Nutritional risk screening and nutritional assessment for children with cerebral palsy: A review of the current research status and future directions.

IF 2.9 Q3 NUTRITION & DIETETICS Clinical nutrition ESPEN Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI:10.1016/j.clnesp.2024.12.018

Jixun Zhao, Yuyang Qiu, Huiqun Wang

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Abstract

Background: Although the primary impairment involved in Cerebral palsy (CP) is motor function, malnutrition is also common. However, there is a lack of tool recommendations for early malnutrition risk screening in children with CP, and the means of nutritional intervention for children with CP are also limited.

Methods: This study systematically searched the literature about clinical nutrition related content of cerebral palsy in Pubmed, MEDLINE, Embase, and the Cochrane Library in Jan 2024 and by hand searching, and we checked reference lists and citations to identify additional studies. Search terms include cerebral palsy, children, diagnosis, prediction, malnutrition, nutritional risk screening, nutritional assessment, nutritional support. Additions are marked in red in the modified version.

Results: The timing of diagnosis of CP has been moving forward, and some new diagnostic tools have been developed. Nutritional status is correlated with regional economic level, but there is still a malnutrition rate of nearly 30 % in developed countries. Severe restrictions in terms of gross motor function, swallowing dysfunction, feeding difficulties, cognitive impairment, and insufficient energy intake are common risk factors for malnutrition in children with CP. Z-score should be calculated in combination with measurement indicators in the assessment of physical development of children with CP. The nutritional outcomes of children with CP can be improved by various means, including diversified a Nutrition Support Team (NST) interventions.

Conclusions: The incidence of malnutrition in children with CP is high, which needs to be paid more attention. More effective malnutrition risk screening tools need to be developed for children with CP to guide the implementation of comprehensive and personalized nutritional interventions and improve malnutrient-related outcomes.

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脑瘫儿童营养风险筛查与营养评估：研究现状与展望

背景：虽然脑瘫（CP）的主要损害是运动功能，但营养不良也很常见。然而，缺乏对CP儿童早期营养不良风险筛查的工具建议，对CP儿童的营养干预手段也有限。方法：系统检索2024年1月Pubmed、MEDLINE、Embase、Cochrane图书馆中有关脑瘫临床营养相关内容的文献，并采用人工检索的方法，通过查阅参考文献和被引文献，确定其他研究。搜索词包括脑瘫、儿童、诊断、预测、营养不良、营养风险筛查、营养评估、营养支持。修改后的版本中添加的内容用红色标注。结果：CP的诊断时机不断向前推进，并开发了一些新的诊断工具。营养状况与区域经济水平相关，但发达国家仍有近30%的营养不良率。大运动功能、吞咽功能障碍、进食困难、认知障碍、能量摄入不足是CP儿童营养不良的常见危险因素。在评估CP儿童身体发育时，应结合测量指标计算Z-score。通过多种方式改善CP儿童的营养结局，包括多样化的营养支持团队（NST）干预。结论：CP患儿营养不良发生率高，应引起重视。需要为CP儿童开发更有效的营养不良风险筛查工具，以指导实施全面和个性化的营养干预措施，并改善营养不良相关的结果。

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

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.