脑瘫儿童和青年的饮食能力与呼吸和口腔健康。

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY
Alexandra Sorhage, A Marie Blackmore, Catherine A Byrnes, Caitlin Agnew, Emily F M Webster, Anna Mackey, Jimmy Chong, Timothy M Hill, Dug Yeo Han, Ngaire Susan Stott
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引用次数: 0

摘要

目的:探讨脑瘫(CP)儿童和青壮年呼吸道疾病的潜在危险因素(种族、口腔健康和饮食能力)。方法:这是一项观察性研究,使用经过验证的CP呼吸和口腔健康问卷,共有90名参与者(中位年龄12岁[范围:1-26岁];51岁男性;26新西兰Māori)。结果:考虑种族和大运动功能分类系统(GMFCS)水平的多变量分析显示,那些被分类为饮食能力分类系统(EDACS) III至V级的参与者报告了更多的既往呼吸道疾病发作(优势比[OR] = 4.13, 95%可信区间[CI] = 1.12-15.2, p = 0.033),每日/每周呼吸道症状增加(OR = 9.14, 95% CI = 2.03-41.2, p = 0.004)。用餐时呼吸道症状增加(OR = 13.8, 95% CI = 2.48-76.8, p = 0.002)。EDACS III至V级和GMFCS IV和V级均与反流倾向或癫痫发作增加独立相关(or = 8.16, 95% CI = 1.77-37.5, p = 0.007;OR = 3.37, 95% CI = 1.09-10.4, p 2, p = 0.021)。结论:诊断为EDACS III至V级CP的儿童患呼吸系统疾病和牙痛的风险较高,应进行适当筛查。食物反胃或呕吐以及每天咳嗽都与口腔健康状况不佳有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Eating and drinking abilities and respiratory and oral health in children and young adults with cerebral palsy.

Aim: To investigate the potential risk factors of respiratory illness (ethnicity, oral health, and eating and drinking ability) in children and young adults with cerebral palsy (CP).

Method: This was an observational study using a validated CP Respiratory and Oral Health questionnaire with 90 participants (median age 12 years [range: 1-26 years]; 51 males; and 26 New Zealand Māori).

Results: Multivariate analysis, accounting for ethnicity and Gross Motor Function Classification System (GMFCS) levels, showed that those participants who were classified in Eating and Drinking Ability Classification System (EDACS) levels III to V reported more previous respiratory disease episodes (odds ratio [OR] = 4.13, 95% confidence interval [CI] = 1.12-15.2, p = 0.033), increased daily/weekly respiratory symptoms (OR = 9.14, 95% CI = 2.03-41.2, p = 0.004), and increased mealtime respiratory symptoms (OR = 13.8, 95% CI = 2.48-76.8, p = 0.002). Both EDACS levels III to V and GMFCS levels IV and V were independently associated with increased propensity to reflux or seizures (OR = 8.16, 95% CI = 1.77-37.5, p = 0.007; OR = 3.37, 95% CI = 1.09-10.4, p < 0.034). Mealtime symptoms of vomiting or regurgitation (relative risk = 1.58, 95% CI = 1.17-2.13, p = 0.032) and daily coughing (relative risk = 1.55, 95% CI = 1.14-2.11, p = 0.023) were associated with a higher risk of reporting one or more oral health symptoms. Toothache was more common in participants classified in EDACS levels III to V (χ2, p = 0.021).

Interpretation: Children with CP classified in EDACS levels III to V are at a higher risk of respiratory disease and toothache and should be screened appropriately. Regurgitation or vomiting of food and daily coughing are linked with poorer oral health.

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来源期刊
CiteScore
7.80
自引率
13.20%
发文量
338
审稿时长
3-6 weeks
期刊介绍: Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.
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