Ruth García-Romero , Ramón Cancho Candela , José Luis Peña Segura , Víctor Manuel Navas-López , Juan José Díaz Martín , Grupo de Trabajo Multidisciplinar de Parálisis Cerebral Pediátrica , Grupo de Trabajo Multidisciplinar de Parálisis Cerebral Pediátrica, Xenia Alonso Curco , Gema Arriola , Estibaliz Barredo Valderrama , Bárbara Blanco Martínez , Andrés Bodas Pinedo , Gonzalo Galicia Poblet , Ainhoa García Ribes , Adrián García Ron , Ignacio Málaga Diéguez , Alejandro Rodríguez Martínez , Cesar Ruiz García , Mariela de los Santos , Mar Tolín Hernani , Carlos Tutau Gomez , Ana María Vegas Álvarez
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The goal of the study was to describe the clinical and nutritional characteristics of Spanish children with CP.</div></div><div><h3>Methods</h3><div>Multicenter observational study conducted in children aged 4 to 14 years with a diagnosis of CP. For every patient, we collected data on sociodemographic and clinical characteristics as well as anthropometric measurements, schooling modality, nutrition received at school, nutritional support and gastrointestinal comorbidities.</div></div><div><h3>Results</h3><div>The sample included a total of 112 patients with a mean age of 9.2 years old. The majority (70.5%) had been classified as Gross Motor Function Classification System (GMFCS) level IV or V. Compared to children classified as GMFCS level I, II or III, the group of children with GMFCS level IV/V had significantly lower mean <em>z</em> scores in body weight, height, weight-to-height ratio, body mass index and upper arm circumference and a significant lower mean arm area. 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The goal of the study was to describe the clinical and nutritional characteristics of Spanish children with CP.</div></div><div><h3>Methods</h3><div>Multicenter observational study conducted in children aged 4 to 14 years with a diagnosis of CP. For every patient, we collected data on sociodemographic and clinical characteristics as well as anthropometric measurements, schooling modality, nutrition received at school, nutritional support and gastrointestinal comorbidities.</div></div><div><h3>Results</h3><div>The sample included a total of 112 patients with a mean age of 9.2 years old. The majority (70.5%) had been classified as Gross Motor Function Classification System (GMFCS) level IV or V. Compared to children classified as GMFCS level I, II or III, the group of children with GMFCS level IV/V had significantly lower mean <em>z</em> scores in body weight, height, weight-to-height ratio, body mass index and upper arm circumference and a significant lower mean arm area. 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引用次数: 0
摘要
脑瘫(CP)包括一组运动障碍,可导致吞咽困难,影响食物摄入并导致营养状况不良。方法对诊断为CP的4 - 14岁儿童进行了多中心观察性研究,收集了每位患者的社会人口学和临床特征、人体测量、上学方式、学校营养、营养支持和胃肠道合并症的数据。结果共纳入112例患者,平均年龄9.2岁。大多数(70.5%)儿童被划分为GMFCS IV级或V级。与GMFCS I级、II级或III级儿童相比,GMFCS IV/V级儿童在体重、身高、体重与身高比、体重指数和上臂围等方面的平均z得分显著低于GMFCS IV/V级儿童,平均上臂面积显著低于GMFCS IV/V级儿童。GMFCS IV/V级患者就读特殊教育学校的比例高于I至III级患者(68.4% vs 12.1%;P & lt;。)。与I至III级儿童相比,IV/V级儿童出现吞咽困难的比例更高(62.0% vs 15.2%;P & lt;0.0001)、便秘(51.9% vs 27.3%, P = 0.0218)和胃食管反流(31.6% vs 3.0%;p = .0005)。结论:我们的研究表明,西班牙CP儿童,特别是那些有严重运动障碍的儿童,有营养不良的风险,存在胃肠道合并症,需要营养支持。
Aspectos nutricionales de los pacientes con parálisis cerebral: un estudio observacional y multicéntrico en España
Introduction
Cerebral palsy (CP) encompasses a group of motor disorders that can result in swallowing difficulties, affecting food intake and contributing to poor nutritional status. The goal of the study was to describe the clinical and nutritional characteristics of Spanish children with CP.
Methods
Multicenter observational study conducted in children aged 4 to 14 years with a diagnosis of CP. For every patient, we collected data on sociodemographic and clinical characteristics as well as anthropometric measurements, schooling modality, nutrition received at school, nutritional support and gastrointestinal comorbidities.
Results
The sample included a total of 112 patients with a mean age of 9.2 years old. The majority (70.5%) had been classified as Gross Motor Function Classification System (GMFCS) level IV or V. Compared to children classified as GMFCS level I, II or III, the group of children with GMFCS level IV/V had significantly lower mean z scores in body weight, height, weight-to-height ratio, body mass index and upper arm circumference and a significant lower mean arm area. A higher proportion of patients with GMFCS level IV/V attended special education schools compared to patients classified as level I to III (68.4% vs 12.1%; P < .0001). A higher proportion of children classified as level IV/V compared to children classified as levels I to III presented dysphagia (62.0% vs 15.2%; P < .0001), constipation (51.9% vs 27.3%, P = .0218) and gastroesophageal reflux (31.6% vs 3.0%; P = .0005).
Conclusions
Our study shows that Spanish children with CP, especially those with severe motor impairment, are at risk of malnutrition, present gastrointestinal comorbidities and require nutritional support.
期刊介绍:
La Asociación Española de Pediatría tiene como uno de sus objetivos principales la difusión de información científica rigurosa y actualizada sobre las distintas áreas de la pediatría. Anales de Pediatría es el Órgano de Expresión Científica de la Asociación y constituye el vehículo a través del cual se comunican los asociados. Publica trabajos originales sobre investigación clínica en pediatría procedentes de España y países latinoamericanos, así como artículos de revisión elaborados por los mejores profesionales de cada especialidad, las comunicaciones del congreso anual y los libros de actas de la Asociación, y guías de actuación elaboradas por las diferentes Sociedades/Secciones Especializadas integradas en la Asociación Española de Pediatría.