A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy

Aydın, Kürşad; Akbaş, Yılmaz; Ünay, Bülent; Arslan, Mutluay; Cansu, Ali; Şahin, Sevim; Dilber, Cengiz; Güngör, Olcay; Aksoy, Ayşe; Yüksel, Deniz; Gürkaş, Esra; Okuyaz, Çetin; Direk, Meltem Çobanoğulları; Eldeş, Nilüfer; Kömür, Mustafa; Çelik, Tamer; Per, Hüseyin; Acer, Hamit; Gençpınar, Pınar; Dündar, Nihal Olgaç; Ünalp, Aycan; Edizer, Selvinaz; Yarar, Çoşkun; Çarman, Kürşat Bora; Arslan, Elif Acar; KARTAL, Ayşe; Güngör, Serdal; Özgör, Bilge; Çalık, Mustafa; Turkdogan, Dilsat; Ünver, Olcay; Poyrazoğlu, Hatice Gamze; Işıkay, Sedat; Sarioglu, Aysugul Alptekin

doi:10.1016/j.clnesp.2018.05.002

Cited by 36 publications

(58 citation statements)

References 46 publications

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“…In a study involving 69 Spanish children with CP representing a similar age group (10.46 y ± 0.43) and type of the condition (spastic), the findings showed significantly lower values of body weight in the group with the lowest level of functional capacities according to GMFCS, which correlated with lower values of FFM [34]. Lower values of these parameters and a potentially higher risk of undernutrition in children with CP were also reported in other parts of the world [35][36][37]. These findings are consistent with the related evidence published earlier.…”

Section: Discussionmentioning

confidence: 51%

The Relationship between Body Composition and Muscle Tone in Children with Cerebral Palsy: A Case-Control Study

et al. 2020

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The monitoring of children with cerebral palsy (CP) should include a precise assessment of the nutritional status to identify children and adolescents at risk of nutrition disorders. Available studies assessing the nutritional status of children with CP mainly focus on the relationship between body composition and the coexistence of motor dysfunctions, frequently overlooking the role of muscle tone. Therefore, the aim of this study was to assess the relationship between body composition and muscle tone in children with CP. In a case-control study (n = 118; mean age 11 y; SD = 3.8), the children with CP presented various stages of functional capacities, corresponding to all the levels in gross motor function classification system (GMFSC), and muscle tone described by all the grades in Ashworth scale. The control group consisted of healthy children and adolescents, strictly matched for gender and age in a 1:1 case-control manner. The children with CP were found with significantly lower mean values of fat-free mass (FFM kg = 29.2 vs. 34.5, p < 0.001), muscle mass (MM kg = 18.6 vs. 22.6, p < 0.001), body cell mass (BCM kg = 15.1 vs. 18.3, p < 0.001), and total body water (TBW L = 23.0 vs. 26.7, p < 0.001). The same differences in body composition were identified with respect to gender (p < 0.01 respectively). Moreover, children with higher muscle tone (higher score in Ashworth scale) were found with significantly lower values of fat mass (FM), FFM, MM, BCM, and TBW (p < 0.05). The findings showed lower parameters of body composition in the children with CP compared to the healthy children, and a decrease in the parameters coinciding with higher muscle tone in the study group. This observation suggests that it is necessary to measure muscle tone while assessing nutritional status of children with CP.

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Section: Discussionmentioning

confidence: 51%

The Relationship between Body Composition and Muscle Tone in Children with Cerebral Palsy: A Case-Control Study

et al. 2020

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“…Recent research highlights the recognized risk of undernutrition in adults with CP, especially in those who are severely impaired [16,40]. Moreover, the studies developed with children with CP support the relationship between undernutrition and severe CP [12,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, a healthy diet and an adequate percentage of body fat could reduce the risk of metabolic disease. Recent research on nutritional status in individuals with CP shows a high prevalence of undernutrition in this population [12,13,14]. Suboptimal nutrition has been detected in children with mild-to-severe CP and also in adults.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status and Cardiometabolic Risk Factors in Institutionalized Adults with Cerebral Palsy

et al. 2019

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Background and Objectives: Cerebral palsy (CP) is a set of permanent disorders that limit physical activity and increase the risk of developing other diseases, such as metabolic syndrome (MS). Adequate nutrition can contribute to the prevention of associated symptoms. The main objective of this study is to evaluate the nutritional status and the prevalence of cardiometabolic risk factors in adults with CP and Gross Motor Function Classification System (GMFCS) levels between IV and V. Materials and Methods: A sample of 41 adults with CP and GMFCS levels from IV to V were studied. The variables used in the study were age, sex, weight, height, mean age, and GMFCS level range. To evaluate nutritional status, body mass index and the Mini Nutritional Assessment (MNA), a nutritional screening tool, were used. To assess cardiometabolic risk, data on obesity, central obesity, blood pressure, fasting plasma glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides were collected. Results: More than 80% of the population studied was malnourished or at risk of malnutrition, according to the MNA tool classification ranges, and around 35% of the studied population was within the underweight range. Regarding cardiometabolic risk factors, only one adult with CP was diagnosed with MS. Conclusions: The studied population of adults with CP and GMFCS levels between IV and V is not a population at risk of MS; however, the high prevalence of malnutrition, as well as some of the most prevalent cardiovascular risk factors, should be taken into consideration.

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“…The instruments are of two versions: generic and condition specific ( 29 ). The generic instruments focused on wider perspectives of QoL and are used in general populations such as KIDSCREEN-10 ( 30 ) and child health questionnaire ( 31 ). The condition-specific instruments are appropriate to one group or specific disease condition and they are effective in detecting changes in a condition such as cerebral palsy quality of life questionnaires (CPQoL) ( 26 , 32 ).…”

Section: Methodsmentioning

confidence: 99%

Effect of Community-Based Functional Aerobic Training on Motor Performance and Quality of Life of Children with Spastic Cerebral Palsy

Ansa

Mprah

Moses

et al. 2021

Ethiop J Health Sci

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BACKGROUND፡ Efficacies of community-based exercise programmes have been well reported, but there is scarce information on the expediency of community-based rehabilitation in a society where many children with disabilities live in poorly resourced settings with extremely limited rehabilitative services. This study investigated the effects of community-based functional aerobic exercise (CBFAE) on gross motor function, walking distance, and quality of life of children with cerebral palsy (CP).METHODS: Quasi-experimental design was used. Children with gross motor function classification system (GMFCS) levels I – II participated in eight weeks CBFAE training four times/week, 50 minutes/day at 40-80% maximum heart rate. Gross motor function (GMF), walking distance and quality of life were assessed pre and post CBFAE training.RESULTS: Significant improvement was observed in GMF (Dstanding) (8.2%, P=.000), GMF (E-walking + running+ jumping (5.12%, P=.004), walking distance (6.09%, P=.009). Higher significant positive effects of CBFAE were observed in Social wellbeing and acceptance (107.10%, P=.000), and participation and physical health (105.04%, P=.005) by children parent proxy. Self-reported results showed that for CBFAE, significant positive improvements were higher in pain and impact of disability (67.93%, P=.049) and participation and physical health (60.00%, P=.042).CONCLUSION: CBFAE training contributes majorly to improved standing, walking, jumping and running and selfesteem, quality of life of children with spastic CP. Clinicians and exercise therapists should essentially incorporate CBFAE training and activities into the management of children with CP for improved mobility and functional performances.

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A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy

Cited by 36 publications

References 46 publications

The Relationship between Body Composition and Muscle Tone in Children with Cerebral Palsy: A Case-Control Study

The Relationship between Body Composition and Muscle Tone in Children with Cerebral Palsy: A Case-Control Study

Nutritional Status and Cardiometabolic Risk Factors in Institutionalized Adults with Cerebral Palsy

Effect of Community-Based Functional Aerobic Training on Motor Performance and Quality of Life of Children with Spastic Cerebral Palsy

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