scholarly journals Cerebral palsy: association between nutritional status and occurrence of oropharyngeal dysphagia

Revista CEFAC ◽  
2019 ◽  
Vol 21 (5) ◽  
Author(s):  
Elenice França Dutra ◽  
Aline Freitas Gomes ◽  
Raquel Coube de Carvalho Yamamoto ◽  
Franceliane Jobim Benedetti ◽  
Juliana Saibt Martins ◽  
...  

ABSTRACT Objective: to verify the association between nutritional status and the occurrence of oropharyngeal dysphagia in individuals with cerebral palsy. Methods: a cross-sectional, quantitative study with people aged between two and 20 years. Neuromotor impairment, occurrence and degree of dysphagia, anthropometry, food consumption, feeding route, diet fractionation and consistency were evaluated. Swallowing evaluation was performed by a skilled speech-language-hearing therapist, through the Clinical Evaluation Protocol of Pediatric Dysphagia (PAD-PED, Portuguese acronym).The statistical analysis was performed adopting p<0.05%. Results: 40 subjects with a median of 8.7 (5.45-14.5) years, 65% of whom were males. Concerning neuromotor impairment, 72.5% were classified at levels IV and V. The prevalence of dysphagia was 70%, the feeding route being predominantly oral (77.5%) with a normal diet consistency (55%). In the growth curves, all of them were classified within an adequate height for their age. As for weight, body mass index and skinfolds, 82.5%, 85% and 62.5% were eutrophic, respectively. Statistically significant association was found between dysphagia and body mass index (p=0.018). The mean daily caloric and proteic intake was 1427.29±338.62 kcal and 56.86±17.57 grams, respectively. Statistically significant association was found between the feeding route and the amount of protein ingested daily (p=0.041). Conclusion: most subjects presented oropharyngeal dysphagia and more severe motor impairment; they were fed orally with a normal diet consistency. It was observed that the greater the difficulty in swallowing, the greater the impairment of nutritional status.

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Subal Das ◽  
Kaushik Bose

A community-based cross-sectional study was undertaken to determine the prevalence of undernutrition using body mass index (BMI) among 2–6-year Santal preschool children of Purulia District, West Bengal, India. A total of 251 (116 boys and 135 girls) children from 12 villages were measured. Commonly used indicators, that is, weight, height, and BMI, were used to evaluate the nutritional status. More boys (59.5%) than girls (53.3%), based on BMI, were undernourished. Significant age differences in weight (F=44.29∗∗∗; df=3), height (F=58.48∗∗∗; df=3), and BMI (F=3.52∗∗∗; df=3) among boys were observed. Similarly, significant differences between ages in mean weight (F=56.27∗∗∗; df=3), height (F=64.76∗∗∗; df=3), and BMI (F=2.62∗∗∗; df=3) were observed among the girls. The present study revealed that the nutritional status of the preschool children of Santal tribal community of these villages was poor with very high rate of thinness in boys and girls (59.5% and 53.3%, resp.).


2017 ◽  
Vol 63 (9) ◽  
pp. 736-740 ◽  
Author(s):  
Julia Luzzi Valmórbida ◽  
Maíra Ribas Goulart ◽  
Fernanda Michielin Busnello ◽  
Lúcia Campos Pellanda

Summary Objective: To verify the knowledge about food and nutrition and its association with the nutritional status of obese patients with noncommunicable diseases (NCDs), and to identify the relationship between information sources and level of knowledge. Method: Cross-sectional study that included 263 outpatients of a cardiology referral hospital in Porto Alegre, Rio Grande do Sul, Brazil. The participants filled out a questionnaire on socioeconomic data and knowledge about food and nutrition and had their nutritional status evaluated by body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR). Results: BMI showed a significant inverse association with the percentage of correct answers (p=0.002), as well as WC (p=0.000) and WHR (p<0.001). This was also true for education (p<0.001) and female gender (p=0.005) compared to males. More than 60% of patients reported using television and 23% reported using newspaper as sources of nutritional information. Conclusion: Our study revealed a significant association between BMI and the level of knowledge about foods, showing that there is need for more information on obesity-related NCDs for greater understanding by patients.


2020 ◽  
Vol 19 (2) ◽  
pp. 1-20 ◽  
Author(s):  
Milton Carlos Guevara Valtier ◽  
Karla Judith Ruíz-González ◽  
Luis Arturo Pacheco-Pérez ◽  
Jesús Melchor Santos Flores ◽  
Patricia González de la Cruz ◽  
...  

Objetivos: Conocer la prevalencia de la adicción a la comida de acuerdo a la edad, sexo e índice de masa corporal, y determinar la asociación entre la adicción a la comida y el estado nutricional en adolescentes del norte de México. Método: Estudio descriptivo correlacional de corte transversal, realizado durante agosto y septiembre de 2018. La población se conformó por 630 adolescentes estudiantes de 15 a 17 años de edad, de una preparatoria pública en Nuevo León, México, a los que se les realizaron mediciones antropométricas y se empleó el cuestionario Yale Food Addiction Scale. Resultados: Una muestra de 245 adolescentes, predominando el sexo femenino (53,1%), con una edad media de 15,83 años, la media de índice de masa corporal fue de 23,18 kg/mt2 (S = 3,74) en hombres y 24,57 kg/mt2 (S = 4,00) en mujeres. El 87,8% de los adolescentes presentó positivo el criterio “deseo frustrado de parar el consumo”, el 36,3% la tolerancia, y el 34,3% el consumo a pesar de las consecuencias. El 20,7% de los adolescentes con sobrepeso presentan adicción a la comida. Conclusiones: La mayoría de los adolescentes presentan peso normal, las mujeres presentaron un índice de masa corporal mayor que el de los hombres, menos de la mitad de los participantes presenta adicción a la comida predominando los criterios positivos en mujeres, adolescentes en condición de sobrepeso, obesidad y de mayor edad. No se encontró asociación entre adicción a la comida y estado nutricional. Objective: To know the prevalence of food addiction according to age, sex, and body mass index and to determine the association between food addiction and nutritional status in adolescents from northern México. Method: Cross-sectional study with a descriptive and correlational design, carried out during August and September 2018; the study population was comprised by 630 adolescents, students, ranging from 15 to 17 years of age, from a public high school in Nuevo Leon, Mexico. Anthropometric measurements were taken and the Yale Food Addiction Scale questionnaire was used. Results: A sample of 245 adolescents predominantly female (53.1%), with a mean age of 15.83 years; mean body mass index was 23.18 kg/mt2 (S = 3.74) in males and 24.57 kg/mt2 (S = 4.00) in females; 87.8% of adolescents showed positive to the frustrated desire to stop consumption criterion, 36.3% tolerance, and 34.3% consumption despite the consequences; 20.7% of overweight adolescents showed food addiction. Conclusions: The majority of adolescents showed normal weight, while women showed a body mass index (BMI) higher than men; less than half of the participants had food addiction; positive criteria prevailed in women, and adolescents with overweight and obesity, and older. No association was found between food addiction and nutritional status.


2019 ◽  
Vol 5 (1) ◽  
pp. 52-59
Author(s):  
Risaldi Risaldi ◽  
Ratih Wirapuspita ◽  
Iriyani Kamarudin

Factors that affect worker producktivity is the intake level of nutrient of worker who can be seen from their nutritional status. The need for workers nutrition must be in accordance with the job. A worker with a good nutritional state will have a better working capacity and endurance, on the other hand a worker with a poor nutritional state will accelerate exhaustion and this can disrupt productivity. This study aims to know the correlation of nutritional status that consists of body mass index, energi intake, protein intake,  and intake of iron to the productivity of female workers in PT. Idec Abadi Wood Industries. This study uses cross sectional study design. The sample in this study was a female worker at the wholesale totaling 50 people, by measured the body mass index (BMI) and recall 24 hours. Data analysis technique used is multiple linier regression. Result from the study showed an association between nutrional status (BMI) and productivity (0,001 < 0,05), energy intake with productivity (0.008 < 0,05), intake of iron with productivity (0.045 < 0.05). And there was no significant association between protein intake and productivity (0,243 < 0,05). Companies were advised to make a special program for the monitoring process and the adequacy of nutrient intake of workers. The company needs to add medical personel especially in the field of nutrition. Dissemination of information through sosialization, posters or leflets on the pattern of balanced nutrition for workersKeywords   : Productivity, Nutritional Status


2021 ◽  
Vol 3 (Number 1) ◽  
pp. 3-6
Author(s):  
Ishrat Jahan ◽  
Monowar Ahmad Tarafdar ◽  
Md. Shamim Ahsan

A cross-sectional study was carried out to assess relationship between socio-demographic factors and nutritional status of adolescent of the rural areas. Respondents were from selected villages of Tangail district with a sample size of 108 using an interviewer administered semi- structured questionnaire employing purposive sampling method. Nutritional statuses of the respondents were measured by Body Mass Index (BMI). The BMI of the respondents were calculated on the basis of the height and weight of the respondents. Majority of the respondents (63.9%) were under weight on the basis of BMI and were associated with family monthly income, father’s occupation, and house type where the respondents live. On the other hand, health and nutritional status which is calculated by Body Mass Index is associated to sex of the respondents, family monthly income and respondent’s education level.


2020 ◽  
Vol 4 (2) ◽  
pp. 76
Author(s):  
Khoirul Anam ◽  
Takdir Tahir ◽  
Ilkafah Ilkafah

Background: Chemotherapy is highly recommended for cancer treatment, however can cause some side effects such as nausea and vomiting. This will affect food intake and nutritional status in cancer patients who undergo chemotherapy. Aim: To describe nutritional status based on anthropometry Body Mass Index (BMI), hemoglobin (Hb), Patient-Generated Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA) in cancer patients undergoing chemotherapy in RSUP. Dr. Wahidin sudirohusodo Makassar. Methode: This experiment uses a quantitative non-experimental research method with cross sectional approach on 1010 patients, nonprobability sampling with purposive sampling technique on 70 respondents, data collection with interview and observation techniques. Results: Nutritional status based on Body Mass Index (BMI) shows that 39 people (55.7%) had normal BMI values. About 37 people (52.9%) had good / normal nutritional status based on Patient-Generated Subjective Global Assessment (PG-SGA)  while Mini Nutritional Assessment (MNA) reveals 100% of respondents experienced nutritional status problems. Conclusion: Mini Nutritional Assessment (MNA) is the best tool to identify nutritional status of cancer patients that undergo chemotherapy since this instrument is very sensitive and practical. Patient-Generated Subjective Global Assessment (PG-SGA) is good to assess nutritional status in subject who have lost weight drastically and shows signs of subcutaneous fat loss and muscle mass loss. Keyword: Cancer, chemotherapy, body mass index (BMI), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA).


2020 ◽  
Vol 38 ◽  
Author(s):  
Kamilla Tavares de Sousa ◽  
Gabrielle Bemfica Ferreira ◽  
Amanda Torido Santos ◽  
Quintiliano Siqueira Schroden Nomelini ◽  
Luciana Oliveira de Almeida Minussi ◽  
...  

ABSTRACT Objective: To correlate the nutritional status with variables associated to the type of diet and feeding route of children and adolescents with spastic quadriplegic cerebral palsy (CP). Methods: This cross-sectional study included 28 patients aged ≤13 years old who presented a diagnosis of spastic quadriplegic CP and were followed by the nutrition team of the Outpatient Clinic for Special Patients of Hospital de Clínicas de Uberlândia - Universidade Federal de Uberlândia (HC-UFU), between July/2016 and January/2017. Consent forms were signed by the legal guardians. The nutritional status was evaluated and data on dietary complications food route and type of diet were collected. For the description of data, average and median values were used. Correlation was tested with Spearman’s index. Significance was set at p<0.05. Results: 75% of patients used alternative feeding routes (nasoenteral, catheter or gastrostomy), 57% were eutrophic. The most frequent complications were oropharyngeal dysphagia, reflux and intestinal constipation. No correlation was found between the occurrence of complications and the nutritional status. There was a positive correlation between the diet received and the patient’s nutritional status (0.48; p=0.01), i.e. individuals with adequate caloric and macronutrients intake had a better nutritional status. Conclusions: The results reinforce the need for continued nutritional guidance for the children’s parents/caregivers, as well as the choice of an adequate rout of feeding to each child by the multi-professional team, in order to contribute to improved nutritional status and adequate dietary intake.


MedPharmRes ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. 27-33
Author(s):  
Uyen Phuong Truong ◽  
Lan-Anh Thi Pham ◽  
Ngoc Van Anh Huynh ◽  
Thi Van Tran ◽  
Gia Kien To

Introduction: This study assessed the validation of Body Mass Index (BMI) against Subjective Global Assessment (SGA), and identify the prevalence of malnutrition and its associated factors in Chronic Obstructive Pulmonary Disease (COPD) inpatients at Nguyen Tri Phuong Hospital, Ho Chi Minh City, Vietnam. Methods: A cross-sectional study was conducted to consecutively select COPD inpatients based on medical records and consultancy with doctors. A structured questionnaire was designed to collect socio-demographic characteristics, health status and comorbidities, nutritional status, and handgrip strength. Nutritional status was assessed using SGA and BMI. Handgrip strength was measured using a hand dynamometer. Health status was collected from medical records. Results: The mean age of 83 COPD inpatients recruited in this study was 67 (SD=10.4) years. Most of the sample population was ≥60 years old (75%), male (86%), Kinh ethnic (89%), married (72%), not currently working (70%), and less than junior high school (81%). Nearly 68% had at least one comorbidity and 27% were active smokers. The mean handgrip strength was 21.6 kg (SD=8.7), and mean weight was 53.9 kg (SD=10.0). The mean BMI was 20.4 kg/m2 (SD=3.4) with 58% having BMI <21 kg/m2. SGA provided the prevalence of malnutrition of 65%. Age-group, BMI and handgrip strength were associated with malnutrition. A BMI cut-off point of <21 kg/m2 provided the highest ROC area of 84% (95%CI: 76%-92%). Conclusion: Malnutrition is common in COPD inpatients. This study confirms findings of previous studies that a BMI cut-off point of <21 kg/m2 was sensitive and specific for screening malnutritional risk at bedside.


2015 ◽  
Vol 6 (1) ◽  
pp. 69
Author(s):  
Savitri Byadagi ◽  
Sunanda Sharan ◽  
Madhusudan Nayak, C.

<p>This cross sectional study was carried out to compare nutritional status amongst children of 14- 16 years age of three different sets of schools. Study was conducted at Private High School Campus (PHSC) without mid day meal programme, Govt. High School Hebbal (GHSH) with ISCKON mid day meal programme and Govt. High School Bashettahalli (GHSB) Doddaballapur, with Govt. mid day meal. Height, weight and body mass index (BMI) were measured. When height and weight of the study subjects compared with 50<sup>th</sup> percentile values of IAP standards, majority of the subjects with no midday meal programme were found to have better height (18.5%) compared to with MDM subjects. Whereas, majority of the subjects in PHSC (without MDM) and GHSH (with ISCKON MDM) were found to have on par results for weight at 18.75 and 19.18 per cent respectively. Comparison of BMI with 50<sup>th</sup> percentile values of WHO standards projected that majority of the PHSC (no MDM) subjects (56.2%) had normal BMI as compared to with MDM subjects as compared to other two school</p>


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