Nutritional Status of Children with Cerebral Palsy.
- Author:
Tae Im YI
1
;
Won Seok HUH
;
Hye Kyung KU
;
In Seok SEO
;
Jae Won SHIM
;
Ga Eun LEE
;
Joo Sup KIM
;
Jun Sung PARK
Author Information
1. Department of Rehabilitation Medicine, Dajin Medical Center Bundang Jesaeng General Hospital, Seongnam 463-774, Korea. rekuus@naver.com
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
Malnutrition;
Dysphagia
- MeSH:
Body Mass Index;
Cerebral Palsy;
Child;
Deglutition Disorders;
Hemiplegia;
Humans;
Lymphocytes;
Malnutrition;
Muscle Hypotonia;
Muscle Spasticity;
Nutritional Status;
Quadriplegia;
Subcutaneous Fat;
Tongue
- From:Journal of the Korean Academy of Rehabilitation Medicine
2011;35(1):42-47
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To determine the nutritional status of children with cerebral palsy (CP) and to compare their anthropometric and functional indices. METHOD: Seventy children with cerebral palsy, were at class I (12), II (17), III (18), IV (9) and V (14) on Gross Motor Function Classification System (GMFCS). They varied by age from 25 to 130 months with a mean of 48 months, and consisted of spastic diplegic cerebral palsy (30), quadriplegia (28), triplegia (3), hemiplegia (4), athetoid (4) and hypotonia (1). Evaluation of weight, height, subcutaneous fat thickness, brachial circumference, Body Mass Index (BMI), level of albumin, lymphocyte and blood ferritn were conducted. To identify the factors affecting nutritional status, dietary status and symptoms of dysphagia were investigated. RESULTS: Low BMI percentile was in 23 children (32.9%) and obese condition in 3 children (4.3%). Low BMI percentile tends to frequently observed in groups III, IV, V of GMFCS. BMI percentile with subcutaneous fat thickness, Gross Motor Function Measure (GMFM) score were significantly related (p<0.05). Seen from the symptom of dysphagia, low BMI percentile was correlated with decreased tongue motion (p<0.05). CONCLUSION: Cerebral palsy children with lower GMFM score, decreased tongue motion were significantly related with low BMI percentile. Subcutaneous fat thickness can be useful tool for evaluation of malnutrition of cerebral palsy children.
