Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II

Sullivan, Peter B.; Juszczak, Edmund; Lambert, Bridget; Rose, Mandy; Ford‐Adams, Martha; Johnson, Austin

doi:10.1017/s0012162201002365

Cited by 83 publications

(131 citation statements)

References 18 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…3,6,20,33,35,37,38,40,41 One study 42 made use of a single item taken from the Pediatric Evaluation of Disability Inventory (PEDI). 41 One scale was developed for use in the context of a CP surveillance programme.…”

Section: Resultsmentioning

confidence: 99%

“…The age ranges and constructs covered by each of the measures are provided in Table II. Seven of the measures included information about whether a child is fed via a tube. 3,6,20,32,33,38,40 Seven measures included information about food texture or fluid consistency managed by the child. 3,33,34,36,38,40,41 Seven measures included details about swallowing 3,32,33,[36][37][38]40 and five scales included information about the oral skills required to bite and chew food.…”

Section: Resultsmentioning

confidence: 99%

“…Two 6,34 of the remaining four scales are cited once each by research teams other than the original developers. 47,48 Use of the Dysphagia Management Staging Scale 38 is restricted to clinicians who have attended …”

Section: Resultsmentioning

confidence: 99%

“…Impairments can also interfere with the oral functions required for eating, drinking, and swallowing, 1,2 and the ability to bring food and drink to the mouth. 3 Limitations in the ability to bite, chew and swallow, and self-feed are often associated with prolonged mealtimes and loss of both food and fluid from the mouth; this can lead to insufficient food and fluid intake to ensure growth and good health, [3][4][5][6][7] as well as adverse respiratory consequences such as episodes of choking and aspiration. 1,[8][9][10] The prevalence of eating and drinking difficulties in individuals with CP is unclear.…”

mentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

Sellers

Pennington

Mandy

et al. 2013

Develop Med Child Neuro

View full text Add to dashboard Cite

AIM The aim of this review was to examine systematically the scope, validity, and reliability of ordinal scales used to classify the eating and drinking ability of people with cerebral palsy (CP).METHOD Six electronic databases were searched to identify measures used to classify eating and drinking ability; in addition, two databases were used to track citations of key texts. The constructs assessed by each measure were examined in relation to the World Health Organization International Classification of Functioning, Disability and Health. Evidence of validity and reliability of the identified scales was appraised from peer-reviewed studies using standard criteria.RESULTS Fifteen scales were identified in 23 papers. Clinician or researcher assessment was required for 13 scales; nine scales made use of information from parents and carers through interviews or questionnaires. Eight scales used the terms mild, moderate, and severe (with varying definitions) to describe different aspects of eating and drinking impairment. There was an assessment of either content validity and/or reliability for five scales; however, none met the recommended psychometric quality standards. Individuals with cerebral palsy (CP) experience activity limitations including limitations in sitting, standing, walking, handling objects, and speaking. Impairments can also interfere with the oral functions required for eating, drinking, and swallowing, 1,2 and the ability to bring food and drink to the mouth.3 Limitations in the ability to bite, chew and swallow, and self-feed are often associated with prolonged mealtimes and loss of both food and fluid from the mouth; this can lead to insufficient food and fluid intake to ensure growth and good health, 3-7 as well as adverse respiratory consequences such as episodes of choking and aspiration. 1,[8][9][10] The prevalence of eating and drinking difficulties in individuals with CP is unclear.11 Estimates range from 27% 12 to 90%, 13 depending on the definitions and measurement tools used. It has been proposed that prevalence is related to the severity of motor impairment, 14 although eating and drinking difficulties also occur in individuals with mildly affected gross motor function. 22 The use of a consistent indicator of eating and drinking ability would enable more rigorous investigation of the prevalence of feeding disorders, and of associations between the severity of eating and drinking limitations and other health indicators such as growth, respiratory health, and gastrostomy use. 23A recent systematic review examined the psychometric performance and clinical utility of quantitative measures of oropharyngeal dysphagia in children with neurodevelopmental disabilities. 21 The aim of the current review was to examine the evidence for the validity and reliability of descriptive ordinal scales used to classify the eating and drinking ability of individuals with CP. These scales could then potentially be adopted in clinical and populationbased research. METHOD Search strategyA systematic search ...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

Sellers

Pennington

Mandy

et al. 2013

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…The observation of growth retardation among children with CP has been well described in previous studies. [18][19][20] Feeding difficulties and inadequate nutrition are common among children with quadriplegic CP, and their failure to thrive is often attributed to malnutrition. 5,6 Fat storage is often considered an indicator of nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Weight-for-Height Values and Limb Anthropometric Composition of Tube-Fed Children With Quadriplegic Cerebral Palsy

Kong

Wong

2005

Pediatrics

View full text Add to dashboard Cite

ABSTRACT.Objective. Research has shown that growth retardation among children with quadriplegic cerebral palsy (CP) is often attributed to feeding dysfunction and malnutrition. The study compared weight-forheight values and limb anthropometric composition of nasogastric and gastrostomy tube-fed children with quadriplegic CP with those of orally fed children with quadriplegic CP and normal children, to examine the plausible effects of tube feeding on weight-for-height, fat, and muscle values for children with quadriplegic CP.Methods. Triceps, anterior mid-thigh, and medial calf skinfold thicknesses and the corresponding circumferences of the right or less affected side were measured. The subjects consisted of 119 normal children and 62 orally fed and 48 tube-fed children with quadriplegic CP. Body weight and height were recorded. For children with CP whose height could not be measured, height was estimated from the ulna length. Weight-for-height z scores, limb skinfold thicknesses, fat areas, skinfoldcorrected muscle girths, and muscle areas of the children were compared.Results. Tube-fed children with CP had normal mean weight-for-height z scores. Weight-for-height z scores of the orally fed children with CP were significantly below those of normal children and tube-fed children with CP. For children with CP, whereas triceps skinfold thickness seemed to predict the mid-upper arm fat area correctly, leg skinfold thicknesses seemed to overestimate the corresponding fat areas. Stepwise multiple regression analysis showed that triceps skinfold thicknesses had good correlation (r ‫؍‬ 0.86) and the presence of CP had nonsignificant correlation with mid-upper arm fat areas. Multiple regression analysis of fat areas with skinfold thicknesses and the presence of CP, however, showed that CP was correlated negatively (partial correlation of CP: thigh, ؊0.45; calf, ؊0.53) with thigh and calf fat areas. Although skinfold-corrected mid-upper arm muscle girths of children with CP were quite similar to those of normal children, leg muscle girths were much reduced for both orally fed and tube-fed children with CP. The apparent thickening of leg skinfold thicknesses among children with CP probably was attributable to disproportional leg muscle wasting, with resulting reduced internal circumference of the subcutaneous fat layer. For tubefed children with CP, skinfold thicknesses and fat areas were increased significantly, although their leg skinfoldcorrected muscle girths and areas remained reduced.Conclusions. Skinfold thickness may overestimate the fat area in the affected limb with significant muscle wasting for children with CP. The condition was particularly obvious in the leg, where muscle wasting was prominent. Because leg muscles represent approximately one quarter of the normal body weight, low weight-forheight values among children with CP can be caused by leg muscle wasting attributable to disuse atrophy, which is unlikely to be correctable with tube feeding. Tube feeding may improve body weight mainly through fat depos...

show abstract

Use of nutritional devices in Cornelia de Lange syndrome: Data from a large Italian cohort

Decimi

Parma

Panceri

et al. 2018

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Cornelia de Lange syndrome (CdLS) is a genetic condition characterized by intellectual disability, peculiar facial dysmorphisms, multiorgan malformations, and growth problems. Majority cases of CdLS are caused by mutations in genes of Cohesin pathway. Although feeding problems are a well‐known feature, no specific data have been published about the use of nutritional devices. We analyzed use, type, time of introduction, and duration of nutritional devices in 73 CdLS patients. In total, 29/73 (40%) used a device; nasogastric tube (NGT) in 28/73 (38%) and percutaneous endoscopic gastrostomy (PEG) in 7/73 (10%). NGT was placed during the first days/weeks of life. 19/28 (68%) maintained it for less than 3 months, 7/28 (25%) for a period between 3 and 12 months, while 2/28 (7%) for more than 1 year. PEG was placed within the first year in 4/7 (57%) and removed in two patients after 4 years These data have been matched with a wide number of genetic and clinical variables. Presence of upper limb malformations is positively correlated with the need of a device. From the opposite side, the use of a device positively correlates with a more severe prognosis as regard growth, intellectual development and disease severity. Our data show that nutritional devices are frequently used by CdLS patients, also if the majority of them (93.1%) succeed with time in achieving a normal oral nutrition. Finally, the need, the type of device used and the duration of NGT or/plus PEG can be considered a further sign of worse prognosis of the disease itself.

show abstract

Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II

Cited by 83 publications

References 18 publications

A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy

Weight-for-Height Values and Limb Anthropometric Composition of Tube-Fed Children With Quadriplegic Cerebral Palsy

Use of nutritional devices in Cornelia de Lange syndrome: Data from a large Italian cohort

Contact Info

Product

Resources

About