The nutritional status, social abilities and eating and drinking ability of children with severe cerebral palsy
10.3760/cma.j.cn421666-20240410-00253
- VernacularTitle:重度脑瘫患儿的营养状况、社会生活能力及进食与饮水能力的特征及其相关性分析
- Author:
Shaihong QIU
1
;
Tingting PENG
;
Wen YANG
;
Shiya HUANG
;
Lu HE
;
Kaishou XU
Author Information
1. 广州医科大学附属妇女儿童医疗中心康复科，广州 510120
- Publication Type:Journal Article
- Keywords:
Cerebral palsy;
Nutrition;
Social life ability;
Eating and drinking ability
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(11):1005-1010
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any relationships among the nutritional status, the social abilities, and the eating and drinking ability of children with severe cerebral palsy.Methods:A total of 334 children with cerebral palsy, classified as level IV or V according to the gross motor function classification system, were enrolled. Their social ability, and their eating and drinking performance were assessed using the eating and drinking ability classification system (EDACS) or the mini-EDACS classification, and their nutritional status was also evaluated. Logistic regressions were evaluated seeking any useful inter-relationships.Results:The incidence of nutritional deficiency among the children was estimated at 71.5%, with 4.5% overweight or obese. 80.5% of the children exhibited mild to profound impairment in their social abilities, with another 15.0% on the borderline. The eating and drinking ability of 57.5% was rated as mildly to moderately dysfunction, with another 13.5% of severe dysfunction. The boys had a higher rate of nutritional deficiency and excess compared to the girls ( OR=2.41, P≤0.05). And eating and drinking ability was observed to improve with age ( OR=2.41, P≤0.05), while the average standard score for social ability improved ( OR=1.21, P≤0.05). Those nutritionally deficient or in excess had a significantly higher rate of impaired social ability compared to healthy children ( OR=1.38, P≤0.05). A higher standard score for social living ability was associated with a lower risk of severe eating and drinking dysfunction ( OR=0.45, P≤0.05). Conclusions:Malnutrition, impaired social ability, and impaired eating and drinking ability are common in children with severe cerebral palsy, and these three factors are inter-related. Boys have a significantly higher rate of nutritional deficiency or excess compared to girls. However, eating and drinking ability improves with age.
