RELATIONSHIP BETWEEN NUTRITIONAL STATUS, DYSPHAGIA, AND FUNCTIONAL EATING LEVEL IN ADULT PATIENTS WITH CEREBRAL PALSY IN LONG INSTITUTIONAL STAYS

Autor: Luciana de OLIVEIRA, Fabíola Darcie MARQUITTI, Sâmara Cunha Haddad RAMOS, Eliane Aparecida de ALMEIDA, Weslania Viviane NASCIMENTO, Roberto Oliveira DANTAS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Arquivos de Gastroenterologia, Vol 60, Iss 2, Pp 194-200 (2023)
Druh dokumentu: article
ISSN: 1678-4219
0004-2803
DOI: 10.1590/s0004-2803.20230222-149
Popis: ABSTRACT Background: Diets with modified consistencies for patients with dysphagia in long term care health institutions may be associated with malnutrition. Objective : To assess the nutritional status of adult patients with cerebral palsy and dysphagia hospitalized in a health institution for more than 10 years. Methods : This prospective investigation was performed in 56 patients with cerebral palsy (ages 25 to 71 years, mean: 44±12 years) and no other neurological diagnosis in hospital stay for more than 10 years had their nutritional status, dysphagia, and food ingestion capacity assessed in two moments with a 12-month interval in between them, respectively using the body mass index, the dysphagia risk assessment protocol (PARD), and the functional oral ingestion scale (FOIS). Results : There were no differences between December 2015 and December 2016 in the patients’ weight, nutritional status, diet consistency classification, PARD, and FOIS. The limits of prescribed diet consistency (IDDSI-FDS) and the assessments of dysphagia and functional eating level influenced the nutritional status. More intense dysphagia and greater eating restrictions were associated with a worse nutritional status. Conclusion : The nutritional status of adult patients with cerebral palsy hospitalized in a health long term institution who had modified diets according to their swallowing and mastication capacity did not worsen between assessments with a 12-month interval in between them. The severity of dysphagia and diet restrictions interfere with the patients’ nutritional status: dysphagia and more intense eating restrictions are associated with a worse nutritional status.
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