Effect of Nutritional Support in Children With Spastic Quadriplegia

Tunçel, Tuba; Ünalp, Aycan; Uran, Nedret; Dizdarer, Gülşen; Özgönül, Figen; Conku, Aliye; Ataman, Hamide; Öztürk, Aysel

doi:10.1016/j.pediatrneurol.2008.07.020

Cited by 30 publications

(51 citation statements)

References 24 publications

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“…This finding implied that thinner children (less subcutaneous adipose tissue and lower WHZ) had poorer nutritional status and might have had lower energy storage. The anthropometries are easily accessible, nevertheless, improvement in nutritional status required some time before an actual change in subcutaneous thickness and weight could be recognized (Soylu et al 2008). Although Yakut et al (2006) recommended TST as a preferred measurement, our findings could not distinguish difference of TST between normal and undernourished CCP defined by the WHO criteria.…”

Section: Discussioncontrasting

confidence: 61%

“…An undernutrition stage in CCP leads to several undesirable consequences after surgical intervention and chances of postoperative complications are increased (Jevsevar and Karlin 1993;Soylu et al 2008;Smith et al 2009). Contributing factors to the untoward status may include impairment of swallowing muscle function, regurgitation, endocrine disorders, and quality of care facility (Jevsevar and Karlin 1993;Lipton et al 1999;Henderson et al 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Anthropometric assessment, such as subcutaneous adipose tissue thickness and/or body mass index (BMI), has been endorsed (Soliman et al 2000). Nevertheless, alteration in nutritional status required some time before actual changes in physical parameters could be recognized (Soylu et al 2008). Biochemical markers, including serum albumin and total lymphocyte count, have also been recommended (Jevsevar and Karlin 1993;Braun et al 2006;Johnston 2010).…”

Section: Introductionmentioning

confidence: 99%

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Serum Leptin as a Nutritional Biomarker in Children with Cerebral Palsy

Amarase

Weerasopone

Osateerakun

et al. 2016

Tohoku J. Exp. Med.

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Adequate nutrition is crucial for children with cerebral palsy (CCP). However, conventional nutritional assessments may be inadequate for defining undernourished CCP. Leptin, an adipocyte hormone controlling energy expenditure, could be a useful marker. Objectives of this cross-sectional analytic study were to explore correlations between serum leptin level and nutritional status, anthropometric measurements, and biochemical parameters in 86 CCP (aged 9 ± 2 years). Subscapular (SST) and triceps (TST) skinfold thicknesses, weight, and calculated height were obtained. Body mass index and weight-forheight (WH) Z-scores were calculated. Complete blood count and serum levels of leptin and albumin were collected. CCP were classified as undernourished if their WHZ was < −2 according to the World Health Organization criteria. Correlations between anthropometric measurements, biochemical data, and serum leptin levels were evaluated. From 86 CCP, 11 (12%) children were undernourished, and SST, hemoglobin, and hematocrit were significantly lower. Serum leptin levels of nourished and undernourished CCP were 5.4 ± 6.2 and 2.9 ± 1.6 ng/mL (p < 0.001), while the reported value from normal children was 4.9 ng/mL. Serum leptin levels demonstrated a significant correlation with SST and TST (r = 0.83 and 0.72; p < 0.001). Serum leptin was the only marker significantly correlated with WHZ (r = 0.45, p < 0.001) while adjusting for covariates. A serum leptin level of 2.2 ng/mL was the optimal cutoff point for defining adequate nutritional status (WHZ ≥ −2). The measurement of serum leptin should be included in a care scheme of CCP especially during surgical evaluation.

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Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Serum Leptin as a Nutritional Biomarker in Children with Cerebral Palsy

Amarase

Weerasopone

Osateerakun

et al. 2016

Tohoku J. Exp. Med.

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“…Because of this symptomatology, children with CP may present pulmonary and nutritional complications as part of the clinical picture [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

et al. 2014

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“…Sonuç olarak, Bekem Soylu ve ark. (19) nutrisyonel destek tedavisi takibinde hem DSÖ'nün hem de SP'ye özel persentil eğrilerinin kullanarak sonuç bildirmişlerdir. Çünkü yine son yıllarda yapılan 187 hastalık bir çalışmada sağlıklı çocuk persentilleri ile SP persentilleri arasındaki korelasyonun düşük olduğu ve nutrisyonel desteğin hangi persentilleri dikkate alarak verilmesi gerektiği tartışılmıştır (13) .…”

Section: Discussionunclassified