Identification of feeding risk factors for impaired nutrition status in paediatric patients with cerebral palsy.
Τίτλος | Identification of feeding risk factors for impaired nutrition status in paediatric patients with cerebral palsy. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Karagiozoglou-Lampoudi, T., Daskalou E., Vargiami E., & Zafeiriou D. |
Journal | Acta Paediatr |
Volume | 101 |
Issue | 6 |
Pagination | 649-54 |
Date Published | 2012 Jun |
ISSN | 1651-2227 |
Λέξεις κλειδιά | Adolescent, Cerebral Palsy, Child, Child, Preschool, Female, Growth, Humans, Male, Malnutrition, Nutritional Status, Risk Factors |
Abstract | AIM: To assess the nutrition status of children with CP, applying WHO growth standards, to indentify feeding risk factors and to evaluate their impact on the growth of children with CP.METHODS: In 42 paediatric patients (mean age 8.00 ± 4.00 years), anthropometry and food intake records were assessed. z-scores were calculated using WHO Anthro software. Intake to requirements ratio (I/R) was calculated, and patients were classified according to their feeding ability (PFA). Overall diet quality was assessed using the Diet Quality Index International (DQI-I).RESULTS: Based on WAz, 15 patients (38.1%) were undernourished. No association was found between I/R ratio and BMI z-score, while PFA and DQI-I displayed a significant correlation to both (p < 0.05). Diet Quality Index International was also correlated with macronutrient distribution (p < 0.05). Patients with CP were undernourished in a considerable proportion. Malnutrition in patients with CP is not associated with the intake of estimated energy requirements. Among the other feeding risk factors studied, PFA and DQI-I represented important parameters associated with malnutrition.CONCLUSION: WHO z-scores represent accurate parameters for the assessment of malnutrition in patients with CP. Together with anthropometry and PFA evaluation, the use of the DQI-I would add prognostic value to both the initial growth assessment and the patients' growth monitoring. |
DOI | 10.1111/j.1651-2227.2012.02641.x |
Alternate Journal | Acta Paediatr. |
PubMed ID | 22404086 |