Annals of nutrition & metabolism · 2015
Cerebral Palsy in Children as a Risk Factor for Malnutrition.
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Perenc Lidia, Przysada Grzegorz, Trzeciak Jadwiga
Аннотация
AIM: The main aim of this study was to determine some malnutrition risk factors among children with cerebral palsy (CP). Children with CP often require the assistance of physical therapy centers. Experience suggests that, apart from physical disabilities, this group often suffers from malnutrition.
METHODS: Data were gathered in the hospital among 128 children aged 3-18 years who were suffering from CP. The children were admitted from 2011 to 2013 to the Center for Neurological Physical Therapy for children in the Regional Hospital No. 2. St. Queen Jadwiga in Rzeszow (RORE). Statistical analyses were conducted for data on gender, age, type of CP, motor function level according to Gross Motor Function Classification Scale (GMFCS), body mass index (BMI) and hemoglobin levels in blood.
RESULTS: The risk of anemia differs based on gender--the risk is 6 times greater among boys than among girls (p = 0.0398). Risk of malnutrition is 3.5 times higher in children with tetraplegia than in children with diplegia or hemiplegia (p = 0.0043). Higher GMFCS scores are connected to greater proportions of malnourished children (for BMI z-score <-1.64, p = 0.0010).
CONCLUSIONS: Among children with CP, malnourishment risk factors are male gender for anemia and tetraplegia and high GMFCS values.
METHODS: Data were gathered in the hospital among 128 children aged 3-18 years who were suffering from CP. The children were admitted from 2011 to 2013 to the Center for Neurological Physical Therapy for children in the Regional Hospital No. 2. St. Queen Jadwiga in Rzeszow (RORE). Statistical analyses were conducted for data on gender, age, type of CP, motor function level according to Gross Motor Function Classification Scale (GMFCS), body mass index (BMI) and hemoglobin levels in blood.
RESULTS: The risk of anemia differs based on gender--the risk is 6 times greater among boys than among girls (p = 0.0398). Risk of malnutrition is 3.5 times higher in children with tetraplegia than in children with diplegia or hemiplegia (p = 0.0043). Higher GMFCS scores are connected to greater proportions of malnourished children (for BMI z-score <-1.64, p = 0.0010).
CONCLUSIONS: Among children with CP, malnourishment risk factors are male gender for anemia and tetraplegia and high GMFCS values.
Предметные рубрики MeSH
AdolescentAnemia, Iron-DeficiencyBody Mass IndexCerebral PalsyChildChild Nutritional Physiological PhenomenaChild, PreschoolChildren with DisabilitiesFemaleHospitals, DistrictHumansIncidenceMaleMalnutritionOverweightPolandPrevalencePsychomotor PerformanceRisk FactorsSeverity of Illness IndexSex FactorsThinness