Subjective Global Nutritional Assessment: A Reliable Screening Tool for Nutritional Assessment in Cerebral Palsy Children

Minocha, Priyanka; Sitaraman, Sadasivan; Choudhary, Anita; Yadav, R. N.

doi:10.1007/s12098-017-2501-3

Cited by 20 publications

(19 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(ii) The anthropometric indices used in this study have limitations in reflecting the nutritional status precisely, yet those measurements and indicators are considered feasible assessments for rural settings like our study sites. (iii) It is established that children with CP grow differently than children without CP; thus, comparing their growth with the normative curve/general child population could underestimate their nutritional status and overestimate the burden of malnutrition [33][34][35]. It is therefore recommended to compare their anthropometric measurements with CPspecific growth charts [36,37].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Jahan

Muhit

Hardianto³

et al. 2021

Nutrients

View full text Add to dashboard Cite

Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition. Results: Between January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72–98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III–V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III–V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III–V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted. Conclusion: Most children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III–V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.

show abstract

Section: Discussionmentioning

confidence: 99%

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Jahan

Muhit

Hardianto³

et al. 2021

Nutrients

View full text Add to dashboard Cite

show abstract

“…A majority of malnourished and poor nutritional state CP patients were similar to study conducted before using WHO growth curve. 20 Another study explained this situation as a disturbance in growth hormone (GH) release. 21 A severe brain damage in CP patient may cause this disruption in normal GH secretion 22 and may affects growth and development of CP patient in various way.…”

Section: Discussionmentioning

confidence: 99%

Profile of Cerebral Palsy Patients in Dr. Soetomo General Hospital Surabaya, Indonesia

Salfi

Saharso

Atika

2019

BHSJ

View full text Add to dashboard Cite

Introduction: Limited profile data of Cerebral Palsy (CP) patients in Indonesia leads CP to be a less-known disease. The aim of this study is to describe CP patient’s characteristics, including demographic aspect, gestation and birth history, and CP related condition in Dr. Soetomo General Hospital Surabaya, Indonesia.Methods: Cross-sectional study using medical records of CP patients in Dr. Soetomo General Hospital (Surabaya, Indonesia) Outpatient Installation for Pediatric Neurology from January 2016 to June 2018. Data processed descriptively.Results: From total 107 patients, 50 subjects met inclusion criteria. Mean age was 6.16 years old, with domination of male (3:2), live in Surabaya (56%), malnourished (24%), normal birth weight (80.9%), term age of birth (66.7%), spontaneous labor (60%), and also prenatal events as causes of Cerebral Palsy (69.5%). Pneumonia was found to be most among postnatal events leading to Cerebral Palsy (30%). Most of the type was spastic (9:1) with quadriplegic as the dominating one (64%). Congenital malformation was rarely found (38%), but co-morbidities were found in almost all sample (92%).Conclusion: Gestation and birth history of CP patients are mostly ranged normal. Prenatal etiology is found dominating as the cause of CP, therefore emendation in antenatal care (ANC) shall be considered. Analytical study about CP in Indonesia also must be improved because it is still hardly found.

show abstract

“…The physical examination included assessment of subcutaneous fat and muscle stores at specified sites of the body using a head to toe approach as described elsewhere. 25 Both the speech pathologist and the dietitian were present at the time of the assessments; however, the results for each component were individually scored and neither clinician was aware of the other's results at the time of scoring. Hollow facial cheeks, little space between the fingers when pinching fat stores over the biceps and triceps, and depressions between the ribs were considered signs of low subcutaneous fat stores.…”

Section: Nutrition Outcomesmentioning

confidence: 99%

“…5 In addition, the SGNA has recently been tested in a population of children with CP. 25 Both the speech pathologist and the dietitian were present at the time of the assessments; however, the results for each component were individually scored and neither clinician was aware of the other's results at the time of scoring.…”

Section: Nutrition Outcomesmentioning

confidence: 99%

Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy

Bell

Benfer

Ware

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

AimTo develop and validate a screening tool for feeding/swallowing difficulties and/or undernutrition in children with cerebral palsy (CP).MethodThis cross‐sectional, observational study included 89 children with CP (63 males, 26 females; median age 6y 0mo; interquartile range 4y 0mo–8y 11mo), across all Gross Motor Function Classification System levels. Children with feeding tubes were excluded. Children were classified as well‐nourished or moderately to severely undernourished, using the paediatric Subjective Global Nutrition Assessment. Eating and drinking abilities were classified using the Eating and Drinking Ability Classification System (EDACS) from mealtime observation and videofluoroscopic swallow studies when indicated. Parents/caregivers answered 33 screening questions regarding their child's feeding/swallowing abilities and nutritional status. The diagnostic ability of each question for identifying children with feeding/swallowing difficulties and undernutrition was calculated and the combination of questions with the highest sensitivity and specificity identified.ResultsFeeding difficulties impacted on swallow safety in 26 children (29%) and 26 children (29%) were moderately or severely undernourished. The 4‐item final tool had high sensitivity and specificity for identifying children with feeding/swallowing difficulties (81% and 79% respectively) and undernutrition (72% and 75% respectively). The tool successfully identified 100 per cent of children with severe undernutrition and 100 per cent of those classified as EDACS level IV or V.InterpretationScreening for feeding/swallowing difficulties and undernutrition will enable early identification, assessment, and management for those children in need.What this paper adds A screening tool with high sensitivities and specificities for identifying children with feeding/swallowing difficulties and undernutrition.The tool identified 100 per cent of children with severe undernutrition.The tool identified 100 per cent of children in Eating and Drinking Ability Classification System levels IV or V.

show abstract

Subjective Global Nutritional Assessment: A Reliable Screening Tool for Nutritional Assessment in Cerebral Palsy Children

Abstract: The prevalence of undernutrition is high in cerebral palsy children. SGNA can be a reliable tool for assessing nutritional status in children with cerebral palsy and is a simple, comprehensive, noninvasive, and cost-effective tool for screening undernutrition in children of cerebral palsy.

Cited by 20 publications

References 22 publications

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Profile of Cerebral Palsy Patients in Dr. Soetomo General Hospital Surabaya, Indonesia

Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy

Contact Info

Product

Resources

About