Impact of eating difficulties and gastrointestinal problems on the nutritional status of children and adolescents with cerebral palsy.

IF 3.6 3区医学 Q2 NUTRITION & DIETETICS European Journal of Clinical Nutrition Pub Date : 2024-11-26 DOI:10.1038/s41430-024-01549-y

M E Cieri, M M Ruiz Brunner, A L Condinanzi, J Escobar, C Gil, E Cuestas

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Abstract

Introduction: This study was to analyze the impact of dietary difficulties and gastrointestinal problems on the nutritional status of people with CP from 2-19 years old who attend rehabilitation centers in the province of Córdoba-Argentina.

Methods: This was a retrospective observational-cohort study. Data from 105 people of both sexes with a CP. Motor compromise was assessed with GMFCS. Multiple logistic regression models with a binomial response were used, with a p < 0.05.

Results: 63.8% boys were collected. The mean age was 11 y 6 m (SD 4,4). The dependence on a caregiver at mealtime presents 4 (p = 0.027) times more chances of having undernutrition than those who feed independently. Requiring a change in food consistency was almost 7 (p = 0.021) times more likely to present undernutrition.

Conclusion: A relationship was identified between dysphagia and constipation with a greater nutritional compromise. The food difficulties in those children with disorders highlights the need to implement specific and adapted nutritional strategies.

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进食困难和肠胃问题对脑瘫儿童和青少年营养状况的影响。

导言：本研究旨在分析饮食困难和肠胃问题对阿根廷科尔多瓦省康复中心2-19岁CP患者营养状况的影响：这是一项回顾性观察队列研究。研究数据来自 105 名患有脊髓灰质炎的男女患者。运动能力受损情况通过 GMFCS 进行评估。采用二项反应的多元逻辑回归模型，P 结果：63.8%为男孩。平均年龄为 11 岁 6 个月 (SD 4.4)。与独立进餐的儿童相比，进餐时依赖照顾者造成营养不良的几率要高出 4 倍（p = 0.027）。需要改变食物浓度时，出现营养不良的几率几乎是需要改变食物浓度时的 7 倍（p = 0.021）：结论：吞咽困难和便秘与营养不良之间存在关联。患有吞咽障碍的儿童在进食方面的困难突出表明，有必要实施特殊的、经过调整的营养策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Clinical Nutrition 医学-营养学

CiteScore

10.60

自引率

2.10%

发文量

189

审稿时长

3-6 weeks

期刊介绍： The European Journal of Clinical Nutrition (EJCN) is an international, peer-reviewed journal covering all aspects of human and clinical nutrition. The journal welcomes original research, reviews, case reports and brief communications based on clinical, metabolic and epidemiological studies that describe methodologies, mechanisms, associations and benefits of nutritional interventions for clinical disease and health promotion. Topics of interest include but are not limited to: Nutrition and Health (including climate and ecological aspects) Metabolism & Metabolomics Genomics and personalized strategies in nutrition Nutrition during the early life cycle Health issues and nutrition in the elderly Phenotyping in clinical nutrition Nutrition in acute and chronic diseases The double burden of ''malnutrition'': Under-nutrition and Obesity Prevention of Non Communicable Diseases (NCD)