‘Nutritional status of children with cerebral palsy in a Brazilian tertiary‐care teaching hospital’

Caram, Ana Lúcia Alves; Morcillo, André Moreno; Costa-Pinto, Elizete Aparecida Lomazi

doi:10.1111/j.1469-8749.2008.03128.x

Cited by 15 publications

(20 citation statements)

References 11 publications

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“…In our study, patients with CP were mainly affected by low weight or undernutrition, with a prevalence of 49%. This situation is similar to that reported in Chile and Brazil where the prevalence of LW/UN in children with CP is 23.6% and 72% respectively [8,9]. When compared with reports from other non-American countries and the U.S.A., our study shows one of the highest frequencies of undernutrition in children with CP worldwide [5,6,8,9,13,14].…”

Section: Discussionsupporting

confidence: 90%

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Weight-based nutritional diagnosis of Mexican children and adolescents with neuromotor disabilities

Vega-Sánchez

Gomez-Aguilar²,

Haua

et al. 2012

BMC Res Notes

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BackgroundNutrition related problems are increasing worldwide but they have scarcely been evaluated in people with neuromotor disabilities, particularly in developing countries. In this study our aim was to describe the weight-based nutritional diagnoses of children and adolescents with neuromotor disabilities who attended a private rehabilitation center in Mexico City.MethodsData from the first visit’s clinical records of 410 patients who attended the Nutrition department at the Teleton Center for Children Rehabilitation, between 1999 and 2008, were analyzed. Sex, age, weight and height, length or segmental length data were collected and used to obtain the nutritional diagnosis based on international growth charts, as well as disability-specific charts. Weight for height was considered the main indicator.ResultsCerebral palsy was the most frequent diagnosis, followed by spina bifida, muscular dystrophy, and Down’s syndrome. Children with cerebral palsy showed a higher risk of presenting low weight/undernutrition (LW/UN) than children with other disabilities, which was three times higher in females. In contrast, children with spina bifida, particularly males, were more likely to be overweight/obese (OW/OB), especially after the age of 6 and even more after 11. Patients with muscular dystrophy showed a significantly lower risk of LW/UN than patients with other disabilities. In patients with Down’s syndrome neither LW/UN nor OW/OB were different between age and sex.ConclusionsThis is the first study that provides evidence of the nutritional situation of children and adolescents with neuromotor disabilities in Mexico, based on their weight status. Low weight and obesity affect a large number of these patients due to their disability, age and sex. Early nutritional diagnosis must be considered an essential component in the treatment of these patients to prevent obesity and malnutrition, and improve their quality of life.

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Section: Discussionsupporting

confidence: 90%

“…For Latin America the only data available come from Brazil and Chile, where disabled children (particularly those with cerebral palsy) tend to be severely undernourished, contrasting with other countries where obesity is more prevalent [7-9]. …”

Section: Introductionmentioning

confidence: 99%

Weight-based nutritional diagnosis of Mexican children and adolescents with neuromotor disabilities

Vega-Sánchez

Gomez-Aguilar²,

Haua

et al. 2012

BMC Res Notes

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“…Adams et al [27] Bangladesh Sample size: 37 WHO growth standards (2006) Mean Okeke and Ojinnaka [18] Nigeria Sample size: 98 NCHS standards 36% were malnourished 16.3% (by Wellcome Classification) 9.3% (by Wellcome Classification) Age: 8 months to 5 years…”

Section: Developing Countriesmentioning

confidence: 99%

“…Caram et al [16] Brazil Sample size: 114 -51% were below −2 SD -39% were below −2 SD Age: 2-12 years Type of CP: all Sjakti et al [26] Indonesia Sample size: 55 NCHS standards -66% were undernourished and 11% were severely malnourished (by Waterlow classification) -Age: 1-10 years…”

Section: Type Of Cp: Allmentioning

confidence: 99%

Nutritional status and growth in children with cerebral palsy: a review

Aggarwal¹,

Chadha²,

Pathak³

2015

Int J Med Sci Public Health

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status and provision of good health care facilities also play a key role. Growth pattern in children with CP Cerebral palsy is a disorder of posture and movement. [15] These children grow poorly throughout their lives. [2,16,17] They have significantly lower mean height, [18-20] weight, [7,18-20] skinfold thickness, [7,19] and mid upper arm circumference (MUAC) [7,18] as compared to general population. Communitybased cross-sectional surveys in Philippines, [21] Nigeria, [22] Bangladesh, [15] and India [19] have also reported similar findings [Table 1]. Overweight and obesity have also been reported by various researches conducted mostly in developed countries [Table 2]. Prevalence of overweight found to vary from 2% in Nigeria [18] to 16% in Norway. [9] Overweight and obesity are more prevalent among spastic bilateral CP than spastic unilateral CP. [9] This could be because children with spastic unilateral CP are more mobile as compared to those with spastic bilateral CP, and they have less feeding problems due to which they have a greater chance of gaining weight. The objective of this work was to review the studies conducted among developing and developed countries to assess the growth pattern and nutritional status of children with cerebral palsy. It also aimed at summarizing the key factors responsible for high prevalence of undernutrition among them. Significant reductions in the anthropometric parameters were found in children with cerebral palsy as compared to their nondisabled counterparts. This deviation from normal growth can be attributed to inadequate dietary intake, feeding problems, decreased weight bearing, and several nonnutritional factors including abnormal endocrine function, socioeconomic status, disease severity, and age. Also, it was seen that undernutrition was more prevalent among developing countries as compared to developed countries. Besides undernutrition, various studies conducted among developed countries have reported a high prevalence of overweight and obesity among this population. This could be attributed to a decrease in the motor function because of the underlying condition and an increase in the gastrostomy feeding owing to availability of better health care facilities.

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“…Apesar de existirem pesquisas na área nutricional que avaliem problemas relacionados à nutrição em pessoas com deficiência neuromotora, estes têm sido realizados principalmente em países desenvolvidos (Cunningham et al, 1990;Molteno et al, 2000;Rimmer et al, 2007) e são escassos nos países em desenvolvimento. Na América Latina, os únicos dados são do Brasil, do Chile e do México, onde crianças com deficiência, principalmente aquelas com paralisia cerebral, tendem a ser desnutridas, em contraste com outros países onde a obesidade é mais encontrada (Rimmer et al, 2007;Caram et al, 2008;Hurvitz et al, 2008;Velez et al, 2008;Vega-Sanchez et al, 2012).…”

Section: Discussionunclassified

Influência do comprometimento funcional orofacial no estado nutricional de crianças e adolescentes com paralisia cerebral

Pinto¹

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‘Nutritional status of children with cerebral palsy in a Brazilian tertiary‐care teaching hospital’

Cited by 15 publications

References 11 publications

Weight-based nutritional diagnosis of Mexican children and adolescents with neuromotor disabilities

Weight-based nutritional diagnosis of Mexican children and adolescents with neuromotor disabilities

Nutritional status and growth in children with cerebral palsy: a review

Influência do comprometimento funcional orofacial no estado nutricional de crianças e adolescentes com paralisia cerebral

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