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

Troughton, K E V; Hill, Alesha

doi:10.1111/j.1469-8749.2001.tb00185.x

Cited by 57 publications

(3 citation statements)

References 29 publications

(16 reference statements)

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“…Our data show higher prevalence of malnutrition defined by either indicator of nutritional status. These relatively higher prevalence rates than reported in previous studies on clinical samples both from low income [25] and high-income countries [26]. A recent study by Kakooza-Mwesige and colleagues in 2015, however, has reported 52% of cerebral children, who visited clinics, were malnourished [8].…”

Section: Discussionmentioning

confidence: 82%

Malnutrition is common in children with cerebral palsy in Saudi Arabia – a cross-sectional clinical observational study

et al. 2019

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BackgroundCerebral palsy (CP) is considered as the main cause of severe physical impairment and malnutrition in children. This cross-sectional study intended to survey the nutritional status of children cerebral palsy in Riyadh, Saudi Arabia.MethodsWe examined 74 children (age: 1–10 yrs) with CP, who attended Sultan Bin Abdulaziz Humanitarian City (SBAHC), Riyadh Saudi Arabia. Data on age, general demographics, nutritional status, and dietary intake were collected. A child was considered underweight, wasted, stunted or thin if the standard deviation scores for his/her weight for age, weight for height, height for age and body mass index for age were ≤ −2.0 standard deviation (SD) using WHO growth standards. Multivariable logistic regression identified the factors associated with nutritional indicators.ResultsMore than half (56.4%) of the children with cerebral palsy were malnourished as they had z-score below <−2 SD in at least one of the four indicators. Thinness (50%) was the most common form of malnutrition, followed by underweight, stunting, and wasting. Arm anthropometrics gave similar results on the percent number of malnourished children. Factors that were independently associated with malnutrition with an adjusted OR (aOR) were as follow: age ≤ 5 yrs. (aOR: 4.29); presence of cognitive impairment (aOR: 4.13); presence of anemia (aOR: 3.41) and inadequate energy intake (aOR: 4.86) (p, for all trends <0.05).ConclusionChildren with cerebral palsy of the current study have impaired growth and nutritional status as assessed by all four common nutritional status indicators. Further large-scale community-based studies for in-depth evaluation of nutritional status and growth patterns in children with CP are needed.

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Section: Discussionmentioning

confidence: 82%

Malnutrition is common in children with cerebral palsy in Saudi Arabia – a cross-sectional clinical observational study

et al. 2019

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“…Additionally, the motor difficulties can also interfere with self-feeding [6]. All these factors can collectively affect food consumption, resulting in growth faltering among children with CP [28]. If those underlying issues remain unresolved, the gap between requirement and intake is likely to increase as the child grows, which could accelerate the growth faltering.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Jahan

Muhit

Hardianto³

et al. 2021

Nutrients

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Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition. Results: Between January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72–98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III–V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III–V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III–V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted. Conclusion: Most children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III–V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.

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“…A recent study of term infants describes faltering weight associated with difficulties progressing with food consistencies in later infancy [18]. Eating a limited range of consistencies and OMD are associated with poor nutrition and growth in other populations [19][20][21][22][23]. Progress with food consistencies should be one of the aspects of feeding further evaluated in preterm infants.…”

Section: Discussionmentioning

confidence: 99%

Oral-motor Dysfunction at 10 Months Corrected Gestational Age in Infants Born Less Than 37 Weeks Preterm

et al. 2008

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Feeding difficulties are common in preterm infants. These may be associated with inadequate dietary intake, poor growth, and parental anxiety. Oral-motor dysfunction has been observed in preterm infants during sucking and the early stages of weaning but has not been rigorously studied in later infancy when eating a range of food consistencies. We aimed to establish if oral-motor dysfunction during feeding occurs in preterm infants in later infancy and to explore the relationships with specific neonatal risk factors: gestational age at birth, prolonged supplementary oxygen requirement, and delay in establishing full oral feeding. Infants born less than 37 weeks gestational age were evaluated once at 10 months corrected gestational age using a validated feeding assessment (Schedule for Oral Motor Assessment). Fifteen infants were enrolled (9 males, 6 females; median gestational age at birth = 33 weeks, range = 25-36 weeks; median birth weight = 1890 g, range = 710-2950 g). Oral-motor dysfunction was observed in three infants all born after 31 weeks gestation. No relationship was found with the neonatal risk factors. This study indicates that oral-motor dysfunction may occur in later infancy and is not easily predicted from specific neonatal risk factors. Further study is required to evaluate the true prevalence and the health implications of oral-motor dysfunction in this population in later infancy.

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

Cited by 57 publications

References 29 publications

Malnutrition is common in children with cerebral palsy in Saudi Arabia – a cross-sectional clinical observational study

Malnutrition is common in children with cerebral palsy in Saudi Arabia – a cross-sectional clinical observational study

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Oral-motor Dysfunction at 10 Months Corrected Gestational Age in Infants Born Less Than 37 Weeks Preterm

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