is presented, followed by suggestions for future research needed for further improvement of the reliability and interpretation of anthropometric measurements in these children. Based on the current knowledge, practical recommendations are given for applying anthropometry in children with severe neurological impairment and ID.


Cerebral Palsy Intellectual Disability Intellectual Disability Nutritional Assessment Skinfold Thickness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Bioelectric impedance analysis


Body mass index


Cerebral Palsy


Doubly labeled water


Dual-energy X-ray Absorptiometry


Fat-free mass


Gastro-Esophageal Reflux


Gross motor function classification scale


Intellectual disability


Knee height


Percutaneous endoscopic gastrostomy


Tibia length


Upper-arm length


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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Intellectual Disability Medicine, Department of General PracticeErasmus University Medical CenterRotterdamThe Netherlands

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