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Poor nutrition is a serious problem in children with cerebral palsy in Palawan, the Philippines

C Socrates1, S M Grantham-McGregor, S G Harknett

  • 1Centre for International Child Health, Institute of Child Health, London, UK.

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
|December 29, 2000
PubMed

Insights

Children with cerebral palsy (CP) in the Philippines face severe malnutrition, significantly impacting their development. Nutritional support is crucial for rehabilitation programs and improving health outcomes for these children.

Area of Science:

  • Pediatrics
  • Nutrition Science
  • Global Health

Background:

  • Children with cerebral palsy (CP) in developed nations often exhibit poor nutritional status.
  • Limited data exists on the nutritional status of children with CP in developing countries.
  • This study addresses the nutritional assessment gap in Palawan, Philippines.

Purpose of the Study:

  • To compare the nutritional status of children with CP to their siblings and a matched control group.
  • To identify the extent of malnutrition among children with CP in a developing country context.
  • To inform the integration of nutritional interventions into CP rehabilitation.

Main Methods:

  • A comparative study involving 31 children with CP, 20 siblings, and 64 neighborhood controls in Palawan.
  • Measurements included weight, height, and armspan; height for children with CP was estimated from armspan.
  • Hemoglobin levels were measured for children with CP and siblings.

Main Results:

  • Children with CP demonstrated significantly poorer nutritional status (weight-for-height, height-for-age, weight-for-age) compared to siblings and controls.
  • Nutritional status of children with quadriplegic CP was substantially worse than in the USA.
  • Hemoglobin levels did not differ significantly between children with CP and their siblings.

Conclusions:

  • Children with CP in this Philippine setting exhibit severe malnutrition, posing risks to their development.
  • Nutritional support should be a key component of CP rehabilitation programs.
  • Further research is needed to assess the nutritional status of children with CP in other developing countries.

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