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Dev Med Child Neurol. 2016 Sep;58(9):936-41. doi: 10.1111/dmcn.13108. Epub 2016 Mar 31.

Association between gross motor function and nutritional status in children with cerebral palsy: a cross-sectional study from Colombia.

Author information

1
School of Nutrition and Dietetics, Epidemiological Observatory of Cardiovascular Diseases Research Group, Industrial University of Santander, Bucaramanga;
2
Physiotherapy Program and CliniUDES Research Group, University of Santander, Bucaramanga.
3
Faculty of Health Sciences, Autonomous University of Bucaramanga, Santander, Bucaramanga.
4
School of Nutrition and Dietetics, Industrial University of Santander, Bucaramanga, Colombia.

Abstract

AIM:

To determine the association between gross motor function and nutritional status in children with cerebral palsy (CP) residing in an urban area in a developing country.

METHOD:

We conducted a cross-sectional study in 177 children (ages 2-12y, 59.3% male) with a diagnosis of CP who were attending rehabilitation centres in Bucaramanga, Colombia (2012-2013). A physiotherapist evaluated patients using the Gross Motor Function Classification System (GMFCS, levels I to V). Nutritional status was evaluated by nutritionists and classified according to the World Health Organization growth charts. We used linear and multinomial logistic regression methods to determine the associations.

RESULTS:

There were 39.5%, 6.8%, 5.6%, 16.4%, and 31.6% patients classified in levels I to V respectively. The mean adjusted differences for weight-for-age, height-for-age, BMI-for-age, and height-for-weight z-scores were significantly larger for children classified in levels II to V compared with those in level I. The children classified in levels IV and V were more likely to have malnutrition (adjusted odds ratio [OR] 5.64; 95% confidence interval [CI] 2.27-14.0) and stunting (OR 8.42; 95% CI 2.90-24.4) than those classified in GMFCS levels I to III.

INTERPRETATION:

Stunting and malnutrition are prevalent conditions among paediatric patients with CP, and both are directly associated with higher levels of gross motor dysfunction.

PMID:
27038060
DOI:
10.1111/dmcn.13108
[Indexed for MEDLINE]
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