Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Abstract

Aim: The aim of this study was to examine the relation between body mass index (BMI) and functional level and health-related quality of life in children with cerebral palsy (CP). Material and Methods:Two hundred seventy-eight children with CP aged between 2 and 18 years were included in the study. The sociodemographic properties of the children were recorded. Their functional independence levels were assessed with WeeFIM and their health-related quality of life levels were assessed with the Child Health Questionnaire-Parent Form (PF-50). Approval was obtained from the ethics committee of Abant İzzet Baysal University Medical Faculty for this study (Number: 2008/100-77).Results: When classified by body mass index, 26.3% of the children had a normal body weight, 5.4% were overweight, 11.5% were obese and 56.8% had a low body weight. The rate of low body weight was higher in children with moderate and severe CP (52.7% and 53.8%, respectively), while the rate of obesity was higher in children with mild CP who could walk (7.1%). A significant difference was found in children with CP with a normal body weight, overweight children with CP, obese children with CP and children with CP with a low body weight in terms of the total WeeFIM score and the variables of quality of life including physical functionality and role/social limitations because of physical health (p<0.05). In the correlation analysis, a positive correlation was found between WeeFIM and BMI and the subdimensions of role/social limitations because of emotional or behavioral difficulties, pain and discomfort and self-esteem (p<0.05). Conclusions:Our results showed that BMI affected functional independence and health-related quality of life in children with CP and this was more prominent in children who had severe CP and low BMI values. More studies are needed in this area. (Türk Ped Arş 2014; 49: 130-7)

The current view on the body mass and body mass index of children with spine deformity due to cerebral palsy: a systematic review

“…Рассчитывают соотношение веса и роста по [22,24]. Анализ ИМТ у детей с церебральным параличом показал, в 26,3 % случаев масса тела была нормальной, у 5,4 % пациентов -избыточной, ожирение наблюдалось у 11,5 % детей, низкая масса тела отмечена у 56,8 % пациентов [25]. Частота низкой массы тела была выше у детей с умеренной (GMFCS III) и тяжелой (GMFCS IV и V) степенями ДЦП (52,7 и 53,8 % соответственно).…”

“…В группе детей с легкой формой ДЦП (GMFCS I, II), которые могли ходить, количество детей с ожирением было больше (7,1 %). По данным авторов этой работы [25], показатель ИМТ влиял на функциональную независимость (по шкале WeeFIM) и качество жизни (по опроснику CHQ-PF50), связанное со здоровьем детей с церебральным параличом. В большей степени это было выражено у пациентов с тяжелой формой ДЦП (GMFCS IV и V) и сниженными величинами ИМТ (табл.…”

“…Almuneef et al, одним из факторов, который независимо связан с низким ИМТ, был возраст ≤5 лет [30]. Тем не менее большинство авторов сходятся во мнении, что у пациентов с ДЦП с уровнями нарушений GMFCS IV и V чаще встречаются более низкий рост, вес и ИМТ, чем у детей с GMFCS I-III [25,29,[31][32][33][34][35][36][37][38].…”

Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children

“…Perceived social support and solicitous responding have been considered among the most relevant factors contributing to the maintenance of pain in people with physical disabilities [ 8 ]. Children and adolescents with CP perceived that pain limited their social support [ 9 ], and ambulatory children with CP suffering pain made important efforts to achieve social acceptance [ 10 ]. Nevertheless, seeking social support has also been interpreted as a maladaptive coping strategy, since it may signal a lack of ability to deal with pain [ 10 , 11 , 12 ].…”

“…Children and adolescents with CP perceived that pain limited their social support [ 9 ], and ambulatory children with CP suffering pain made important efforts to achieve social acceptance [ 10 ]. Nevertheless, seeking social support has also been interpreted as a maladaptive coping strategy, since it may signal a lack of ability to deal with pain [ 10 , 11 , 12 ]. In this sense, it has been shown that social support was a predictor of disability in adults with CP [ 13 ] and children with developmental disabilities [ 11 ].…”