A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy

Autor: Kursad Aydin, Yilmaz Akbas, Bulent Unay, Mutluay Arslan, Ali Cansu, Sevim Sahin, Cengiz Dilber, Olcay Gungor, Ayse Aksoy, Deniz Yuksel, Esra Gurkas, Cetin Okuyaz, Meltem Cobanogulları, Nilufer Eldes, Mustafa Komur, Tamer Celik, Huseyin Per, Hamit Acer, Pınar Gencpinar, Nihal Olgac Dundar, Aycan Unalp, Selvinaz Edizer, Coskun Yarar, Kursat Bora Carman, Elif Acar Arslan, Ayse Kartal, Serdal Gungor, Bilge Ozgor, Mustafa Calik, Dilsat Turkdogan, Olcay Unver, Hatice Gamze Poyrazoglu, Sedat Isikay, Aysugul Alptekin Sarioglu
Rok vydání: 2018
Předmět:
Male
Pediatrics
medicine.medical_specialty
Time Factors
Adolescent
Turkey
Cross-sectional study
Adolescent Nutritional Physiological Phenomena
Endocrinology
Diabetes and Metabolism
Gross motor skill
Population
Nutritional Status
Malnutrition in children
Child Nutrition Disorders
Severity of Illness Index
Cerebral palsy
03 medical and health sciences
Child Development
0302 clinical medicine
Risk Factors
030225 pediatrics
Outpatients
Prevalence
Spastic
Humans
Medicine
Child
Infant Nutritional Physiological Phenomena
education
education.field_of_study
Nutrition and Dietetics
business.industry
Cerebral Palsy
Malnutrition
Age Factors
Infant
Anthropometry
medicine.disease
Cross-Sectional Studies
Nutrition Assessment
Child
Preschool
Female
Child Nutritional Physiological Phenomena
business
030217 neurology & neurosurgery
Zdroj: Clinical Nutrition ESPEN. 26:27-34
ISSN: 2405-4577
DOI: 10.1016/j.clnesp.2018.05.002
Popis: Summary Background & aims This study was designed to assess clinical characteristics and nutritional status of pediatric outpatients with cerebral palsy (CP) and to determine prevalence of malnutrition based on physicians' clinical judgment and on anthropometric data in relation to percentile reference values. Methods A total of 1108 pediatric neurology outpatients (mean ± SEM age: 7.2 ± 0.1 years, 59.3% were males) diagnosed with CP were included in this cross-sectional, non-interventional multicenter single-visit study conducted between October 2015 and July 2016 at 20 centers across Turkey. Data on patient and CP characteristics, concomitant nonneuromotor impairments and gastrointestinal disorders as well as anthropometrics, outcome of nutritional status assessment (via physicians' clinical judgment and Gomez classification and Waterlow classification of anthropometric data) and physician's view on nutritional care in CP patients were collected at a single visit. Results The most common CP etiology was asphyxia (62.5%). The most common clinical category was spastic CP (87.5%) with quadriplegic (54.0%) topography and level V gross motor dysfunction (45.4%) in most of patients. The prevalence of malnutrition was considered to be 57.2% based on physicians' clinical judgment, while shown to be 94.3% (3rd degree in 86.7%) according to Gomez classification of Neyzi weight for age (WFA) percentiles and to be 91.3% (severe in 88.3%) according to Waterlow classification of Neyzi height for age (HFA) percentiles. Conclusions In conclusion, our findings revealed high prevalence of malnutrition, while also emphasize the likelihood of overestimation of malnutrition in children with CP when anthropometric assessment was based on use of growth charts for general pediatric population. This large-scale survey provided valuable data regarding nutritional assessment practice and malnutrition prevalence among children with CP in Turkey, which may be utilized for future proactive strategies in the prevention and treatment of malnutrition in this population.
Databáze: OpenAIRE
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