scholarly journals Population-based study on the prevalence and clinical profile of adults with cerebral palsy in Northern Ireland

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044614
Author(s):  
Karen McConnell ◽  
Emma Livingstone ◽  
Oliver Perra ◽  
C Kerr

ObjectivesThis study aimed to report the prevalence and clinical characteristics of adults with cerebral palsy (CP) in a geographically defined region of the UK.Design and settingCross-sectional study using the Northern Ireland Cerebral Palsy Register (NICPR).ParticipantsAll validated cases known to the NICPR, born 1981–2001 and alive and resident in Northern Ireland at age 19 years were included.ResultsThe study included 1218 persons with CP aged 19–39 years, 46 of whom died in adulthood. The prevalence of CP was 2.38 per 1000. The majority of cases had spastic CP (n=1132/1218, 93%) and could walk (n=949/1218, 78%). Those that died in adulthood typically had bilateral spastic CP (n=39/46) and used a wheelchair (n=40/46).ConclusionThe prevalence of CP in adults is similar to other common neurological conditions such as multiple sclerosis and Parkinson’s disease. The needs of adults with CP vary widely with almost half having two or more associated impairments that may require multiprofessional and multiagency coordination. Results from this study can be used to inform transformation of health and care services for adults with CP.

2021 ◽  
pp. 19-20
Author(s):  
C. Hemachithra ◽  
N. Meena

Cerebral palsy (CP) is the most common congenital neurological disorder. The etiological and the risk factors are many and an awareness of the interplay of multiple factors in the causation is crucial. The aim of the study is to investigate the clinical prole and risk factors of CP children in and around Chidambaram. A retrospective cross sectional study was conducted in the Division of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Chidambaram. Seventy clinically diagnosed CP children were enrolled and clinical prole and history were retrieved from the case sheets and the parents of CP children. The result shows that out of 70 CP children 53% of males and 47% of females were found. The anthropometric measurements like height and weight of the CP children were found lower than the normal. Among 70 children spastic type of CP was the most common, Athetoid type (5.7%) and ataxic type (5.7%) are the least common type. This study concluded that neonatal care services in Chidambaram should be reviewed to get more attention which helps to promote early intervention and rehabilitation of CP children.


2017 ◽  
Vol 17 (11) ◽  
pp. 2224-2231 ◽  
Author(s):  
Mei Feng ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Satoru Yoshie ◽  
Katsuya Iijima ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042023
Author(s):  
Ryan Stewart ◽  
John J Reilly ◽  
Adrienne Hughes ◽  
Louise A Kelly ◽  
David I Conway ◽  
...  

ObjectiveTo explore trends in prevalence and socioeconomic inequalities in underweight and obesity in 5-year-old schoolchildren in Scotland between 2011/2012 and 2017/2018.DesignA population-based, repeated cross-sectional study.SettingLocal authority primary schools in Scotland.Participants373 189 5-year-old schoolchildren in Scotland between 2011/2012 and 2017/2018.MethodologyTrends in prevalence and inequalities in underweight and obesity were examined across seven school years (2011/2012–2017/2018) for 373 189 5-year-old schoolchildren in Scotland. Body mass index SD scores were calculated, and epidemiological cut-offs relative to the UK 1990 references categorised underweight and obesity. Slope/relative indices of inequality (SII/RII) were calculated for underweight and obesity by school year using the area-based Scottish Index of Multiple Deprivation.ResultsThe prevalence of obesity rose slightly overall during the study period (9.8% in 2011/2012; 10.1% in 2017/2018). However, this masked a widening of inequalities, with children from the most deprived areas experiencing a greater risk of obesity in 2017/2018 than in 2011/2012 (risk ratio=1.14, 95% CI 1.04 to 1.25) compared with an unchanged risk in children from the least deprived areas (risk ratio=0.95, 95% CI 0.82 to 1.11). SII and RII indicate widening inequalities for obesity, with RII rising from 1.95 (95% CI 1.71 to 2.22) in 2011/2012 to 2.22 (95% CI 1.93 to 2.56) in 2017/2018. The prevalence of underweight was consistently low (compared with the UK 1990 references) and remained unchanged over the study period (1.2% in 2011/2012; 1.1% in 2017/2018), with no consistent evidence of social patterning over time.ConclusionsInequalities in obesity in schoolchildren in Scotland are large and have widened from 2011, despite only a slight rise in overall prevalence. In contrast there has been little change in underweight prevalence or inequalities during the study period. Extra resources for policy implementation and measures which do not widen inequalities and focus on reaching the most deprived children are required to tackle the high prevalence and growing inequalities in childhood obesity in Scotland.


2017 ◽  
Vol 135 (6) ◽  
pp. 593-605 ◽  
Author(s):  
B. Cullen ◽  
D. J. Smith ◽  
I. J. Deary ◽  
J. J. Evans ◽  
J. P. Pell

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Mariana Fagundes Grilo ◽  
Ana Clara Duran

Abstract Background The addition of low-calorie sweeteners (LCS) has been increasingly used by industry but their metabolic effects are controversial. Objectives: to estimate the consumption of foods and beverages with LCS among adolescents, adults and the elderly and to verify which food categories most contribute to this consumption. Methods Cross-sectional study. We used data from the Campinas Health Survey (ISACamp 2014-15) and the Food Consumption and Nutritional Status Survey (ISACamp-Nutri 2015-16) of 2570 individuals from 10 years old. We estimated the prevalence of LCS consumption and described the food categories that most contributed to this consumption. Using regression analysis, we verified which population groups had the highest consumption of products with LCS. Results More than 40% of adolescents, adults and the elderly consumed at least one product with LCS, mainly coming from sweetened beverages, tabletop sweeteners, and yogurt and other dairy beverages. The consumption of LCS was evenly found across adolescents and elderly from all socioeconomic strata, and whether elderly participants presented overweight and/or diabetes. Among adults, greater prevalence of foods and beverages with LCS consumption was found in those with higher education but did not vary by the presence of overweight and/or diabetes. Conclusions We found similar consumption of foods and beverages with LCS in most socioeconomic strata, and in participants with and without overweight or diabetes. Key messages The results can contribute to the development of public policies on clearer information of LCS addition in food labels.


2013 ◽  
Vol 6 ◽  
pp. TUI.S10763 ◽  
Author(s):  
Ebenezer G Adepoju ◽  
Samuel A Olowookere ◽  
Najemdeen A Adeleke ◽  
Olusegun T Afolabi ◽  
Folakemi O Olajide ◽  
...  

Background Cigarette smoking has been linked to several cancers worldwide. The characteristics of smokers have not been well documented among Nigerians. Objective This study assessed the prevalence and characteristics of cigarette smokers among the residents of Osogbo, in southwestern Nigeria. Method The study, a population based cross-sectional study of randomly selected consenting adult residents of Osogbo, was conducted in September of 2011. Data was collected using a semi-structured interviewer administered questionnaire on cigarette smoking. Results A total of 759 respondents were interviewed. Mean age was 42.1 ± 12.5 years. There were 364 (48%) males and 395 (52%) females. About 22% had ever smoked while 8.7% were current smokers, smoking an average of 22.9 ± 10.1 cigarettes per day. Males constituted the majority of current smokers. Most smokers (71%) were introduced to smoking by friends and ill health was the most often reported reason for quitting. Conclusion Cigarette smoking is commonly practiced among males in the studied population and awareness creation and advocacy should be conducted throughout the city in order to inform current smokers about the hazards and cumulative effects inherent in smoking.


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