The effect of gastrostomy tube feeding on body protein and bone mineralization in children with quadriplegic cerebral palsy

Arrowsmith, Fiona; Allen, Jim; Gaskin, Kevin; Somerville, Helen; Clarke, Samantha L.; O’Loughlin, Edward

doi:10.1111/j.1469-8749.2010.03702.x

Cited by 34 publications

(40 citation statements)

References 27 publications

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“…19,20 It may be used as the sole source of nutrition for children with an unsafe swallow, or to supplement oral intake in those children safe to consume some food and/or fluids orally. 21 The decision to commence tube feeding is complex for families and carers of children with CP and may be filled with decisional conflict. 22,23 The values and meanings of feeding and eating are much more complex than simply providing adequate nutrition and maintaining weight gain.…”

Section: Nutrition Supportmentioning

confidence: 99%

Nutritional management of children with cerebral palsy

Bell

Samson‐Fang

2013

Eur J Clin Nutr

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Children with severe cerebral palsy and particularly those with oropharyngeal dysfunction are at risk of poor nutritional status. Determining the need and the mode of nutritional intervention is multifactorial and requires multiple methodologies. First-line treatment typically involves oral nutritional support for those children who are safe to consume an oral diet. Enteral tube feeding may need to be considered in children with undernutrition where poor weight gain continues despite oral nutritional support, or in those with oropharyngeal dysphagia and an unsafe swallow. Estimates for energy and protein requirements provide a starting point only, and ongoing assessment and monitoring is essential to ensure nutritional needs are being met, that complications are adequately managed and to avoid over or under feeding.

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Section: Nutrition Supportmentioning

confidence: 99%

Nutritional management of children with cerebral palsy

Bell

Samson‐Fang

2013

Eur J Clin Nutr

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“…When compared with normal children, children with cerebral palsy (CP) have malnutrition, poor oral motor function, insufficient function of the upper extremities, insufficient nutrition and growth retardation arising from cognitive disorders (1)(2)(3)(4). However, recent studies have shown that children with CP with a lower degree of involvement (hemiparetic and diparetic) and with better function have a higher rate of obesity compared to children with CP with a higher degree of involvement.…”

Section: Introductionmentioning

confidence: 99%

Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Şimşek¹,

Tuç²

2014

Turk Arch Ped

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Aim: The aim of this study was to examine the relation between body mass index (BMI) and functional level and health-related quality of life in children with cerebral palsy (CP). Material and Methods:Two hundred seventy-eight children with CP aged between 2 and 18 years were included in the study. The sociodemographic properties of the children were recorded. Their functional independence levels were assessed with WeeFIM and their health-related quality of life levels were assessed with the Child Health Questionnaire-Parent Form (PF-50). Approval was obtained from the ethics committee of Abant İzzet Baysal University Medical Faculty for this study (Number: 2008/100-77).Results: When classified by body mass index, 26.3% of the children had a normal body weight, 5.4% were overweight, 11.5% were obese and 56.8% had a low body weight. The rate of low body weight was higher in children with moderate and severe CP (52.7% and 53.8%, respectively), while the rate of obesity was higher in children with mild CP who could walk (7.1%). A significant difference was found in children with CP with a normal body weight, overweight children with CP, obese children with CP and children with CP with a low body weight in terms of the total WeeFIM score and the variables of quality of life including physical functionality and role/social limitations because of physical health (p<0.05). In the correlation analysis, a positive correlation was found between WeeFIM and BMI and the subdimensions of role/social limitations because of emotional or behavioral difficulties, pain and discomfort and self-esteem (p<0.05). Conclusions:Our results showed that BMI affected functional independence and health-related quality of life in children with CP and this was more prominent in children who had severe CP and low BMI values. More studies are needed in this area. (Türk Ped Arş 2014; 49: 130-7)

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“…Nutritional concerns are evident regardless of a child’s gross motor functional ability level, motor type or distribution [4,5,6,7,8], and have the potential to persist into adulthood [9]. Altered body composition (namely decreases in fat-free mass (FFM), and differing levels of body fat) [6,10,11,12,13,14,15,16] and inadequate dietary intake [17,18,19] have been detailed in children with CP. These nutritional factors may help explain the aetiology of atypical growth and development in this population [5,7,8]; however, the links between them are not well established.…”

Section: Introductionmentioning

confidence: 99%

Relationships between Dietary Intake and Body Composition according to Gross Motor Functional Ability in Preschool-Aged Children with Cerebral Palsy

Walker

Bell²,

Stevenson³

et al. 2012

Ann Nutr Metab

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Background/Aims: We aimed to determine the relationships between energy intake, macronutrient intake and body composition in preschool-aged children with cerebral palsy (CP) according to gross motor functional ability in comparison with typically developing children (TDC). Methods: Seventy-three children with CP (70% male) of all functional abilities and 16 TDC (63% male) aged 2.8 ± 0.9 years participated in this study. Dietary intake was measured via a validated 3-day weighed food record. Body composition was determined via isotope dilution techniques. Results: There was a significant relationship between energy intake and fat-free mass index, which was stronger in TDC compared to children with CP. There were no significant correlations between other dietary intake and body composition variables, despite differences in body composition as ambulatory status declined. Non-ambulant, tube-fed children had significantly lower protein intakes compared to orally fed children. No other differences in macronutrient intake between children with CP and TDC were apparent. Conclusions: Results suggest that relationships between dietary intake and body composition are not evident in this population, but develop over time. Physical activity levels may have a greater impact on body composition at this age. Longitudinal research is required to examine these factors.

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The effect of gastrostomy tube feeding on body protein and bone mineralization in children with quadriplegic cerebral palsy

Cited by 34 publications

References 27 publications

Nutritional management of children with cerebral palsy

Nutritional management of children with cerebral palsy

Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Relationships between Dietary Intake and Body Composition according to Gross Motor Functional Ability in Preschool-Aged Children with Cerebral Palsy

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