A Cross-sectional Survey of Growth and Nutritional Status in Children With Cerebral Palsy in West China

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• 作者：Fangfang Wang ; MD^a ; ¹ ; Qianyun Cai ; MD^a ; ¹ ; Wei Shi ; MD^a ; Huayin Jiang ; MD^b ; Na Li ; MD^a ; Dan Ma ; MD^a ; Qiu Wang ; MD^a ; Rong Luo ; MD ; PhD^a ; ^{1109329811@qq.com" class="auth_mail" title="E-mail the corresponding author} ; Dezhi Mu ; MD ; PhD^a ; ^c
• 关键词：cerebral palsy ; growth ; nutritional status ; gross motor function ; fine motor function
• 刊名：Pediatric Neurology
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：58
• 期：Complete
• 页码：90-97
• 全文大小：697 K

文摘

We describe the growth and nutritional status of children with cerebral palsy (2 to 18 years old) in West China and to explore the correlation between the nutritional status and age, gender, and gross and fine motor function.

Methods

We performed a cross-sectional survey of children registered as having cerebral palsy in the China Disabled Persons' Federation branch in Chengdu. Growth (height and weight) and nutritional (body mass index) status were recorded. Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) were used to determine gross and fine motor function, respectively. The association between nutritional status and age, GMFCS and MACS levels was evaluated.

Results

We enrolled 377 children (53.6% male), among whom 160 (42.4%) were stunting, 48 (12.7%) underweight, 81 (21.5%) thin, and 70 (18.5%) overweight and obese. Thinness was the main nutritional problem in older patients (12 to 18 years), whereas overweight and obesity were the major issues in younger patients (2 to 12 years). Growth deviation and malnutrition were significantly more prevalent in patients with severe motor impairments. A significant negative correlation was found between nutritional status and age, GMFCS and MACS levels, and between growth and GMFCS and MACS levels.

Conclusions

Growth abnormality is common in children with cerebral palsy. Malnutrition and overnutrition both exist in children with cerebral palsy. Characteristics at different age stages and motor functional levels should be taken into consideration in the management of growth and nutrition in this population.