Undernutrition in children with profound intellectual and multiple disabilities (PIMD): its prevalence and influence on quality of life
| Autor: | C. Holenweg-Gross, I. Poirot-Hodgkinson, M. Faouzi, Christopher J. Newman, Eliane Roulet-Perez, C. Bérard |
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| Rok vydání: | 2013 |
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Pediatrics medicine.medical_specialty Multivariate analysis Triceps Skinfold Thickness Multiple disabilities business.industry medicine.medical_treatment Public Health Environmental and Occupational Health Anthropometry medicine.disease Gastrostomy Malnutrition Quality of life Pediatrics Perinatology and Child Health Developmental and Educational Psychology medicine business |
| Zdroj: | Child: Care, Health and Development. 40:525-532 |
| ISSN: | 0305-1862 |
| Popis: | Background To estimate the prevalence of undernutrition among children with profound intellectual and multiple disabilities (PIMD) and to explore its influence on quality of life. Methods Seventy-two children with PIMD (47 male; 25 female; age range 2 to 15 years 4 months; mean age 8.6, SD 3.6) underwent an anthropometric assessment, including body weight, triceps skinfold thickness, segmental measures and recumbent length. Undernutrition was determined using tricipital skinfold percentile and z-scores of weight-for-height and height-for-age. The quality of life of each child was evaluated using the QUALIN questionnaire adapted for profoundly disabled children. Results Twenty-five children (34.7%) were undernourished and seven (9.7%) were obese. Among undernourished children only eight (32 %) were receiving food supplements and two (8%) had a gastrostomy, of which one was still on a refeeding programme. On multivariate analysis, undernutrition was one of the independent predictors of lower quality of life. Conclusion Undernutrition remains a matter of concern in children with PIMD. There is a need to better train professionals in systematically assessing the nutritional status of profoundly disabled children in order to start nutritional management when necessary. |
| Databáze: | OpenAIRE |
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