scholarly journals Food pattern and nutritional status of children with cerebral palsy

2013 ◽  
Vol 31 (3) ◽  
pp. 344-349 ◽  
Author(s):  
Patrícia Ayrosa C. Lopes ◽  
Olga Maria S. Amancio ◽  
Roberta Faria C. Araújo ◽  
Maria Sylvia de S. Vitalle ◽  
Josefina Aparecida P. Braga
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Food Intake ◽  
Nutritional Status ◽  
Old Age ◽  
Energy Intake ◽  
Moderate Activity ◽  
Age Group ◽  
Children With Cerebral Palsy ◽  
Nutritional Status Of Children

OBJECTIVES To assess the food intake pattern and the nutritional status of children with cerebral palsy. METHODS Cross-sectional study with 90 children from two to 12.8 years with cerebral palsy in the following forms: hemiplegia, diplegia, and tetraplegia. Nutritional status was assessed by weight, height, and age data. Food intake was verified by the 24-hour recall and food frequency questionnaire. The ability to chew and/or swallowing, intestinal habits, and physical activity were also evaluated. RESULTS For 2-3 year-old age group, the mean energy intake followed the recommended range; in 4-6 year-old age group with hemiplegia and tetraplegia, energy intake was below the recommended limits. All children presented low intake of carbohydrates, adequate intake of proteins and high intake of lipids. The tetraplegia group had a higher prevalence of chewing (41%) and swallowing (12.8%) difficulties compared to 14.5 and 6.6% of children with hemiplegia, respectively. Most children of all groups had a daily intestinal habit. All children presented mild physical activity, while moderate activity was not practiced by any child of the tetraplegia group, which had a significantly lower height/age Z score than those with hemiplegia (-2.14 versus -1.05; p=0.003). CONCLUSIONS The children with cerebral palsy presented inadequate dietary pattern and impaired nutritional status, with special compromise of height. Tetraplegia imposes difficulties regarding chewing/swallowing and moderate physical activity practice.

scholarly journals Improving nutritional status of children with Cerebral palsy: a qualitative study of caregiver experiences and community-based training in Ghana

2018 ◽  
Vol 7 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Claudia Mary Donkor ◽  
Jackie Lee ◽  
Natasha Lelijveld ◽  
Melanie Adams ◽  
Marjolein Meande Baltussen ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Qualitative Study ◽  
Nutritional Status ◽  
Community Based ◽  
Children With Cerebral Palsy ◽  
Caregiver Experiences ◽  
Nutritional Status Of Children

scholarly journals FOOD INTAKE, NUTRITIONAL STATUS AND GASTROINTESTINAL SYMPTOMS IN CHILDREN WITH CEREBRAL PALSY

2018 ◽  
Vol 55 (4) ◽  
pp. 352-357 ◽  
Author(s):  
Deise Cristina Oliva CARAMICO-FAVERO ◽  
Zelita Caldeira Ferreira GUEDES ◽  
Mauro Batista de MORAIS
Keyword(s):  
Cerebral Palsy ◽  
Food Intake ◽  
Gastroesophageal Reflux ◽  
Nutritional Status ◽  
Fluid Intake ◽  
Gastrointestinal Symptoms ◽  
Z Score ◽  
Children With Cerebral Palsy ◽  
Height For Age ◽  
Weight For Age

ABSTRACT BACKGROUND: Cerebral palsy may be associated with comorbidities such as undernutrition, impaired growth and gastrointestinal symptoms. Children with cerebral palsy exhibit eating problems due to the effect on the anatomical and functional structures involved in the eating function resulting in malnutrition. OBJECTIVE: The aim of this study was to investigate the association between food intake, nutritional status and gastrointestinal symptoms in children with cerebral palsy. METHODS: Cross-sectional study that included 40 children with cerebral palsy (35 with spastic tetraparetic form and 5 with non-spastic choreoathetoid form of cerebral palsy, all requiring wheelchairs or bedridden) aged from 4 to 10 years. The dietary assessment with the parents was performed using the usual household food intake inquiry. Anthropometric data were collected. Gastrointestinal symptoms associated with deglutition disorders, gastroesophageal reflux and chronic constipation were also recorded. RESULTS: The median of height-for-age Z-score (-4.05) was lower (P<0.05) than the median of weight-for-age (-3.29) and weight-for-height (-0.94). There was no statistical difference between weight-for-age and weight-for-height Z-scores. Three patients with cerebral palsy (7.5%) exhibited mild anemia, with normal ferritin levels in two. Symptoms of dysphagia, gastroesophageal reflux, and constipation were found in 82.5% (n=33), 40.0% (n=16), and 60.0% (n=24) of the sample, respectively. The patients with symptoms of dysphagia exhibited lower daily energy (1280.2±454.8 Kcal vs 1890.3±847.1 Kcal, P=0.009), carbohydrate (median: 170.9 g vs 234.5 g, P=0.023) and fluid intake (483.1±294.9 mL vs 992.9±292.2 mL, P=0.001). The patients with symptoms of gastrointestinal reflux exhibited greater daily fluid intake (720.0±362.9 mL) than the patients without symptoms of gastroesophageal reflux (483.7±320.0 mL, P=0.042) and a greater height-for-age deficit (Z-score: -4.9±1.7 vs 3.7±1.5, P=0.033). The patients with symptoms of constipation exhibited lower daily dietary fiber (9.2±4.3 g vs 12.3±4.3 g, P=0.031) and fluid (456.5±283.1 mL vs 741.1±379.2 mL, P=0.013) intake. CONCLUSION: Children with cerebral palsy exhibited wide variability in food intake which may partially account for their severe impaired growth and malnutrition. Symptoms of dysphagia, gastroesophageal reflux, and constipation are associated with different food intake patterns. Therefore, nutritional intervention should be tailored considering the gastrointestinal symptoms and nutritional status.

scholarly journals Comparison of Patterns of Physical Activity and Sedentary Behavior Between Children With Cerebral Palsy and Children With Typical Development

2015 ◽  
Vol 95 (12) ◽  
pp. 1609-1616 ◽  
Author(s):  
Jennifer M. Ryan ◽  
Cuisle Forde ◽  
Juliette M. Hussey ◽  
John Gormley
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
Similar Amount ◽  
Moderate Activity ◽  
Vigorous Activity ◽  
Typical Development ◽  
Preadolescent Children ◽  
Children With Cerebral Palsy

Background Reduced participation in physical activity and increased time spent in sedentary behavior are associated with overweight, chronic disease, and disability. In order to optimize recommendations and interventions to increase physical activity and reduce sedentary behavior in children with cerebral palsy (CP), knowledge of their physical activity and sedentary behavior is needed. Objectives The aim of this study was to describe light, moderate, and vigorous physical activity and sedentary behavior in preadolescent children with and without CP and compare physical activity and sedentary behavior between the 2 groups. Design This was a cross-sectional study of 33 children, aged 6 to 10 years, with CP (Gross Motor Function Classification System [GMFCS] levels I–III) and 33 age- and sex-matched children with typical development. Methods Physical activity was measured using the RT3 accelerometer over 7 days. Results Children with CP spent more time in sedentary behavior and accumulated less total activity, moderate activity, vigorous activity, and sustained bouts of moderate-to-vigorous activity (MVPA). They also accumulated a fewer number of bouts of MVPA and vigorous activity, despite spending a similar amount of time in each bout. Limitations The small number of children in GMFCS levels II and III did not allow for adjustment for GMFCS level when comparing physical activity between children with and without CP. Conclusions Preadolescent children with CP spent less time in moderate and vigorous activity and more time in sedentary behavior than children with typical development. Children with CP also accumulated less continuous MVPA and vigorous activity as a result of achieving fewer sustained bouts of MVPA and vigorous activity throughout the day.

scholarly journals Effectiveness of nutritional status correction in children with cerebral palsy

2021 ◽  
Vol 66 (4) ◽  
pp. 135-140
Author(s):  
A. A. Kamalova ◽  
R. F. Rakhmaeva ◽  
E. M. Ahmadullina ◽  
L. I. Basanova
Keyword(s):  
Body Weight ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Nutritional Support ◽  
Skinfold Thickness ◽  
Component Composition ◽  
Physical Rehabilitation ◽  
The Body ◽  
Children With Cerebral Palsy ◽  
Nutritional Status Of Children

The frequency of underweight in children with cerebral palsy is about 60–70%. A benefit of nutritional support in children with cerebral palsy are underestimated. The use of nutritional support during active physical rehabilitation can have a positive effect on not only body weight, but also the component composition of the body and their rehabilitation potential.The aim of our study was to evaluate the effectiveness of nutritional support – a hypercaloric (1,5 kcal/ml) polymer formula with fibers (Pediashure 1,5 Fiber, Abbott) in children with cerebral palsy.Characteristics of children and research methods. Anthropometric indicators (body weight, height, body mass index, triceps skinfold thickness, subscapular skinfold thickness, mid-upper arm circumference, shoulder muscle circumference) and body composition were studied in 15 underweight children with cerebral palsy aged 4–10 years with the level of motor disorders GMFCSIII–IV. They were prescribed of nutritional support with a hyper caloric mixture (1,5kcal/ml) with fiber lasting 3months during active physical rehabilitation.Results. Against the background of nutritional support, there was a significant increase in body weight, height, z-score of body weight, mainly due to musculoskeletal, active cell and lean mass. In addition to correcting the nutritional status of children with cerebral palsy, an improvement in their motor abilities was noted.

scholarly journals Physical activity, sedentary time and nutritional status in Brazilian children with cerebral palsy

2021 ◽  
Author(s):  
Raíne Costa Borba Firmino de Arruda ◽  
Rafael Miranda Tassitano ◽  
Anísio Luís da Silva Brito ◽  
Olga Sophia de Sousa Martins ◽  
Poliana Coelho Cabral ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Sedentary Time ◽  
Children With Cerebral Palsy ◽  
Brazilian Children

Nutritional status of children with undernutrition

2021 ◽  
pp. 51-57
Author(s):  
A. V. Keleinikova ◽  
O. N. Titova ◽  
I. A. Matinyan ◽  
N. N. Taran ◽  
A. I. Zubovich ◽  
...  
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Chronic Diseases ◽  
Energy Intake ◽  
Oxidation Rate ◽  
Complete Blood Count ◽  
Cell Mass ◽  
Low Energy ◽  
Bioelectric Impedance Analysis ◽  
Nutritional Status Of Children

Objective. To assess nutritional status of children with undernutrition without chronic diseases.Patients and methods. Eighty one children without chronic diseases and with undernutrition aged 3 months to 17 years and 2 months, 41 boys (50.6 %), 40 girls (49.4 %), were examined. The anthropometry was assessed by WHO criteria. The complete blood count (n = 69), blood biochemistry (n = 62), insulin level and vitamin status were examined. Bioelectric impedance analysis (n = 58) and indirect respiratory calorimetry (n = 28) were performed. The food intake was assessed in 28 patients.Results. Mild undernutrition was diagnosed in 35 (43.2 %) children, moderate - in 30 (37 %), severe - in 16 (19,8 %) children. The stunting (Z-score height to age < -2) was revealed in 3 (3,7 %) children. Anemia was found in 4 (5.8 %) children, absolute lymphopenia - in 2 (2.9 %), hypoproteinemia in 8 (12.9 %), hypoalbuminemia - in 1 (1.5 %), hypocholesterolemia - in 7 (11.3 %), hypercholesterolemia - in 6 (9.7 %) children. None of children had hypoglycemia. Insulin was decreased in 9 (15.5 %) children. Deficiency of vitamin D was found in 11 (13.6 %) patients. Decrease of fat mass was found in 52 (89,7 %) patients, muscle mass - in 42 (72.4 %), active cell mass - in 18 (31 %), protein - in 37 (63.8 %), minerals - in 41 (70.7 %), total body water - in 36 (62.1 %) patients. Decrease of the phase angle (<4.4) was recorded in 13 (22,4 %) children. Resting energy expenditure was normal in 12 (42,8 %) patients. Carbohydrate oxidation rate was decreased in 20 (71,4 %) children, fat oxidation rate was increased in 15 (53,6 %), protein oxidation rate was normal in 15 (53,6 %) children. The food intake was characterized by low energy intake in 21 (75 %) children. Deficiency of protein, fat and carbohydrate intake were found in 42.9, 60.7 and 82.1 % patients, respectively. Low energy intake due to all macronutrients deficiency was revealed in 35.7 % children.Conclusion. Most children with undernutrition without chronic diseases have a decrease in fat and muscle body components, low energy value of diet and imbalance of macronutrients. Changes in resting metabolism were also revealed.

scholarly journals Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2132 ◽  
Author(s):  
Tasneem Karim ◽  
Israt Jahan ◽  
Rachael Dossetor ◽  
Nguyen Thi Huong Giang ◽  
Nguyen Thi Van Anh ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Disease Surveillance ◽  
Family Income ◽  
Economic Status ◽  
World Health ◽  
Disease Surveillance System ◽  
Children With Cerebral Palsy ◽  
Health Organization ◽  
Nutritional Status Of Children

Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.

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