Research progress regarding the nutritional status and assessment methods of cerebral palsy patients

Cui-Hua Shan, Xiao Shen, Lu Ren, Xiaoyu Kang, Ru-Fei Zhang, Dan Wang, Jian-Guo Zhong
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Abstract

Cerebral palsy is a group of clinical disorders characterized by persistent central motor deficits and postural abnormalities due to non-progressive damage to the fetal or infant brain. Malnutrition is one of the most common clinical comorbidities in children with cerebral palsy and is the result of a combination of internal factors, such as the child’s structural and functional abnormalities, and external factors, such as the child’s feeding habits and family/social factors. The nutritional status of children with cerebral palsy is closely related to their development, quality of life, social participation, and life expectancy; thus, an objective and accurate understanding of the nutritional status of these children through rehabilitation assessment is essential for their growth and development. The current nutritional assessments include routine measurements of human nutritional parameters, scale-based assessments, and instrumental assessments. It is important to detect malnutrition in children with cerebral palsy at an early stage, reduce the prevalence of malnutrition, and improve the quality of survival. Therefore, this review aimed to analyze and summarize the nutritional status and assessment methods of children with cerebral palsy, to assess the nutritional status of children with cerebral palsy from multiple perspectives, indicators and directions, and to provide reference for the early detection of co-morbid malnutrition in children with cerebral palsy.
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脑瘫患者营养状况及评价方法的研究进展
脑瘫是一组临床疾病,其特征是由于胎儿或婴儿大脑的非进行性损伤而导致持续的中枢运动障碍和姿势异常。营养不良是脑瘫儿童最常见的临床合并症之一,是内部因素(如儿童的结构和功能异常)和外部因素(如儿童的饮食习惯和家庭/社会因素)共同作用的结果。脑瘫儿童的营养状况与其发育、生活质量、社会参与和预期寿命密切相关;因此,通过康复评估客观准确地了解这些儿童的营养状况对他们的生长发育至关重要。目前的营养评估包括人体营养参数的常规测量、基于量表的评估和仪器评估。早期发现脑瘫患儿营养不良,降低营养不良发生率,提高生存质量具有重要意义。因此,本综述旨在对脑瘫儿童的营养状况及评估方法进行分析总结,从多角度、多指标、多方向对脑瘫儿童的营养状况进行评估,为脑瘫儿童共病性营养不良的早期发现提供参考。
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