Physical activity, sedentary time and nutritional status in Brazilian children with cerebral palsy

Arruda, Raíne Costa Borba Firmino de; Tassitano, Rafael Miranda; Brito, Anísio Luís da Silva; Martins, Olga Sophia de Sousa; Cabral, Poliana Coelho; Antunes, Margarida Maria de Castro

doi:10.1016/j.jped.2021.07.005

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…Being active is more difficult for children with CP who have more severe motor affection than children who have mild impairment. They may have cognitive, perceptive, behavioral, or communication disorders in addition to disorders of muscle tone and strength, that negatively affect their functional ability in different ways [42]. This supports the results of the current study which found a negative significant correlation between gross motor function level with both functional ability and SVMC.…”

Section: Discussionsupporting

confidence: 90%

“…This supports the results of the current study which found a negative significant correlation between gross motor function level with both functional ability and SVMC. Arruda et al [42] added that in addition to the reduction in muscle strength and high muscle tone, other factors can likely explain more affected functional ability among children with greater motor impairment such as skeletal muscle deformities and more frequent use of medications. This can illustrate the negative significant correlation between functional independence with both spasticity and gross motor function level in this study.…”

Section: Discussionmentioning

confidence: 99%

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Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

AL-Nemr

2023

Iranian Rehabilitation Journal

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This study aimed to detect the relationship between body mass index (BMI), selective voluntary motor control (SVMC), and functional independence in children with spastic diplegic cerebral palsy (CP) with levels II and III of gross motor function classification system.Methods: A total of eighty-four children with spastic diplegic CP, aged 6-9 years with a mean age of 7.09±0.68 participated in this correlational study. BMI, selective control assessment of the lower extremity (SCALE), and pediatric functional independence measure (WEE FIM) were used for the assessment of BMI, SVMC, and functional independence, respectively. Results:The results demonstrated the presence of a positive strong significant correlation between SCALE and WEE FIM, a negative strong significant correlation between WEE FIM and BMI, and a negative moderate significant correlation between BMI and SCALE.Discussion: Functional independence is significantly correlated with BMI and SVMC in children with spastic diplegic CP. This study provides original evidence that BMI and SVMC are major factors that influence functional independence in these children. So, they are highly recommended to be part of the evaluation of their functional independence in clinical settings and research.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

AL-Nemr

2023

Iranian Rehabilitation Journal

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“…The low prevalence of thinness found by BMI for age, similar between groups, confirmed findings from previous studies with percentages ranging from 25% to 33% of the sample [29,30]. The results may be related to multidisciplinary follow-up and the use of an alternative feeding route, regardless of the type of enteral diet received [31].…”

Section: Discussionsupporting

confidence: 88%

Anthropometric profile and body composition of children and adolescents with cerebral palsy on enteral diet

Schmitz,

Antunes,

Brandt

2024

Rev. Nutr.

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Objective To investigate the anthropometric variables and body composition of children and adolescents with cerebral palsy based on the type of enteral diet received. Methods A case-series study involving 38 individuals with spastic quadriparetic cerebral palsy, aged four to 18 years, fed only by the enteral route, followed up at a Reference Hospital in the city of Recife (PE), Brazil. One group received an exclusively industrialized enteral diet, while the other received a mixed diet (industrialized and homemade). Weight, stature, arm circumference, and arm muscle area were measured. Body composition was assessed using bioelectrical impedance analysis. Results There was no significant difference between the groups receiving industrialized and mixed diets, with a high stature deficit frequency (63.6% versus 68.7%; p=0.743), excess fat mass (93.3% versus 58.3%; p=0.060), and fat free mass deficit (73.3% versus 66.7%; p=1.000) observed in both groups. Regarding the nutritional composition of the enteral diet, 54.5% and 53.8% of the individuals in the industrialized and mixed diet groups, respectively, received an industrialized enteral diet with a hypercaloric, hyperlipidic, and hypoproteic nutritional composition. Conclusion It was concluded that there was no difference in anthropometric parameters and body composition based on the type of diet received. It should be considered that the nutritional composition of the most commonly used industrialized diet among the individuals in this study may have influenced the unfavorable outcomes, such as the high frequency of low muscle mass and excess fat mass. This highlights the need for the formulation and availability of an enteral diet that meets the nutritional needs of this population.

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“…Children with spastic CP have lower height percentile and physical activity level, and more adipose tissue infiltration of skeletal muscle compared to TDC [30]. Children with CP spend more time sedentary than TDC but significantly less time participating in moderate-to-vigorous activities [31]. The time spent on moderate-tovigorous activity was inversely related to the fat mass.…”

Section: Discussionmentioning

confidence: 90%

The Effect of a Horse-Riding Simulator with Virtual Reality on Gross Motor Function and Body Composition of Children with Cerebral Palsy: Preliminary Study

Jung

Chang

et al. 2022

Sensors

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This study aimed to evaluate the effect of a horse-riding simulator (HRS) with virtual reality (VR) on gross motor function, balance control, and body composition in children with spastic cerebral palsy (CP). Seventeen preschool and school-aged children with spastic CP were included; 10 children in the intervention group (HRS group) received 30 min of HRS with VR training twice a week for a total of 16 sessions in addition to conventional physiotherapy. Seven children in the control group were instructed to perform home-based aerobic exercises twice a week for 8 weeks in addition to conventional physiotherapy. Gross motor function measure (GMFM) and body composition were evaluated before the first session and after the last session. Before and after the 2-month intervention, Pediatric Balance Scale and Timed Up and Go test were evaluated for the HRS group. GMFM scores and body composition changed significantly in the HRS group (p < 0.05). However, no significant differences were observed in the control group. Changes in the GMFM total scores, GMFM dimension D scores, and skeletal muscle mass significantly differed between the HRS and control groups (p < 0.05). HRS with VR may be an effective adjunctive therapeutic approach for the rehabilitation of children with CP.

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Physical activity, sedentary time and nutritional status in Brazilian children with cerebral palsy

Cited by 6 publications

References 28 publications

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

Anthropometric profile and body composition of children and adolescents with cerebral palsy on enteral diet

The Effect of a Horse-Riding Simulator with Virtual Reality on Gross Motor Function and Body Composition of Children with Cerebral Palsy: Preliminary Study

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