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Acta Paediatr. 2012 Jan;101(1):92-8. doi: 10.1111/j.1651-2227.2011.02412.x. Epub 2011 Aug 2.

Feeding problems, growth and nutritional status in children with cerebral palsy.

Author information

1
Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. magnusodin86@gmail.com

Abstract

AIM:

The aim was to estimate the prevalence of feeding and nutritional problems in children with cerebral palsy (CP) in Norway.

METHODS:

Data were abstracted from the Norwegian CP Register for 661 (368 boys) children born 1996-2003 (mean age 6 years 7 months; SD: 1.5). For children born from 1999 to 2003, weight and height were available. Body mass index (BMI) (kg/m(2)) was used to assess nutritional status.

RESULTS:

One hundred and thirty-two (21%) children with CP were completely dependent on assistance during feeding. The prevalence of gastrostomy tube feeding was 14%. Longer duration of gastrostomy tube feeding was associated with higher weight and BMI, but not with height. Only 63% of the children with CP had normal BMI, 7% had grade 3 thinness, while the prevalence of overweight and obesity in our study was 16%. In all, 20% of the children had mean z-scores for weight and/or height below - 2 SD.

CONCLUSION:

Feeding problems in children with CP were common and associated with poor linear growth. A high proportion of the children were undernourished. Moreover, our results suggest that gastrostomy tube feeding may have been introduced too late in some children.

[Indexed for MEDLINE]

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