Article (Scientific journals)
Nutritional status of neurologically impaired children: Impact on comorbidity.
Léonard, Marie; Dain, Elena; Pelc, Karine et al.
2020 • In Archives de Pédiatrie, 27 (2), p. 95-103
Peer reviewed
 

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Keywords :
Cerebral palsy; Malnutrition; Mid-upper arm circumference; Pneumonia; Pressure ulcer; Vitamin D deficiency
Abstract :
[en] BACKGROUND AND AIMS: Malnutrition is common in neurologically impaired (NI) children. It is, however, ill-defined and under-diagnosed. If not recognized and treated, it increases the burden of comorbidities and affects the quality of life of these children. The aim of this study was to characterize the nutritional status of a cohort of children followed up at a reference center for cerebral palsy (CP) in Brussels, Belgium, and to investigate possible links with the occurrence of comorbidities. MATERIAL AND METHODS: We conducted a single-center retrospective study including all the children followed up at the Inter-university Reference Center for Cerebral Palsy ULB-VUB-ULg. The data were obtained by reviewing medical files. Anthropometric measurements as well as the etiology of neurological impairment, comorbidities, feeding patterns, and laboratory test results were collected. The children were assigned a nutritional diagnosis according to the World Health Organization and Waterlow definitions. RESULTS: A total of 260 children with cerebral palsy were included, 148 males and 112 females. Their mean age was 10.9+/-4.3 years. The gross motor function classification system (GMFCS) level was I for 79 children, II for 63 children, III for 35 children, IV for 33 children, and V for 50 children. Of the children, 54% had a normal nutritional status, 34% showed malnutrition, and 8% were obese; 38% had oropharyngeal dysphagia. The sensitivity of mean upper arm circumference of
Disciplines :
Pediatrics
Gastroenterology & hepatology
Author, co-author :
Léonard, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Département de Pédiatrie > Service de pédiatrie
Dain, Elena
Pelc, Karine
Dan, B.
De Laet, Corinne
Language :
English
Title :
Nutritional status of neurologically impaired children: Impact on comorbidity.
Publication date :
February 2020
Journal title :
Archives de Pédiatrie
ISSN :
0929-693X
eISSN :
1769-664X
Volume :
27
Issue :
2
Pages :
95-103
Peer reviewed :
Peer reviewed
Commentary :
Copyright (c) 2019 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved. Epub 2019 Nov 29.
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since 14 January 2020

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