Profile of Nutritional Status and Nutrient Intake among Children with Cerebral Palsy in Dr. Hasan Sadikin General Hospital Bandung
Abstract
Background: Children with Cerebral Palsy have abnormalities in the motoric function that cause feeding problems and higher energy requirements compared to normal children. These problems put the patients at risk of getting inadequate nutrient intake, leading to malnutrition and thus affecting the health outcomes. This study aimed to explore the nutritional status and nutrient intake among children with Cerebral Palsy.
Methods: Children with Cerebral Palsy who came for a rehabilitation program in the Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung were recruited from September–October 2014. Descriptive quantitative study design was performed. Nutritional status was determined by body weight and body height or length if the children could not stand upright to calculate Z-scoreBMI-for-age and Length/Height-for-age according to WHO. Undernutrition was determined when Z-score≤ -2; stunting was designated as height below the average of their age; whereas wasting as a weight. A repeated 24 hours of food recall was used to measure nutrient intake.
Results: There were 18 children with Cerebral Palsy, consisting of boys (n=7) and girls (n=11). Only 33.3% of patients had good nutritional status, the others (n12; 67.7%) were under nutrition; of whom stunting (n7) was found, followed by wasting (n3) and both stunting and wasting (n2). These under nutrition patients had predominantly a lower energy and carbohydrate intake.
Conclusions: Most of the Cerebral Palsy children are in under nutrition status due to a low energy and carbohydrate intake, therefore, special attention in mother education for the food pattern of their children needs to be raised.
Keywords
Full Text:
PDFReferences
Mukherjee S, Gaebler-Spira DJ. Cerebral palsy. In: Braddom RL, editor. Physical medicine and rehabilitation. 4th ed. Philadelphia: Saunders Elsevier ; 2010. p. 1243–61.
Bell KL, Davies PS. Energy expenditure and physical activity of ambulatory children with cerebral palsy and of typically developing children. Am J Clin Nutr. 2010;92(2):313–9.
Andrew MJ, Sullivan PB. Growth in cerebral palsy. Nutr Clin Pract. 2010;25(4):357–61.
Henderson RC, Grossberg RI, Matuszewski J, Menon N, Johnson J, Kecskemethy HH, et al. Growth and nutritional status in residential center versus home-living children and adolescents with quadriplegic cerebral palsy. J Pediatr. 2007;151(2):161–6.
Cloud H. Medical nutrition therapy for intellectual and developmental disabilities. In: Mahan LK, Escott-Stump S, Raymond JL, Krause MV, editors. Krause’s food & the nutrition care process. 13th ed. Philadelphia: Elsevier Saunders; 2012. p. 1020–40.
Grammatikopoulou MG, Daskalou E, Tsigga M. Diet, feeding practices, and anthropometry of children and adolescents with cerebral palsy and their siblings. Nutrition. 2009;25(6):620–6.
Lopes PAC, Amancio OMS, Araujo RFC, Vitalle MSdS, Braga JAP. Food pattern and nutritional status of children with cerebral palsy. Rev Paul Pediatr. 2013;31(3):344–9.
Kim JS, Han ZA, Song DH, Oh HM, Chung ME. Characteristics of dysphagia in children with cerebral palsy, related to gross motor function. Am J Phys Med Rehabil. 2013;92(10):912–9.
Day SM, Strauss DJ, Vachon PJ, Rosenbloom L, Shavelle RM, Wu YW. Growth patterns in a population of children and adolescents with cerebral palsy. Dev Med Child Neurol. 2007;49(3):167–71.
Preetika C, Vivek KA. Oral status of a group of cerebral palsy children. J Dent Oral Hyg. 2011;3(2):18–21.
DOI: https://doi.org/10.15850/amj.v6n3.1640
Article Metrics
Abstract view : 613 timesPDF - 443 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats