Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Evaluation of Body Composition in Disabled People: A Traditional Review
Engelli Bireylerde Vücut Bileşiminin Değerlendirilmesi: Geleneksel Derleme
Merve Esra ÇITAR DAZIROĞLUa , Eda KÖKSALa
aDepartment of Nutrition and Dietetics, Gazi University Faculty of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(2):343-53
doi: 10.5336/healthsci.2022-93841
Article Language: EN
Full Text
ABSTRACT
 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 difficult 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 environmental 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 difficulties when considering the anthropometric measurement and laboratory methods used for nutritional use in orthopedically and mentally disabled patients from these groups. For example, limb loss in amputation, postural disorders in cerebral palsy and spinal deformities, and different growth and development in cerebral palsy and Down syndrome make it difficult to evaluate the body composition of these disabled 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 followed accordingly. In this review, 4 disability groups, namely amputation, cerebral palsy, spinal deformities, and Down syndrome, are discussed.

Keywords: Disabled persons; body composition; anthropometry
ÖZET
 Antropometrik ölçümler ve laboratuvar yöntemleri, bireylerin vücut ölçülerinin ve kompozisyonlarının belirlenmesine olanak sağlar. Bu sayede, kişilerin beslenme durumlarını değerlendirmek ve müdahale etmek mümkündür. Ancak bazen vücut bileşiminin değerlendirilmesi zor olabilir ve bunlardan biri de engellilik durumudur. Çeşitli şekillerde tanımlanan engellilik terimi; farklı düzeylerdeki bedensel, zihinsel, ruhsal ve bedensel kayıplarından dolayı diğer bireylerle eşit koşullarda tam ve etkin katılımın kısıtlandığı bireyi tanımlamak için kullanılmaktadır. Engelliler farklı alt gruplar altında incelenebilmekle birlikte, bu gruplardan özellikle ortopedik ve zihinsel engelli olan bireylerde beslenme durumunun değerlendirilmesi amacıyla kullanılacak antropometrik ölçüm ve laboratuvar yöntemlerinin değerlendirilmesinde çok çeşitli zorluklar mevcuttur. Örneğin ampütasyonda uzuv kaybı olması, serebral palsi ve spinal deformitelerde postür bozukluğunun olması, serebral palsi ve Down sendromunda ise akranlarından farklı büyüme ve gelişmenin gerçekleşmesi, bu engelli grupların vücut bileşiminin değerlendirilmesini zorlaştırmaktadır. Bu nedenle bu gruplara yönelik olarak, engel grubuna özel olacak şekilde çeşitli denklemler geliştirilmiştir. Aynı zamanda, farklı büyüme ve gelişme görülen gruplarda da gruba özel büyüme eğrileri bulunmaktadır. Bu nedenle engelli grubun özellikleri iyi bilinmeli ve alternatif için kullanılacak yöntemlere doğru karar verilerek ona göre bir yol izlenmelidir. Bu derlemede, ampütasyon, serebral palsi, spinal deformiteler ve Down sendromu olmak üzere 4 engelli grubu tartışılmıştır.

Anahtar Kelimeler: Engelli bireyler; vücut bileşimi; antropometri
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4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com