Metabolic disturbances in patients with cerebral palsy and gastrointestinal disorders

Jaramillo, Catalina; Johnson, A; Singh, Ruchi; Vasylyeva, Tetyana L.

doi:10.1016/j.clnesp.2015.08.003

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…A score of 4 indicates that all items for all four domains (study design and setting, study participants, outcomes, and eligibility criteria) were adequately met. STROBE scores for the 42 included studies ranged from 2 to 4, with an average STROBE score of 3.2: score of 2 ( n =1 study), score of 2.5 ( n =8 studies), score of 3 ( n =11 studies), score of 3.5 ( n =18 studies), and score of 4 ( n =4 studies) . The most common methodological issues included absent or incomplete definitions of outcome variables, no reporting of GMFCS levels or other information on CP severity, or minor inconsistencies in data analyses.…”

Section: Resultsmentioning

confidence: 99%

“…The 42 studies included an estimated total of 23 169 participants. The number of participants per study ranged from 30 to 14 806, with a median participant number of 120 (interquartile range [IQR] 55–186): 30≤ n <50 ( n =8 studies); n <100 ( n =10 studies); n <200 ( n =14 studies); n <500 ( n =5 studies); n ≥500 ( n =5 studies) . Age ranged from birth to 79 years (mean 10y 1mo [SD 11y]); however, only six of the 42 studies included adults (>18y), of which two studies included adults only .…”

Section: Resultsmentioning

confidence: 99%

“…The 42 studies included an estimated total of 23 169 participants. The number of participants per study ranged from 30 to 14 806, with a median participant number of 120 (interquartile range [IQR] 55-186): 30≤n<50 (n=8 studies); 29,[33][34][35][36][37][38]49 n<100 (n=10 studies); 39,[42][43][44]47,48,50,63,64,69 n<200 (n=14 studies); [30][31][32]40,41,46,[51][52][53]61,62,65,67 n<500…”

Section: Participantsmentioning

confidence: 99%

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Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Speyer¹,

Cordier

Kim

et al. 2019

Dev Med Child Neurol

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Aim To determine the prevalence of drooling, swallowing, and feeding problems in persons with cerebral palsy (CP) across the lifespan. Method A systematic review was conducted using five different databases (AMED, CINAHL, Embase, MEDLINE, and PubMed). The selection process was completed by two independent researchers and the methodological quality of included studies was assessed using the STROBE and AXIS guidelines. Meta‐analyses were conducted to determine pooled prevalence estimates of drooling, swallowing, and feeding problems with stratified group analyses by type of assessment and Gross Motor Function Classification System level. Results A total of 42 studies were included. Substantial variations in selected outcome measures and variables were observed, and data on adults were limited. Pooled prevalence estimates determined by meta‐analyses were as high as 44.0% (95% confidence interval [CI] 35.6–52.7) for drooling, 50.4% (95% CI 36.0–64.8) for swallowing problems, and 53.5% (95% CI 40.7–65.9) for feeding problems. Group analyses for type of assessments were non‐significant; however, more severely impaired functioning in CP was associated with concomitant problems of increased drooling, swallowing, and feeding. Interpretation Drooling, swallowing, and feeding problems are very common in people with CP. Consequently, they experience increased risks of malnutrition and dehydration, aspiration pneumonia, and poor quality of life. What this paper adds Drooling, swallowing, and feeding problems are very common in persons with cerebral palsy (CP). The prevalence of drooling, swallowing, and feeding problems is 44.0%, 50.4%, and 53.5% respectively. There are limited data on the prevalence of drooling, swallowing, and feeding problems in adults. Higher Gross Motor Function Classification System levels are associated with higher prevalence of drooling, swallowing, and feeding problems. There is increased risk for malnutrition, dehydration, aspiration pneumonia, and poor quality of life in CP.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The 42 studies included an estimated total of 23 169 participants. The number of participants per study ranged from 30 to 14 806, with a median participant number of 120 (interquartile range [IQR] 55-186): 30≤n<50 (n=8 studies); 29,[33][34][35][36][37][38]49 n<100 (n=10 studies); 39,[42][43][44]47,48,50,63,64,69 n<200 (n=14 studies); [30][31][32]40,41,46,[51][52][53]61,62,65,67 n<500…”

Section: Participantsmentioning

confidence: 99%

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Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Speyer¹,

Cordier

Kim

et al. 2019

Dev Med Child Neurol

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show abstract

“…Calcium and vitamin D deficiencies have also been investigated in several studies, where it has been shown that children with CP were prone to vitamin D deficiency [28][29][30][31] as well as to calcium abnormal levels 32,33 . It is commonly accepted that immobilization predisposes to bone absorption, which can reduce bone density increasing the risk of anomalies.…”

Section: Vitamin D and Bone Mineral Density Status In Children With Cmentioning

confidence: 99%

Nutritional interventions in children with cerebral palsy: a mini review

Talamagka¹

2019

JRPMS

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The etiology of cerebral palsy is multifactorial. In a large proportion of patients (30%) there is no specific risk factor or recognized etiology. Risk factors for CP are divided into three: prenatal, perinatal and postnatal factors 8,9 .According to epidemiological studies of already patients with cerebral palsy, 70% to 80% of cases are due to prenatal causes, and perinatal asphyxia represents less than 10% of cases. Of the above, the main risk factors

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Metabolic disturbances in patients with cerebral palsy and gastrointestinal disorders

Cited by 5 publications

References 8 publications

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta‐analyses

Nutritional interventions in children with cerebral palsy: a mini review

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