Nutritional assessment and intervention in children with cerebral palsy: a practical approach

Scarpato, Elena; Staiano, Annamaria; Molteni, Massimo; Terrone, Gaetano; Mazzocchi, Alessandra; Agostoni, Carlo

doi:10.1080/09637486.2017.1289502

Cited by 45 publications

(69 citation statements)

References 33 publications

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“…These children with CP were repeatedly seen by pediatricians or pediatric neurologists during the follow-up time. Unfortunately, the physicians often concentrated on solving the neurological problems, and malnutrition was not as frequently recognized and treated as the other associated comorbidities (10). Therefore, the awareness of physicians about malnutrition in children with CP should be increased.…”

Section: Discussionmentioning

confidence: 99%

High rates of malnutrition and epilepsy: two common comorbidities in children with cerebral palsy

Aydın¹,

KARTAL²

2019

Turk J Med Sci

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Background/aim The aim of this study was to evaluate the nutritional status of children with cerebral palsy and determine the particular characteristics of the disorder. Materials and methods The nutritional status of the children was assessed by the Gomez classification using weight-for-age. The Gross Motor Function Classification System was used to determine the gross and fine motor functions. Results The study was conducted with 197 children (58.4% males) between the ages of 1 and 18 years old. Asphyxia (44.1%) was the primary etiological factor, and spastic quadriplegia (41.6%) was the most common type of cerebral palsy. Malnutrition was the most frequent comorbidity and the overall malnutrition rate was 76.6%. The most common type of malnutrition was severe malnutrition, which was seen in 70 patients (35.5%). Epilepsy was the second most common comorbidity, seen in 51.7% of the cases. Conclusion Our results revealed a high rate of malnutrition and epilepsy in children with cerebral palsy. These two more common significant comorbidities that influence the outcomes of children with cerebral palsy should be carefully evaluated and successfully managed. Families of children with cerebral palsy and their physicians should be educated about the nutritional status in these children.

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Section: Discussionmentioning

confidence: 99%

High rates of malnutrition and epilepsy: two common comorbidities in children with cerebral palsy

Aydın¹,

KARTAL²

2019

Turk J Med Sci

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“…The CP dysphagia causes several consequences like weight loss, gastroesophageal reflux, choke, and asphyxiate or dehydration risk. [6] Moreover, an inadequate diet causes that the patients with CP have several nutrition problems, with lack of energy, macro and micronutrients. [7][8][9][10] Some problems of these diets are the nonfulfillment of the nutritional requirements for the dysphagic patients, the swallowing problems of the foodstuffs, unappealing dishes, and water addition into foodstuffs in order to adapt the texture and, consequently, wastage of part of energy content.…”

Section: Introductionmentioning

confidence: 99%

Textural characteristics of safe dishes for dysphagic patients: a multivariate analysis approach

Ibáñez

Gómez

Merino

et al. 2019

International Journal of Food Properties

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Twenty-four safe dishes for cerebral palsy dysphagic patients and four commercial dysphagia-oriented food products for dysphagia were studied in order to determine their textural characteristics. Apparent viscosity measured at 25, 50, and 100 s −1 and extrusion force analyzed at 1, 2, 5, and 10 mm/s were evaluated. Using clustering techniques, samples were divided into three categories. Apparent viscosity at 50 s −1 and extrusion force at 5 and 10 mm/s could be enough to characterize the safe dishes for dysphagic patients.

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“…People with DDs and CP may have difficulties in biting, chewing, and swallowing; dysphagia due to poor coordination of swallowing can lead to reduced food intake and undernutrition . GER is also common, and some people with DDs and CP have frequent chest infections because particles of food or drink enter their lungs when they swallow . Dysphagia and low food intake can be addressed by giving nourishment through a gastrostomy .…”

Section: Introductionmentioning

confidence: 99%

Predictive Model for Gastrostomy Placement in Adolescents With Developmental Disabilities and Cerebral Palsy

et al. 2019

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Background Factors associated with gastrostomy placement in adolescents with developmental disabilities (DDs) and cerebral palsy (CP) are poorly investigated. We aimed to develop and validate a machine learning (ML) model for gastrostomy placement in adolescents with DDs and CP. Methods We performed a multinational, double‐blinded, case‐control study including 130 adolescents with severe DD and CP (72 males, 58 females; mean age 16 ± 2 years). Data on etiology, diagnosis, spasticity, epilepsy, clinical history, and functional assessments such as the Eating and Drinking Ability Classification System, Manual Ability Classification System, and Gross Motor Function Classification System were collected between 2005 and 2015. Analysis included Fisher exact test, multiple logistic regressions, and a supervised ML model, named PredictMed, to identify factors associated with gastrostomy placement. “Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis” guidelines were followed. Results Poor motor function (P < 0.001), trunk muscle tone disorder (P < 0.001), male gender (P < 0.01), epilepsy (P = 0.01), and severe neuromuscular scoliosis (P = 0.04) were factors linked with gastrostomy placement in univariate analysis. Epilepsy (P = 0.03), poor motor function (P = 0.04), and male gender (P = 0.04) were associated with gastrostomy placement in multivariate analysis with 95% accuracy. Conclusion Epilepsy, poor motor function, trunk muscles tone disorder, and male gender were accurate, sensitive, and specific factors associated with gastrostomy need.

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Nutritional assessment and intervention in children with cerebral palsy: a practical approach

Cited by 45 publications

References 33 publications

High rates of malnutrition and epilepsy: two common comorbidities in children with cerebral palsy

High rates of malnutrition and epilepsy: two common comorbidities in children with cerebral palsy

Textural characteristics of safe dishes for dysphagic patients: a multivariate analysis approach

Predictive Model for Gastrostomy Placement in Adolescents With Developmental Disabilities and Cerebral Palsy

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