Nutrición del Niño con Enfermedades Neurológicas Prevalentes: An Update

Abstract

Nutrition of Children with Selected Neurological Illnesses. An UpdateIn this paper, some neurological disorders are reviewed where nutritional management is relevant. These are cerebral palsy, epilepsy, autism and attention défi cit disorder (ADHD). Nutrition is affected in children with Cerebral Palsy due to the illness, diffi cult in ingesting foods due to sensory,motor and/or GI disorders, and specifi c nutritional défi cits secondary to insuffi cient intake. In epilepsy and ADHD, interaction with medications must be added. In autism there is additional controversy regarding nutritional management. Nutritional status will depend on the severity of the main disorder, time of evolution, adequate care. Nutritional vigilance by the multidisciplinbary treatment team. Good management contributes to improve the evolution of the illness, diminish medication adverse effect, prevent specifi c defi ciencies, development of excess disorders (as in obesity), and non nutritional complications (such as infections).

Development of equations and software for estimating weight in children with cerebral palsy

“…On the other hand, children with CP in high‐income countries tend to achieve a normal nutritional status but an increase in overweight and obesity can be observed 7–9 . Proper nutrition is critical for these children to maintain adequate function of their immune, nervous, respiratory, myocardial, musculoskeletal, and cognitive systems, as well as healing 10–12 . Malnutrition generates an increase in health care needs and reduces the child’s participation in educational and social activities 13,14 …”

Effect of a Nutritional Support System (Diet and Supplements) for Improving Gross Motor Function in Cerebral Palsy: An Exploratory Randomized Controlled Clinical Trial

“…A number of different nutrients, such as PUFAs n-3 (EPA and DHA), have been employed separately to stimulate plasticity and new neuronal cell bodies [ 30 ]. Nutrients such as zinc, ascorbic acid, spirulina, arginine, PUFAs n-3, and vitamin D have all been used in the repair of neuronal cell bodies and in neuronal regeneration [ 34 , 35 ]. Nevertheless, there is no scientific evidence from studies using an integrative nutritional support as a therapeutic strategy in CNS diseases.…”

Estudios críticos sobre discapacidad. Hacia un diálogo multidisciplinar

“…Los trastornos neurológicos o su tratamiento pueden llevar a un compromiso nutricional global o de nutrimentos específicos con sus respectivas consecuencias (Le Roy et al, 2010).…”

“…Las discapacidades (motora, sensitiva, sensorial, muscular, cognitivas, conductuales o una mezcla de ellas, de diferente grado de compromiso o severidad) que ocasionan los trastornos neurológicos incrementan los costos económicos, sociales, emocionales y de tiempo, tanto de la persona que la padece como de su familia, y se relaciona con el grado y tipo de discapacidad que presente, la edad y sexo de la persona o bien el tipo de atención especializada que necesite, ya sea médica o tecnológica, para su diagnóstico, rehabilitación o habilitación Le Roy et al, 2010).…”