Undernutrition in children with profound intellectual and multiple disabilities (PIMD): its prevalence and influence on quality of life
| Autor: | C, Holenweg-Gross, C J, Newman, M, Faouzi, I, Poirot-Hodgkinson, C, Bérard, E, Roulet-Perez |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Adolescent Malnutrition Severity of Illness Index Disabled Children Motor Skills Disorders Cross-Sectional Studies Child Preschool Intellectual Disability Surveys and Questionnaires Prevalence Quality of Life Humans Female France Obesity Child Child Nutritional Physiological Phenomena Switzerland |
| Zdroj: | Child: care, health and development. 40(4) |
| ISSN: | 1365-2214 |
| Popis: | To estimate the prevalence of undernutrition among children with profound intellectual and multiple disabilities (PIMD) and to explore its influence on quality of life.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.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.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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