The child that would have the lowest energy needs is a

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Because spina bifida can result in weakness in the lower extremities, paralysis, and nonambulation, the decrease in physical activity associated with these may place the affected child at risk for developing obesity.Therefore, to maintain weight, children with spina bifida should receive only 9 to 11 kcal/cm height compared with healthy children who should consume 16 kcal/cm.Children with mild cerebral palsy also have some limitations in regard to their mobility; however, in most cases, involuntary movements or muscle tension contribute to energy needs.Children with mild CP should receive about 14 kcal/cm to prevent potential weight loss.Children with Down syndrome run the risk of developing obesity; however, because they tend to be of shorter stature than healthy children, their energy needs are comparable to maintain weight: 14.3 kcal/cm for girls and 16.1 kcal/cm for boys.

The Child That Would Have the Lowest Energy Needs Is