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Acta Paediatr. 2012 Jun;101(6):649-54. doi: 10.1111/j.1651-2227.2012.02641.x. Epub 2012 Mar 24.

Identification of feeding risk factors for impaired nutrition status in paediatric patients with cerebral palsy.

Author information

1
Clinical Nutrition Lab, Nutrition/Dietetics Department, Alexander Technological Education Institute of Thessaloniki, Greece. clinnutrlab@yahoo.gr

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.

[Indexed for MEDLINE]

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