Pérez-Moya GD, Ochoa-Lares AA, González-Lugo S

Language: Spanish
References: 11
Page: 138-142
PDF size: 204.78 Kb.

ABSTRACT

Introduction: Cerebral palsy (CP) is the most common physical disability in children. It has been described that children with CP have some degree of malnutrition; however, the information is limited. Objective: To determine the prevalence of undernutrition in children with CP attending Rehabilitation Center and Children Inclusion Telethon (CRIT), Sonora, in the period from 2016 to 2017, and its association with gross motor function. Material and methods: This is a cross-sectional study. With authorization of the ethics committee, a non-probabilistic sample of 180 patients with CP was analyzed, to whom, prior informed consent, anthropometry was performed and information was obtained from the clinical file. With a specific curve for the population with PC and the Waterlow criteria, a nutritional diagnosis was established in each patient. Subsequently, the sample was grouped into two, one of subjects with limited mobility (GMFCS level I-III) and another of subjects with severely limited mobility (GMFCS level IV-V). Statistical analysis was performed with Chi-square. Results: The prevalence of undernutrition was 57.2% (n = 103). While the percentage of undernutrition in children with severely limited mobility was 65.2% compared to 44.1% in the group with little mobility limited (p ‹ 0.05). Conclusions: Undernutrition in children with CP is common and is higher in those with more limited motor function.

REFERENCES

1. Erasmus CE, Van Hulst K, Rotteveel JJ, Willemsen MAAP, Jongerius PH. Swallowing problems in cerebral palsy. Eur J Pediatr. 2012; 171: 409-414.

2. Las personas con discapacidad en México: una visión al 2010. Instituto Nacional de Estadística y Geografía. México: INEGI, 2013.

3. Romano C, Van Wynckel M, Hulst J, Broekaert I, Bronsky J, Dall’Oglio L et-al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with neurological impairment. J Pediatr Gastroenterol Nutr. 2017; 65(2): 242-264.

4. Wright CM, Reynolds L, Ingram E, Cole TJ, Brooks J. Validation of US cerebral palsy growth charts using a UK cohort. Dev Med Child Neurol. 2017; 59(9): 933-938.

5. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system, to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39: 214-223.

6. Penagini F, Mameli C, Fabiano V, Brunetti D, Dilillo D, Zuccotti GV. Dietary intakes and nutritional issues in neurologically impaired children. Nutrients. 2015; 7: 9400-9415.

7. Hariprasad PG, Elizabeth KE, Valamparampil MJ, Kalpana D, Anish TS. Multiple nutritional deficiencies in cerebral palsy compounding physical and functional impairments. Indian J Palliat Care. 2017; 23: 387-392.

8. Melunovic M, Hadzagic-Catibusic F, Bilalovic V, Rahmanovic S, Dizdar S. Anthropometric parameters of nutritional status in children with cerebral palsy. Mater Sociomed. 2017; 29(1): 68-72.

9. García-Contreras AA, Vásquez-Garibay EM, Romero-Velarde E, Ibarra-Gutiérrez AI, Troyo-Sanromán R. Energy expenditure in children with cerebral palsy and moderate/severe malnutrition during nutritional recovery. Nutr Hosp. 2015; 31(5): 2062-2069.

10. Vega-Sanchez R, Gomez-Aguilar ML, Haua K, Rozada G. Weight-based nutritional diagnosis of Mexican children and adolescents with neuromotor disabilities. BMC Research Notes. 2012; 5: 218.

11. Dipasquale V, Catena MA, Cardile S, Romano C. Standard polymeric formula tube feeding in neurologically impaired children: a five-year retrospective study. Nutrients. 2018; 10: 684.