Effect of nutritional support in children with spastic quadriplegia
Autor: | Hamide Ataman, Nedret Uran, Aycan Ünalp, Aliye Conku, Gulsen Dizdarer, Figen Özgönül, Ozlem Bekem Soylu, Aysel Öztürk |
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Rok vydání: | 2007 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Quadriplegia Cerebral palsy Body Mass Index Developmental Neuroscience Weight for Age medicine Humans Child Tetraplegia business.industry Nutritional Support Cerebral Palsy Body Weight Malnutrition Infant Gross Motor Function Classification System Anthropometry Circumference medicine.disease Body Height Neurology Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female Neurology (clinical) Spastic quadriplegia business Deglutition Disorders Body mass index Follow-Up Studies |
Zdroj: | Pediatric neurology. 39(5) |
ISSN: | 0887-8994 |
Popis: | Malnutrition is a common problem in patients with cerebral palsy. We evaluated the effect of nutritional support on clinical findings in children with spastic quadriplegia. Feeding history, numbers of lower respiratory tract infections, and gastrointestinal and neurologic findings were evaluated via questionnaire. Weight, height, head circumference, midarm circumference, and triceps skinfold thickness were measured. Height for age, weight for age, weight for height, body mass index, and weight and height z-scores were calculated. Clinical findings and anthropometric parameters were re-evaluated after nutritional support for 6 months. Forty-five patients were enrolled. No difference was evident between the first and the last height z-scores of 31 patients who completed the follow-up. Weight, height, weight z-scores, weight for age, weight for height, body mass index, midarm circumference, and triceps skinfold thickness exhibited improvement. Moreover, a significant decrease in number of infections was evident. Frequency of seizures and Gross Motor Function Classification System status did not change. Constipation decreased significantly. Nutritional therapy revealed improvements in some anthropometric findings and a decrease in number of infections. Although there was no difference regarding motor development or seizure frequency, further studies with a longer follow-up are required. |
Databáze: | OpenAIRE |
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