Nutritional status of children with cerebral palsy in a selected tertiary care hospital

Authors

  • M. Afiya Sultana 250 Bedded General Hospital, Jhenaidah, Bangladesh
  • M. Jahangir Chowdhury Department of Pediatrics, Marks Medical College and Hospital, Dhaka, Bangladesh
  • A. F. M. Farhad 250 Bedded General Hospital, Jhenaidah, Bangladesh
  • Mohammad Ahad Adnan Department of Pediatrics, ICMH, Dhaka, Bangladesh
  • Wahida Khanam Department of Pediatrics, ICMH, Dhaka, Bangladesh
  • M. Asma Akter 250 Bedded TB Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2349-3291.ijcp20233595

Keywords:

Anthropometry, Cerebral palsy, Malnutrition, Nutritional status, Swallowing difficulty

Abstract

Background: Nutritional status in children with chronic disease like cerebral palsy is crucial in growth and development. This study was conducted with the aim of assessing nutritional status of children with CP by using anthropometric indices and few associated factors.

Methods: This cross-sectional study was conducted in ICMH, Dhaka from July 2020 to June 2021. A total of 30 children underwent proper history taking and thorough anthropometric examinations. Twenty-four hours dietary recall method was used for estimating approximate calorie intake.

Results: Out of 30 children two thirds age was under 60 months and mean±SD age was 59.2±33.1 months. 60.0% children were male and majority (86.7%) of children were found calorie intake ≤50 percent of adequate calorie intake. Most (83.3%) of studied children presented with spastic quadriplegia, in according to age, 2 group were created (<60 months & ≥60 months). In children under 5 years age, 75.0% were severely wasted, 35.0% were severely stunted, 85.0% were severely underweight and 75.0% were severely malnourished. In ≥5 years, 60.0% were severely stunted and 90.0% were underweight or thin. Wasting and\underweight had significant association with swallowing difficulty and inadequate calorie intake in under 5 years age group and stunting had significant association with those factors in ≥5 years age group.

Conclusions: This study shows that undernutrition affects a large number of children with CP in a selected tertiary care hospital. Risk of severe undernutrition increases with swallowing difficulty.

References

Kliegman RM, Geme JS. Nelson Textbook of Pediatrics. 21st ed. New Delhi: Elsevier; 2019.

Lagunju IA, Okafor OO. An analysis of disorders seen at the paediatric neurology clinic, University College Hospital, Ibadan, Nigeria. West Afr J Med. 2009; 28(1):32-8.

Belonwu RO, Gwarzo GD. The clinical spectrum of paediatric neurological disorders in Aminu Kano Teaching Hospital, Kano. Sahel Med J. 2008;11(1):12-4.

Khandaker G, Muhit M, Karim T, Smithers SH, Novak I, Jones C, et al. Epidemiology of cerebral palsy in Bangladesh: a population‐based surveillance study. Develop Med Child Neurol. 2019;61(5):601-9.

Stevenson RD, Conaway M, Chumlea WC, Rosenbaum P, Fung EB, Henderson RC, et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics. 2006;118(3):1010-8.

Rogozinski BM, Davids JR, Davis RB, Christopher LM, Anderson JP, Jameson GG, et al. Prevalence of obesity in ambulatory children with cerebral palsy. JBJS. 2007;89(11):2421-6.

Hurvitz EA, Green LB, Hornyak JE, Khurana SR and Koch LG. Body mass index measures in children with cerebral palsy related to gross motor function classification: a clinic-based study. Am J Physic Med Rehab. 2008;87(5):395-403.

Campanozzi A, Capano G, Miele E, Romano A, Scuccimarra G, Del Giudice E, et al. Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy. Brain Develop. 2007;29(1):25-9.

Aggarwal S, Chadha R and Pathak R. Nutritional status and growth in children with cerebral palsy: a review. Int J Med Sci Public Health. 2015;4(6):737-44.

Jahan I, Muhit M, Hardianto D, Karim T, Al Imam MH, Das MC, et al. Nutritional status of children with cerebral palsy in remote Sumba Island of Indonesia: A community-based key informants’ study. Disab Rehab. 2021;43(13):1819-28.

Perenc L, Przysada G, Trzeciak J. Cerebral palsy in children as a risk factor for malnutrition. Ann Nutr Metab. 2015;66(4):224-32.

Power R, King C, Muhit M, Heanoy E, Galea C, Jones C, et al. Health‐related quality of life of children and adolescents with cerebral palsy in low‐and middle‐income countries: a systematic review. Develop Med Child Neurol. 2018;60(5):469-79.

Stevenson RD. Use of segmental measures to estimate stature in children with cerebral palsy. Arch Pediatr Adol Med. 1995;149(6):658-62.

Karim T, Jahan I, Dossetor R, Giang NTH, Van Anh NT, Dung TQ, et al. Nutritional status of children with cerebral palsy findings from prospective hospital-based surveillance in Vietnam indicate a need for action. Nutrients. 2019;11(9):2132.

Growth Charts. Available at: http://www.who.int/ growthref/ tools/en/. Accessed on 20 April 2022.

Adamu ASI, Sabo UA, Gwarzo GD, Belonwu RO. Nutritional status in cerebral palsy: A Cross-sectional comparative survey of children in Kano, Nigeria. Niger Postgrad Med J. 2018;25(3):156.

Polack S, Adams M, O'banion D, Baltussen M, Asante S, Kerac M, et al. Gladstone, M. and Zuurmond, M. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Develop Med Child Neurol. 2018;60(9):914-21.

Adams MS, Khan NZ, Begum SA, Wirz SL, Hesketh T, Pring TR. Feeding difficulties in children with cerebral palsy: low‐cost caregiver training in Dhaka, Bangladesh. Child Care Health Develop. 2012;38(6): 878-88.

Kakooza-Mwesige A, Andrews C, Peterson S, Mangen FW, Eliasson AC, Forssberg H. Prevalence of cerebral palsy in Uganda: a population-based study. Lancet Global Health. 2017;5(12):1275-82.

Lopes PAC, Amancio OMS, Araújo RFC, Vitalle MSDS, Braga JAP. Food pattern and nutritional status of children with cerebral palsy. Revista Paulista Pediatr. 2013;31:344-9.

Brunner MDLM, Cieri ME, Rodriguez Marco MP, Schroeder AS, Cuestas E. Nutritional status of children with cerebral palsy attending rehabilitation centers. Develop Med Child Neurol. 2020;62(12): 1383-8.

Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RN. Food and fluid texture consumption in a population‐based cohort of preschool children with cerebral palsy: Relationship to dietary intake. Develop Med Child Neurol. 2015;57(11):1056-63.

Aggarwal S, Chadha R, Pathak R. Feeding difficulties among children with cerebral palsy: a review. Int J Health Sci Res. 2015;1:9-12.

Caram ALA, Morcillo AM, da Costa PE. Nutritional status of children with cerebral palsy. Revista Nutr. 2010;23(2):211-9.

Fung EB, Samson-Fang L, Stallings VA, Conaway M, Liptak G, Henderson RC, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc. 2002; 102(3):361-73.

Stallings VA, Charney EB, Davies JC, Cronk CE. Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Develop Med Child Neurol. 1993;35(11):997-1006.

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Published

2023-11-27

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Original Research Articles