Is Chewing Performance Related to Dietary Intake in Children with Cerebral Palsy?

Özder, Fatih; Ilgaz, Fatma; Arslan, Selen Serel

doi:10.1007/s00455-023-10612-y

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…This study enhances understanding of nutritional management in children with dysphagia, highlighting deficiencies in energy and micronutrient intake, as well as the benefits of individualized dietary and therapeutic interventions. It underscores the complexity of nutritional management in this demographic, emphasizing the need for specific nutritional strategies for complex chronic conditions such as CP aligning with previous research [ 26 , 27 , 28 ].…”

Section: Discussionsupporting

confidence: 62%

“…Özder F et al [ 27 ] analyzed the relationship between masticatory ability and nutrient intake, observing that caloric and macronutrient intake significantly depends on masticatory skills. This underscores the importance of an early multidisciplinary assessment and rehabilitation to improve dietary tolerance and ensure adequate and safe nutritional intake.…”

Section: Discussionmentioning

confidence: 99%

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Nutritional Issues in Children with Dysphagia

Ortiz Pérez,

Valero-Arredondo,

Torcuato-Rubio

et al. 2024

Nutrients

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(1) Background: Pediatric dysphagia presents significant nutritional challenges, often impacting growth and development due to reduced oral intake, increased nutritional needs, and gastrointestinal complications; (2) Methods: This prospective quasi-experimental study assessed 117 children under 14 years old (20 patients were under 1 year old, 80 were aged 1–7 years, and 17 were older than 7 years), diagnosed with swallowing disorders, to analyze their caloric, macro-, and micronutrient intake and identify potential deficiencies. The severity of dysphagia was established using functional oral intake scales, and dietary records were reviewed over a 3-day period; (3) Results: The study revealed that 39.8% of participants did not meet their total energy expenditure (TEE), highlighting a high prevalence of malnutrition among these children. Furthermore, patients using feeding devices exhibited a significantly lower caloric intake, and over half required significantly modified food textures. After individualized speech therapy and nutritional rehabilitation, participants showed significant improvements in caloric intake, with their energy coverage increasing from 958% to 1198% of the daily requirement. Rehabilitation also improved tolerance to a broader range of food textures; (4) Conclusions: This research underscores the importance of multidisciplinary, individualized nutritional strategies to address the specific challenges of pediatric dysphagia, emphasizing the role of enteral nutrition and therapeutic interventions in improving the quality of life and nutritional outcomes of these children. Further studies are recommended to assess the long-term impact of such strategies.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Nutritional Issues in Children with Dysphagia

Ortiz Pérez,

Valero-Arredondo,

Torcuato-Rubio

et al. 2024

Nutrients

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A comparative analysis of oropharyngeal functions in preterm and term children with cerebral palsy

Kemer,

Serel-Arslan

2024

Early Human Development

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Translation, Cross‐Cultural Adaptation and Validation of the Karaduman Chewing Performance Scale for the Italian Paediatric Population

Pizza,

Tofani,

Biondo

et al. 2024

Evaluation Clinical Practice

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BackgroundChewing is a fundamental motor activity, but there is no specific assessment tool in Italian for paediatric rehabilitation. The Karaduman Chewing Performance Scale (KCPS) is a performance‐based assessment tool that allow to classify chewing performance in childhood.ObjectiveTo translate, culturally adapt and assess reliability, criterion validity and cross‐cultural validity of the KCPS into Italian in a paediatric population.MethodsFollowing international guidelines, the KCPS was translated and culturally adapted into Italian. Inter‐rater reliability was measured using the intraclass correlation coefficient (ICC), the criterion validity using the Pearson correlation coefficient comparing KCPS score with the Paediatric Screening‐Priority Evaluation Dysphagia (PS‐PED), and cross‐cultural validity was examined across diagnostic groups.ResultsThe study included 165 children with a mean age of 6.33 with different health conditions, namely autism spectrum disorder, cerebral palsy and genetic syndromes. The analysis revealed that KCPS was reliable measure with a ICC 0.93, and a moderate positive linear correlation with the PS‐PED (Pearson 0.48) was found. In each diagnostic group, chewing performance disorders were found, highlighting specific characteristics.ConclusionsDespite limited sample in reliability analysis and the need of exploring the relationship with chewing abilities and severity of diseases, the KCPS was found a reliable and valid tool for determining the level of chewing performance in paediatric population. Now Italian clinicians can use it with more confidence in their clinical practice and research.

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Is Chewing Performance Related to Dietary Intake in Children with Cerebral Palsy?

Cited by 3 publications

References 33 publications

Nutritional Issues in Children with Dysphagia

Nutritional Issues in Children with Dysphagia

A comparative analysis of oropharyngeal functions in preterm and term children with cerebral palsy

Translation, Cross‐Cultural Adaptation and Validation of the Karaduman Chewing Performance Scale for the Italian Paediatric Population

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