scholarly journals Nutritional status of children with infantile cerebral palsy

2021 ◽  
Vol 1 (1) ◽  
pp. 82-88
Author(s):  
Z. F. Mavlyanova
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Group Versus ◽  
Physical Development ◽  
Control Group ◽  
Spastic Diplegia ◽  
Fatty Tissue ◽  
Healthy Children ◽  
Anthropometric Parameters ◽  
Rate Of Increase

Purpose of the study. Reveal the typical disorders of nutritional status and identify characteristic disorders of the physical development of patients with cerebral palsy.Materials and methods. The features of the nutritional status of 128 children with various forms of cerebral palsy and 20 healthy children aged 3 to 14 years were studied. Physical development was assessed using standard public anthropometric parameters: weight, height, measurement of the circumference of the upper and lower extremities, determination of the thickness of the skin-fat fold using an electronic caliper according to the Durnin-Womersly method, as well as the calculated indices of Rohrer, Pigne, Vervac.Results. In children with cerebral palsy in compare with healthy children a decrease in the rate of increase in muscle mass, the absence of significant changes in the severity of subcutaneous fatty tissue and various variants of disharmonious types of development with characteristic anthropometric features were determined (85.9% in the main group versus 5% in the control group; Р <0.001). The most prominent disorders of the nutritional status were observed in patients with double hemiplegia and hyperkinetic form of cerebral palsy and were significant in relation to patients with hemiparetic, atonic-astatic forms and spastic diplegia (P <0.05–0.001)

scholarly journals Evaluation of anthropometric parameters and body composition in children with cerebral palsy

2019 ◽  
Vol 64 (5) ◽  
pp. 204-208
Author(s):  
R. F. Rakhmaeva ◽  
A. A. Kamalova ◽  
V. A. Ayupova
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Bioelectrical Impedance ◽  
Physical Development ◽  
Lean Body Weight ◽  
Anthropometric Parameters ◽  
Energy Deficiency ◽  
Protein Energy ◽  
Children With Cerebral Palsy

Children with cerebral palsy (CP) often develop nutritional disorders, their incidence reaches 80% (according to the literature data).Purpose. To analyze the frequency of nutritional disorders and features of nutritional status in children with CP.Characteristics of children and research methods. We studied the anthropometric indicators (weight, height, body mass index, triceps and subscapular skin fold thickness), physical development characteristics depending on the motor abilities of the child according to the Gross Motor Function Classification System scale and body composition by bioelectrical impedance.Results. Nutritional status disorders were detected in 88.8% of patients, while the diagnostic was based on a reduced physical development in 55.5% of patients. 22.2% of patients had protein-energy deficiency of the first degree, 15.5% of patients had protein-energy deficiency of the second degree, 6.7% of patients had protein-energy deficiency of the third degree, 11.1% of patients suffered from overweight. Besides, nutritional disorders were diagnosed in 33.3% of patients with normal physical development, but with altered body composition, namely, with the imbalance of fat and lean body weight, the isolated increase of the percentage of fat mass, the decrease of active cellular and musculoskeletal weight. These patients also require nutritional correction.Conclusion. These data confirm the dependence of physical development and body composition on the patient’s motor activity and demonstrate the need for complex comprehensive study of nutritional status in children with CP.

scholarly journals Dependence Of Protein-Energy Insufficiency On The Degree Of Motor Disorders In Infantile Cerebral Palsy

2020 ◽  
Vol 02 (11) ◽  
pp. 32-41
Author(s):  
Mavlyanova Zilola Farhadovna ◽  
◽  
Velilyaeva Aliye Sabrievna ◽  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Control Group ◽  
Motor Disorders ◽  
Healthy Children ◽  
Chi Square ◽  
Feeding Difficulties ◽  
Protein Energy ◽  
Children With Cerebral Palsy ◽  
The Impact

Purpose of research. To assess the impact of the severity of motor disorders in children with cerebral palsy on nutritional status. Materials and methods of research. The study included 102 children with cerebral palsy aged 2 to 17 years, 60 boys (58.8%) and 42 girls (41.2%). The average age of the children was 7.23 ± 4.9 years. Patients were ranked by age group in accordance with the age classification of the GMFCS scale. All children underwent a comprehensive clinical and neurological examination, nutritional status assessment, and anthropometry (measurement of shoulder circumference and plicometry). During anthropometry, the control group included 30 healthy children with an average age of 7.7±4.2 years. Results. It was found that with an increase in the severity of motor disorders, the number of children with protein-energy deficiency increases from 50% at level I to 100% at level V on the GMFCS scale (the significance of differences in Pearson's Chi-square was confirmed statistically: 9.32, p = 0.002069). At the same time, a severe degree of protein-energy insufficiency was observed mainly in double hemiplegia (amounting to 40.9%). Prognostically, cerebral palsy was the most favorable type of spastic hemiparesis and spastic diplegia, with a predominance of protein-energy insufficiency of a mild degree, amounting to 45.8% and 60%, respectively. In 71.6% of cases (n=73), children with cerebral palsy were diagnosed with oral-motor dysfunction of varying severity, problems with food consumption and, as a result, a noticeable lag in anabolic processes. Statistically significant differences were found in the frequency of feeding difficulties in children with levels I and V of motor abilities (Pearson's Chi-square: 20.12, p = 0.000005).

Brain-Derived Neurotrophic Factor in Children and Adolescents with Cirrhosis Due to Biliary Atresia

2016 ◽  
Vol 69 (1) ◽  
pp. 1-8
Author(s):  
Maria Inês A. Wilasco ◽  
Carolina Uribe-Cruz ◽  
Daniele Santetti ◽  
Bianca Pfaffenseller ◽  
Cristina T.L. Dornelles ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Biliary Atresia ◽  
Children And Adolescents ◽  
Neurotrophic Factor ◽  
Energy Homeostasis ◽  
Standard Deviation Score ◽  
Brain Derived Neurotrophic Factor ◽  
Control Group ◽  
Anthropometric Parameters ◽  
Age Ratio

Background: The nutritional status in patients with cirrhosis is not so easy to assess properly. Considering the relationship between brain-derived neurotrophic factor (BDNF) and energy homeostasis, the main aim of this study was to evaluate the concentration of BDNF in children and adolescents with cirrhosis due to biliary atresia (BA) and correlate it with their nutritional status. Methods: Fifty-three children and adolescents with cirrhosis due to BA and 33 healthy controls were enrolled in this study. Nutritional status was evaluated using anthropometric parameters, and serum BDNF was measured by ELISA. Spearman coefficient was used to evaluate the correlation between variables. Results: In the cirrhosis group, 28.8% were undernourished and in the control group, 100% were well-nourished. BDNF median values for the control and cirrhosis group were 28.5 and 9.0 pg/ml respectively. BDNF and platelets were positively associated with both Standard Deviation Score (SDS) for height-for-age ratio and SDS for triceps skinfold thickness-for-age ratio. Conclusions: Considering these associations, BDNF may be an indirect biomarker of nutritional status in children and adolescents with chronic liver disease. Further studies must be conducted to clarify the role of BDNF in this population.

scholarly journals Study of the effectiveness of supplementary feeding in patients with inherited enzyme deficiency

2019 ◽  
Vol 81 (2) ◽  
pp. 239-244
Author(s):  
L. V. Ulyanova ◽  
V. S. Ledneva ◽  
N. S. Burdina ◽  
M. I. Talykova ◽  
A. S. Ivannikova ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Nutritional Status ◽  
Pancreatic Enzyme ◽  
Diet Therapy ◽  
Enzyme Deficiency ◽  
Control Group ◽  
Anthropometric Parameters ◽  
Group 2 ◽  
The Right ◽  
Supplementary Nutrition

The successful provision of optimal nutrition in children with serious diseases depends on the right diet, as well as the addition of specialized mixtures for its correction. The aim of the study was to study the effectiveness of supplemental nutrition in hereditary fermentopathy (cystic fibrosis) in children. The work included a three-year follow-up of 69 children aged 3 to 15 years suffering from cystic fibrosis. Patients were divided into two groups: 37 patients with cystic fibrosis group 1, receiving a modified version of treatment with additional enteral nutrition and 32 patients with cystic fibrosis group 2, receiving traditional treatment. The study conducted a comparative analysis of changes in trophic status in patients using nutritional support mixture produced in the Russian Federation – "Nutrien-standard"in diet therapy. Laboratory, functional and anthropometric parameters were monitored once a month. A significant increase in the physical development of patients was obtained only in the second year of use in the diet of supplementary nutrition, p<0.05. At the 3rd year of treatment, the results of positive dynamics of nutritional status in both groups were confirmed, while the increase in body mass index in the main group was 6.7%, and in the control group-only 1% (p<0.05). It is noted that the use of this mixture allows to achieve positive dynamics of nutritional status in 27% of patients and in 73% of cases to completely eliminate it. The obtained results prove the expediency of additional use of "Nutrient-standard" mixture in the complex therapy of patients with hereditary pancreatic enzyme deficiency, cystic fibrosis

scholarly journals Assessment of the physical development and metabolic status of children born to women with gestational diabetes

2021 ◽  
Vol 24 (4) ◽  
pp. 325-333
Author(s):  
A. S. Deynega (Masel) ◽  
A. S. Liskina ◽  
S. A. Valieva ◽  
I. L. Nikitina
Keyword(s):  
Lipid Metabolism ◽  
Gestational Diabetes ◽  
Perinatal Period ◽  
Physical Development ◽  
Control Group ◽  
Neonatal Hypoglycemia ◽  
Anthropometric Parameters ◽  
Postprandial Glycemia ◽  
Glucose And Lipid Metabolism ◽  
Comparison Groups

Backgraund: Gestational diabetes mellitus (GDM) is one of the most common metabolic disorders found during pregnancy. Currently, it is relevant not only to search optimal target levels of glycemia during pregnancy, but also to study the ­effect of different glycemia levels on fetal development and further changes in glucose and lipid metabolism in children.Aims: To describe perinatal period, physical development and metabolic status of children born to women with GDM and different glucose levels during pregnancy.Materials and methods: The perinatal period features and anthropometric parameters at birth were evaluated in 300 children born to women with GDM and different levels of glycemia during pregnancy. Over the course two years, 141 children have been evaluated for physical development parameters and glucose and lipid metabolism. Fasting and postprandial glycemia was measured with glucometer for 14 days in 33 children aged 1 to 4 years.Results: The anthropometric parameters of children at birth did not differ from the parameters of the control group (p> 0.05) when during pregnancy fasting blood glucose was less than 5.1 mmol / l and 7.0 mmol / l 1 hour after a meal. The glycemia in women above this level was associated with an increase of frequency and risk of a body mass index, body mass / length ratio and head circumference “above average” in children at birth (p <0.05). With the dynamic control of anthropometric parameters up to 2 years, no differences between the comparison groups were obtained (p> 0.05). The change in metabolic parameters was represented by neonatal hypoglycemia in children of GDM group (GDM group — 23%, control group — 3.5%, p = 0.000002), the least risk of which occurred in group with the lowest fasting and postprandial glycemic values during pregnancy. Fasting glucose, and insulin levels, НOMA index, triglycerides and cholesterol, as well as monitoring fasting and postprandial glycemia for 14 days, were obtained no significant differences between the comparison groups of children (p> 0.05).Conclusions: The lowest risks of neonatal hypoglycemia and anthropometric deviations at birth were associated with the lowest glycemia levels during pregnancy, which correspond to the criteria of the Russian clinical guidelines.

PHYSICAL DEVELOPMENT OF CHILDREN OF PRESCHOOL AGE

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 903-907
Author(s):  
T. Traykova
Keyword(s):  
Body Weight ◽  
Physical Development ◽  
Preschool Age ◽  
Chest Circumference ◽  
Control Group ◽  
Physical Culture ◽  
Educational Content ◽  
Anthropometric Parameters ◽  
Basic Parameters ◽  
Experimental Group

Purpose of the study: To register the dynamics of the basic parameters of the physical development of children from the fourth preparatory group, as a result of the implementation of an enriched educational content in physical culture pedagogical situations. 54 girls and 67 boys were investigated and measured twice – at the beginning and at the end of the pedagogical experiment. Anthropometric parameters assessed: height, body weight, chest circumference. Methods: Theoretical analysis, pedagogical experiment, anthropometry, statistical methods. Results: Height: the highest increase in that parameter was found in the Experimental Group of boys and the smallest one – in girls of the Control group. Body weight: boys from the EG showed the highest increase, while the lowest one was found in boys from CG. Chest circumference: the greatest increase was measured in CG of, while the smallest one in the EG of girls. In conclusion, we can underline that the changes in the anthropometric parameters are due both to the laws of biological developments of children at that age, as well as to the applied enriched educational content.

scholarly journals Effect of Action Observation Training on Spasticity, Gross Motor Function, and Balance in Children with Diplegia Cerebral Palsy

Children ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 64
Author(s):  
Young-a Jeong ◽  
Byoung-Hee Lee
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Action Observation ◽  
Training Group ◽  
Control Group ◽  
Spastic Diplegia ◽  
Post Intervention ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Observation Training

This study evaluated the effect of action observation training on spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy. Eighteen children with cerebral palsy participated in this study. The participants were randomized into the action observation training group (n = 9) and a control group (n = 9). The action observation training group repeatedly practiced the action with their motor skills, while the control group practiced conventional physical therapy. Both groups received 30 min sessions, 3 days a week, for 6 weeks. To confirm the effects of intervention, the spasticity, gross motor function measurement (GMFM), and pediatric reaching test (PRT) were evaluated. The results showed that in the plantar flexor contracture test of both sides, the Modified Tardieu Scale (MTS) of the right side of knee joints, GMFM-B, C, and D were significantly increased between pre- and post-intervention within both groups (p < 0.05). PRT was significantly increased between pre- and post-intervention within the both groups (p < 0.05), and there was a significant difference between the two groups (p < 0.05). These results suggest that action observation training is both feasible and beneficial for improving spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy.

scholarly journals Evaluation of physical development and state of health in ART-conceived children with retinopathy of prematurity: a population, one-time study

2020 ◽  
Vol 1 (2) ◽  
pp. 18-24
Author(s):  
Anna N. Plaksina ◽  
Olga P. Kovtun ◽  
Elena A. Stepanova ◽  
Elena A. Dugina ◽  
Valeriya A. Makutina ◽  
...  
Keyword(s):  
Retinopathy Of Prematurity ◽  
High Body Mass Index ◽  
Physical Development ◽  
Control Group ◽  
Time Study ◽  
State Of Health ◽  
Anthropometric Parameters ◽  
Increased Risk ◽  
High Bmi

Background. Assisted reproductive technology (ART) poses an increased risk for preterm birth. Women with high body mass index, who opted for ART, have the elevated levels of the insulin-like growth factor 1 (IGF-1) which is involved in the development of pathologic vasoproliferation in retinopathy of prematurity (ROP). Children with ROP are at increased risk for co-morbid pathology.Objective. The study aims at evaluating physical development and state of health in ART-conceived children with ROP.Methods. This is a population, one-time study to evaluate physical development and state of health in children with ROP. Statistical analysis was carried out using the SPSS v. 14.0 software package, and included determination of normality (Shapiro-Wilk test), descriptive statistics (М — mean value, σ — standard deviation of the mean), and non-parametric methods (Mann-Whitney U-test, Z-test of a proportion).Results. The anthropometric characteristics of infants with ROP did not differ from those in spontaneously conceived babies. Children with ROP born to mothers with high BMI had lower anthropometric parameters (p < 0.001) and required longer dynamic follow-up while being diagnosed as “risk group for ROP”. A significantly higher number (a total of 65) of nosologies has been revealed in the ART-conceived infants. Statistically significant predominant diagnoses (p = 0.0047) included dwarfism and obesity despite the absence of anthropometric differences at birth (p = 0.123).Conclusion. The ART-conceived infants with ROP at birth do not differ in their physical development from infants in the general population, however, on prospective follow-up the former developed dwarfism and obesity significantly more often. Children born to mothers with high BMI have significantly lower parameters of weight and height, and require longer follow-up period while being diagnosed with ROP. The ART-conceived infants with ROP have co-morbid pathology significantly more often than children with ROP in the control group.

scholarly journals Evaluation of Autonomic Nervous System in Children With Cerebral Palsy: Clinical and Electophysiological Study

2021 ◽  
Author(s):  
Hanan Galal Azouz ◽  
Ali M Abdel Mohsen ◽  
Rana M Mohamed ◽  
hayam mostafa abdelghany
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Cerebral Palsy ◽  
Autonomic Dysfunction ◽  
Sympathetic Skin Response ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Healthy Children ◽  
Children With Cerebral Palsy ◽  
Skin Response

Abstract Cerebral palsy (CP) is the most prevalent severe motor disability among children. The aim of this work was to assess autonomic dysfunction in children with cerebral palsy clinically and electrophysiologically .The study was carried out on forty children with cerebral palsy their age ranged from 4-12 years and twenty healthy children with matched age and sex as control group. CP children were subjected to questionnaire for autonomic dysfunction symptoms. Both CP children and Control group were assessed for Sympathetic Skin Response and Heart rate variability. Most of children had quadriplegic spastic cerebral palsy (82.5%). Based on Gross motor function classification system (GMFCS) classification the majority of children were in levels 4 and 5. The prevalence of autonomic dysfunction symptoms was 80% for thermoregulatory abnormalities (cold extremities), chronic constipation 65%, sleep disturbance 52.5%, loss of appetite 47.5%, sweating abnormalities 40% , recurrent nausea and/or vomiting 25%, increased sensitivity to light or dark 22.5% and bloating 15%. The percentage of unelicited Sympathetic skin response in CP children was 47.5% and 60% in upper limbs and lower limbs respectively, all of them were in level 4 and 5 of GMFCS. 20% of CP children had postural hypotension. Mean Heart rate of CP children was significantly increased more than healthy children upon head tilt test. Sympathetic Skin Response and Heart rate variability were proven to be simple and non invasive procedures in investigating autonomic dysfunction in CP children.

scholarly journals NUTRITIONAL STATUS AND MICRONUTRIENT LEVELS OF CHILDREN WITH CELIAC DISEASE BEFORE AND AFTER GLUTEN FREE DIET

2006 ◽  
Vol 13 (01) ◽  
pp. 145-150
Author(s):  
HINA AYESHA ◽  
Muhammed Asghar Butt ◽  
MUHAMMED SHAMOON ◽  
Maqbool Ahmed ◽  
BUSHRA NAZIR ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Nutritional Status ◽  
Serum Zinc ◽  
Gluten Free Diet ◽  
Control Group ◽  
Inflammatory Disorder ◽  
Healthy Children ◽  
Gluten Free ◽  
Trace Mineral ◽  
Before And After

Introduction: Celiac disease is an autoimmune inflammatory disorder ofsmall intestine precipitated by ingestion of gluten. Clinical and histological improvement occurs on withdrawal of glutenfrom the diet. Objectives: The present study were to identify the trace mineral deficiency in newly diagnosed celiacchildren and to assess how far these deficiencies are corrected after strict gluten free diet. The study also assessedthe nutritional status of celiac children compared to the healthy controls before and after Gluten Free Diet. Setting:Department of Pediatrics Punjab Medical College Faisalabad. Duration: January 2004 to March 2005. Study Design:Interventional case control study. Patients and Methods: 22 children aged 2 to 14 years diagnosed as Celiac diseaseon the basis of typical intestinal biopsy findings were included. 15 healthy children served as controls. Anthropometricmeasurements and serum Zinc Copper Magnesium and Iron along with albumin were done for both patients andcontrols initially and repeated after 6 months while patients were receiving strict GFD and controls receiving normaldiet. The general linear model was used for the analysis of variance using SPSS (2004). Results: Serum Zinc wasbelow the reference range in 68%. Serum copper and Magnesium in 31%, Iron in 95%and albumin in 59% of thepatients. There was a statistically significant increase in serum zinc, iron and magnesium levels (p value, < 0 05) whileserum copper and albumin did not show any significant rise after Gluten free diet. Control group did not show any significant change in their trace mineral levels .Celiac patients gained more weight (mean 4.47 versus 2.91 cm) andheight (3.34cm versus 1.022 cm) as compared to the control group. Conclusion: Celiac children receiving strict Glutenfree diet and showing good clinical response probably do not need mineral supplementation.

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