Relation between objectively measured feeding competence and nutrition in children with cerebral palsy

Troughton, K E V; Hill, Alesha

doi:10.1017/s0012162201000354

Cited by 45 publications

(59 citation statements)

References 29 publications

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“…It was observed, in the total group, in 47.5% of subjects, in the MMI group in 26,5%, and in the SMI group in 63.0%. Malnutrition is slightly lower in other countries: 2016 Karagiozoglou LT recorded a 38.1% undernourished patients (18) in Greece in the total group of respondents, 2006 Bertoli S found 41.2% (19) in Italy, and 2001Troughton KER 2001 41.2% patients (20) in Ireland. In 2012, Dahlseng MO published a study conducted in Norway where 20% of patients with SMI were malnourished, which is significantly lower than in our patients (21).…”

Section: Discussionmentioning

confidence: 98%

Anthropometric Parameters of Nutritional Status in Children with Cerebral Palsy

Melunovic

Hadžagić-Ćatibušić

Bilalovic³

et al. 2017

Mater Sociomed

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Introduction:Patients with cerebral palsy (CP), besides the basic neurological damage, are also often undernourished. Adequate nutrition for children is very important during the period of intensive growth and development, which is of particular importance in patients with CP.Goal:To evaluate the nutritional status of patients with CP who are treated at the Pediatric Clinic, Clinical Centre of Sarajevo University and causes of malnutrition in these patients.Materials and Methods:Eighty patients with CP underwent anthropometric assessment (body weight, body height, body mass index, head circumference, subscapular skinfold thickness, triceps skinfold thickness and mid upper arm muscle circumference). Severity of CP was classified based on the Gross Motor Function Classification System (GMFCS). We compared the anthropometric parameters of our patients with normal values of healthy children, as well as with degree of motor impairment, oromotor dysfunction, feeding assistance, length of meals and daily feeding time.Results:There were significant differences in all monitored parameters in relation to normal values, with 38 (47.5%) malnourished patients in the total group, out of which 29 (63.0%) with severe motor impairment and with 9 (11.3%) obese patients in the total group. The presence of oromotor dysfunction and other monitored parameters had a significant impact on the nutritional status of these patients.Conclusion:In severely disabled patients with CP there is a risk of profound malnutrition. Early identification and treatment of these patients is very important for their growth, development and health.

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Section: Discussionmentioning

confidence: 98%

Anthropometric Parameters of Nutritional Status in Children with Cerebral Palsy

Melunovic

Hadžagić-Ćatibušić

Bilalovic³

et al. 2017

Mater Sociomed

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“…Destaca en este estudio la elevada prevalencia de desnutrición en el grupo de niños evaluados, 81,1% (Tabla 1), muy superior al encontrado en otros trabajos ( 7,15,33,35,[39][40][41][42] ). El tipo de desnutrición más frecuente fue la desnutrición crónica, como ocurre en el resto de la población infantil de nuestro país, siendo sustancialmente diferente el alto porcentaje de desnutrición crónica reagudizada (32,1%) encontrado en estos niños (Tabla 1).…”

Section: Discussionunclassified

Características nutricionales de niños con parálisis cerebral. ARIE - Villa El Salvador, 2004

Águila¹,

Áibar

2013

An Fac med

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Objetivos: Determinar la prevalencia y tipos de desnutrición en niños con parálisis cerebral (PC) e identificar problemas que conducen a ella. Diseño: Estudio clínico descriptivo. Lugar: Centro de Medicina y Rehabilitación Infantil ARIE, en el distrito de Villa El Salvador. Pacientes: Cincuenta y tres niños con PC que asistían para su rehabilitación. Intervenciones: La información clínica fue obtenida por entrevista con la madre y para el diagnóstico nutricional se utilizó la clasificación de Waterlow. Para el diagnóstico de anemia, se evaluó los valores de hemoglobina y hematocrito. La enteroparasitosis fue diagnosticada por examen directo de heces y examen de Graham, en forma seriada. El procesamiento de información y análisis estadístico se realizó utilizando el programa SPSS 11.0. Principales medidas de resultados: Presencia de desnutrición, dificultades para alimentación, reflujo gastroesofágico, anemia y enteroparasitosis. Resultados: Se encontró desnutrición en 81,1% de niños, siendo la desnutrición crónica el diagnóstico más frecuente, en 43,5%. Entre los problemas asociados a malnutrición, las dificultades para la alimentación estuvieron presentes en 94,3% de los niños y síntomas de reflujo gastroesofágico, en 81,1%. La prevalencia de anemia fue 32,4% y de enteroparasitosis, 54,1%. Conclusiones: Los niños con parálisis cerebral evaluados presentan una elevada prevalencia de desnutrición, relacionada al hallazgo frecuente de dificultades para la alimentación, reflujo gastroesofágico y enteroparasitosis. Este grupo de niños constituye una población de riesgo alto de morbilidad y mortalidad.

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“…56,68,72 Children with CP are more likely to be underweight and shorter than peers because of malnutrition. 64 Assessment of the malnutrition includes a thorough physical examination, dietary history including assessment of prolonged feeding time and poor oromotor control, as well as laboratory evaluation including total lymphocyte count, albumin, prealbumin, total protein, and transferrin levels.…”

Section: Malnutritionmentioning

confidence: 99%

Surgical management of spinal deformities in cerebral palsy

Jones-Quaidoo¹,

Yang²,

Arlet³

2010

SPI

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Cerebral palsy is a nonprogressive encephalopathy caused by a brain dysfunction that occurs during the pre-, peri-, or postnatal phase of development. Cerebral palsy can be characterized by a lack of muscle control with increased spasticity or decreased tone, seizure disorder, and variable mental retardation. The overall incidence of CP is estimated to range from 1 to 5 children per 1000 live births. 49 The overall incidence of scoliosis in the CP population is estimated to range from 21% to 76% depending on the series and whether the patient is a walker or is relegated to sitting due to extensive CP. The incidence and severity of the spinal curve appears to be related to the degree of CP involvement. 39,40 Males are more commonly affected, which is in contrast to idiopathic scoliosis with a female predominance. 49 Scoliotic Curve CharacteristicsPatients with neuromuscular scoliosis may have a variety of scoliotic curve types depending on the severity of CP involvement. Lonstein and Akbarnia 37 characterized the deformity into 2 groups that were most common: 1) Group 1 curves are single thoracic or double thoracic and lumbar curves with a level pelvis, commonly noted in ambulatory patients with CP; and 2) Group 2 curves are long thoracolumbar or C-shaped curves with associated pelvic obliquity, often noted in more involved and dependent patients with CP. Hyperlordosis of the lumbar spine or kyphoscoliosis of the thoracic spine is also a common Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VirginiaCerebral palsy (CP) spinal deformities encompass a spectrum of deformities that are often initially treated nonoperatively, only to result in progression of scoliotic curves and further morbidity. Various surgical interventions have been devised to address the progressive curvature of the spine. This endeavor cannot be taken lightly and at times can be encumbered by prior treatments such as the use of baclofen pumps or dorsal rhizotomies. Care of these patients requires a multidisciplinary approach and comprehensive preoperative and postoperative management, including nutritional status, orthopedic assessment of functional level with specific emphasis on the hips and pelvic obliquity, and wheelchair modifications. The surgical techniques in CP scoliosis have progressively evolved from the classic LuqueGalveston fixation methods, the use of unit rods, and lately the use of pedicle screws, to modern sacropelvic fixation. With the latter method, the spinal deformity in patients with CP can usually be almost completely corrected.

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Relation between objectively measured feeding competence and nutrition in children with cerebral palsy

Cited by 45 publications

References 29 publications

Anthropometric Parameters of Nutritional Status in Children with Cerebral Palsy

Anthropometric Parameters of Nutritional Status in Children with Cerebral Palsy

Características nutricionales de niños con parálisis cerebral. ARIE - Villa El Salvador, 2004

Surgical management of spinal deformities in cerebral palsy

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