Relation of Food Consumption and Nutritional Adequacy to Nutritional Status of Children with Cerebral Palsy

The frequency of underweight in children with cerebral palsy is about 60–70%. A benefit of nutritional support in children with cerebral palsy are underestimated. The use of nutritional support during active physical rehabilitation can have a positive effect on not only body weight, but also the component composition of the body and their rehabilitation potential.The aim of our study was to evaluate the effectiveness of nutritional support – a hypercaloric (1,5 kcal/ml) polymer formula with fibers (Pediashure 1,5 Fiber, Abbott) in children with cerebral palsy.Characteristics of children and research methods. Anthropometric indicators (body weight, height, body mass index, triceps skinfold thickness, subscapular skinfold thickness, mid-upper arm circumference, shoulder muscle circumference) and body composition were studied in 15 underweight children with cerebral palsy aged 4–10 years with the level of motor disorders GMFCSIII–IV. They were prescribed of nutritional support with a hyper caloric mixture (1,5kcal/ml) with fiber lasting 3months during active physical rehabilitation.Results. Against the background of nutritional support, there was a significant increase in body weight, height, z-score of body weight, mainly due to musculoskeletal, active cell and lean mass. In addition to correcting the nutritional status of children with cerebral palsy, an improvement in their motor abilities was noted.

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A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2018.05.002 ◽

2018 ◽

Vol 26 ◽

pp. 27-34 ◽

Cited By ~ 7

Author(s):

Kursad Aydin ◽

Yilmaz Akbas ◽

Bulent Unay ◽

Mutluay Arslan ◽

...

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

Clinical Characteristics ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Children With Cerebral Palsy ◽

Nutritional Status Of Children

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Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action

Nutrients ◽

10.3390/nu11092132 ◽

2019 ◽

Vol 11 (9) ◽

pp. 2132 ◽

Cited By ~ 3

Author(s):

Tasneem Karim ◽

Israt Jahan ◽

Rachael Dossetor ◽

Nguyen Thi Huong Giang ◽

Nguyen Thi Van Anh ◽

...

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

Disease Surveillance ◽

Family Income ◽

Economic Status ◽

World Health ◽

Disease Surveillance System ◽

Children With Cerebral Palsy ◽

Health Organization ◽

Nutritional Status Of Children

Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.

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Food pattern and nutritional status of children with cerebral palsy

Revista Paulista de Pediatria ◽

10.1590/s0103-05822013000300011 ◽

2013 ◽

Vol 31 (3) ◽

pp. 344-349 ◽

Cited By ~ 16

Author(s):

Patrícia Ayrosa C. Lopes ◽

Olga Maria S. Amancio ◽

Roberta Faria C. Araújo ◽

Maria Sylvia de S. Vitalle ◽

Josefina Aparecida P. Braga

Keyword(s):

Physical Activity ◽

Cerebral Palsy ◽

Food Intake ◽

Nutritional Status ◽

Old Age ◽

Energy Intake ◽

Moderate Activity ◽

Age Group ◽

Children With Cerebral Palsy ◽

Nutritional Status Of Children

OBJECTIVES To assess the food intake pattern and the nutritional status of children with cerebral palsy. METHODS Cross-sectional study with 90 children from two to 12.8 years with cerebral palsy in the following forms: hemiplegia, diplegia, and tetraplegia. Nutritional status was assessed by weight, height, and age data. Food intake was verified by the 24-hour recall and food frequency questionnaire. The ability to chew and/or swallowing, intestinal habits, and physical activity were also evaluated. RESULTS For 2-3 year-old age group, the mean energy intake followed the recommended range; in 4-6 year-old age group with hemiplegia and tetraplegia, energy intake was below the recommended limits. All children presented low intake of carbohydrates, adequate intake of proteins and high intake of lipids. The tetraplegia group had a higher prevalence of chewing (41%) and swallowing (12.8%) difficulties compared to 14.5 and 6.6% of children with hemiplegia, respectively. Most children of all groups had a daily intestinal habit. All children presented mild physical activity, while moderate activity was not practiced by any child of the tetraplegia group, which had a significantly lower height/age Z score than those with hemiplegia (-2.14 versus -1.05; p=0.003). CONCLUSIONS The children with cerebral palsy presented inadequate dietary pattern and impaired nutritional status, with special compromise of height. Tetraplegia imposes difficulties regarding chewing/swallowing and moderate physical activity practice.

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Oral health and nutritional status of children with cerebral palsy in northeastern peninsular Malaysia

Special Care in Dentistry ◽

10.1111/scd.12436 ◽

2019 ◽

Vol 40 (1) ◽

pp. 62-70

Author(s):

Rathmawati Ahmad ◽

Normastura Abd Rahman ◽

Ruhaya Hasan ◽

Nik Soriani Yaacob ◽

Siti Hawa Ali

Keyword(s):

Cerebral Palsy ◽

Oral Health ◽

Nutritional Status ◽

Peninsular Malaysia ◽

Children With Cerebral Palsy ◽

Nutritional Status Of Children

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Nutritional status of children with cerebral palsy in Turkey

Disability and Rehabilitation ◽

10.3109/09638288.2012.694965 ◽

2012 ◽

Vol 35 (5) ◽

pp. 413-417 ◽

Cited By ~ 7

Author(s):

Emine Handan Tüzün ◽

Duygu Korkem Güven ◽

Levent Eker ◽

Bülent Elbasan ◽

Selda Fatma Bülbül

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

Children With Cerebral Palsy ◽

Nutritional Status Of Children

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Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register

Nutrients ◽

10.3390/nu13082537 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2537

Author(s):

Israt Jahan ◽

Mohammad Muhit ◽

Mahmudul Hassan Al Imam ◽

Ratul Ghose ◽

Amir Banjara Chhetri ◽

...

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

Population Based ◽

High Rate ◽

Arm Circumference ◽

Children With Cerebral Palsy ◽

Adjusted Logistic Regression ◽

Nutritional Status Of Children ◽

Mid Upper Arm Circumference ◽

Gmfcs Level

Background: The study aimed to define the burden and underlying risk factors of malnutrition among children with cerebral palsy (CP) in Gorkha district, Nepal. Methods: The first population-based register of children with CP in Gorkha, Nepal (i.e., Nepal CP Register—NCPR) was established in 2018. Children aged <18 years with confirmed CP were registered following standard protocol. Nutritional status was determined based on anthropometric measurements (height/length, weight, mid-upper-arm-circumference) following WHO guidelines. Descriptive analyses and adjusted logistic regression were completed. Results: Between June–October 2018, 182 children with CP were registered into the NCPR (mean (SD) age at assessment: 10.3 (5.0) years, 37.4% female). Overall, 51.7%, 64.1%, and 29.3% children were underweight, stunted, and thin, respectively. Furthermore, 14.3% of children with CP aged <5 years had severe wasting. Underweight and stunting were significantly higher among children with spastic CP (p = 0.02, p < 0.001) and/or Gross Motor Function Classification System (GMFCS) level (III–V) (p = 0.01, p < 0.001) and/or who were not enrolled in school (p = 0.01, p < 0.001). In adjusted analysis, GMFCS level III–V and non-attendance to school significantly increased the odds of stunting by 8.2 (95% CI 1.6, 40.8) and 4.0 (95% CI 1.2, 13.2) times, respectively. Conclusions: the high rate of different forms of undernutrition among children with CP in Gorkha, Nepal is concerning. Need-based intervention should be taken as priority to improve their nutritional outcome.

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A Survey on Growth and Nutritional Status of Children with Cerebral Palsy in the Northwest Iran

Journal of Comprehensive Pediatrics ◽

10.5812/compreped.12636 ◽

2017 ◽

Vol In Press (In Press) ◽

Author(s):

Vahideh Toopchizadeh ◽

Mohammad Barzegar ◽

Navid Madinei ◽

Fatemeh Jahanjoo

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

Children With Cerebral Palsy ◽

Northwest Iran ◽

Nutritional Status Of Children

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