Nutrition-related growth failure of children with quadriplegic cerebral palsy
Child; Female; Humans; Male; Sex Factors; adolescent; Preschool; Non-U.S. Gov't; P.H.S.; Research Support; U.S. Gov't; Comparative Study; Nutritional Status; Cerebral Palsy/complications; Nutrition Assessment; Anthropometry; Growth Disorders/diagnosis/etiology; Nutrition Disorders/complications; Quadriplegia/complications
Growth failure and nutritional status were evaluated in 142 children with quadriplegic cerebral palsy, aged between two and 18 years. Linear growth was assessed by upper-arm and lower-leg lengths: both means were significantly reduced. Mean bodyweight and triceps skinfold thickness fat stores were reduced to 65 per cent medians and subcapsular skinfold fat stores to 81 per cent median. Muscle stores were the most preserved and reduced to 88 per cent median. Examination of the sample by age-group showed significant reductions in growth and nutrition status indicators, even at two to four years, except for muscle area. To determine the degree to which nutritional status affected linear growth, a set of two-step regression analyses was conducted. The linear growth measures were significantly correlated with the measures of nutritional status.
1993
Stallings VA; Charney EB; Davies JC; Cronk CE
Developmental Medicine And Child Neurology
1993
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1469-8749.1993.tb11614.x" target="_blank" rel="noreferrer">10.1111/j.1469-8749.1993.tb11614.x</a>
Studies on nutrition in severely neurologically disabled children in an institution
Child; Female; Humans; infant; Male; adolescent; Preschool; Nutritional Status; Newborn; Nervous System Diseases/complications; Brain Damage; Energy Intake; Epilepsy/complications; Mental Retardation/complications; Institutionalized; Nutrition Disorders/complications; Asphyxia Neonatorum/complications; Chronic/complications; Ferritin/blood; Growth Disorders/etiology; Hemoglobins/analysis; Selenium/blood; Vitamin D/blood; Vitamin E/blood
Severe neurological handicaps in children are frequently accompanied by growth retardation. We have studied 13 severely neurologically impaired children in an institution to see if their poor growth was related to a low intake of energy and nutrients, if this was reflected in biochemical nutritional parameters, and to modify their diet according to the results. The investigation showed low dietary intakes of energy and of several of the nutrients, with corresponding low Hb values and serum values of ferritin, selenium and vitamins E and D in some of the children. All the children were initially light for age, with catch-up growth after intervention. We conclude that severely disabled children are at high risk for under- and malnutrition, and that this may partly explain the growth retardation in the study group. To avoid the potential detrimental effects of malnutrition, it is important to aim at providing an optimal diet.
1996
Hals J; Ek J; Svalastog AG; Nilsen H
Acta Paediatrica
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1651-2227.1996.tb13954.x" target="_blank" rel="noreferrer">10.1111/j.1651-2227.1996.tb13954.x</a>