Risk Factors for Malnutrition Among Children With Cerebral Palsy in Botswana

Johnson, Allison; Gambrah-Sampaney, Claudia; Khurana, Esha; Baier, James; Baranov, Esther; Monokwane, Baphaleng; Bearden, David

doi:10.1016/j.pediatrneurol.2017.02.003

Cited by 27 publications

(41 citation statements)

References 27 publications

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“…Additionally, malnutrition has a multifactorial etiology in children with CP. As expected, a lower level of motor ability was associated with an increased risk of feeding and swallowing problems (9,10).…”

Section: Discussionsupporting

confidence: 78%

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: Discussionsupporting

confidence: 78%

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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“…However, our data suggested that malnutrition was also common among children with mild CP and we adjusted for severity level in our multivariate analysis. Further, the inclusion of children identified in rural communities makes an important contribution to the literature as other similar studies in low‐ and middle‐income countries have typically recruited children only from hospitals which may miss children from the most under‐served areas . This study found that feeding difficulties are common in this study population and are associated with undernutrition and poor caregiver QoL.…”

Section: Discussionmentioning

confidence: 73%

“…Further, the inclusion of children identified in rural communities makes an important contribution to the literature as other similar studies in low-and middle-income countries have typically recruited children only from hospitals which may miss children from the most under-served areas. 26,32 This study found that feeding difficulties are common in this study population and are associated with undernutrition and poor caregiver QoL. However, it is not possible to determine the causal pathways between these variables, given the cross-sectional nature of this study and this deserves attention in future research.…”

Section: Strengths and Limitationsmentioning

confidence: 85%

Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life

Polack

Adams²,

O’Banion

et al. 2018

Develop Med Child Neuro

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Results. The prevalence of malnutrition was very high: 65% of children aged <5 years were categorised as underweight, 54% as stunted and 58% as wasted. Reported difficulties with child's feeding were common and was associated with the child being underweight (Odds Ratio 10.7 95% CI 2.3-49.6) and poorer caregiver quality of life (p<0.001). No association between caregiver quality of life and nutritional status was evident.Interpretation: There is a need for appropriate, accessible caregiver training and support around feeding practises of their children with cerebral palsy, to improve child nutritional status and caregiver well-being.

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“…For patients with other neurological disorders such as cerebral palsy, it is known that in resource-limited settings, malnourishment is augmented by poverty and severity of clinical features [36,37]. Adequate nutritional support had a good effect on the nutritional status and body composition of these children [38].…”

Section: Nutrition / Endocrinologymentioning

confidence: 99%

Diagnosis and Management of Ataxia-Telangiectasia in Resource-Limited Settings

Aerde

Gaalen

et al. 2020

JICNA

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Ataxia-telangiectasia (A-T) is an autosomal recessive disorder linked to mutations in the ATM gene, and is characterized by neurodegeneration with an early onset cerebellar syndrome, hyperkinetic movement disorders, neuropathy, and oculocutaneous telangiectasia. Immunodeficiency, pulmonary disease, growth failure, diabetes mellitus, increased malignancy risk and hypersensitivity to ionizing radiation complicate the clinical picture. Serum alpha-fetoprotein levels are increased in patients with A-T and can therefore serve as a diagnostic marker for the disease. In resource-limited settings, diagnosis and management of patients with a rare and complex disorder such as A-T may be extremely challenging. This expert opinion-based guideline aims to give an overview of diagnosis and management of A-T in resource-limited settings, by prioritizing different options based on medical necessity, availability, and costs.

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Risk Factors for Malnutrition Among Children With Cerebral Palsy in Botswana

Cited by 27 publications

References 27 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

Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life

Diagnosis and Management of Ataxia-Telangiectasia in Resource-Limited Settings

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