[Feeding problems and growth disorders among children with cerebral palsy in south and north Trondelag]

T Vik1, M S Skrove, H Døllner

  • 1Trondsletten habiliteringssenter for barn og Institutt for samfunnsmedisinske fag Det medisinske fakultet Norges teknisk-naturvitenskapelige universitet 7489 Trondheim. torstein.vik@medisin.ntnu.no

Insights

Growth retardation and feeding problems are prevalent in children with cerebral palsy (CP). Children unable to self-feed face higher risks for growth issues, impacting family quality of life.

Area of Science:

  • Pediatric Neurology
  • Developmental Pediatrics
  • Clinical Nutrition

Context:

  • Cerebral palsy (CP) is a common condition affecting children.
  • Growth retardation and nutritional deficits are frequently observed in children with CP.
  • The etiology may involve cerebral injury and/or inadequate nutrition.

Purpose:

  • To estimate the prevalence of feeding problems, growth retardation, underweight, and overweight in children with cerebral palsy (CP).
  • To identify risk factors associated with growth issues in this population.

Summary:

  • A population-based study in Norway included 154 children with CP (born 1982-1996).
  • Findings revealed high rates of short stature (30%), underweight (10%), obesity (7%), oral motor dysfunction (26%), and inability to self-feed (33%).
  • Inability to self-feed emerged as an independent risk factor for height growth retardation and underweight, irrespective of CP severity.

Impact:

  • Results underscore the need for focused nutritional and growth assessments in CP rehabilitation.
  • Particular attention is crucial for children with CP who are unable to self-feed.
  • Feeding difficulties significantly impair family quality of life in 15% of cases.
Abstract

Related Concept Videos

Physical Growth During Infancy and Toddlerhood01:18

Physical Growth During Infancy and Toddlerhood

Physical growth is especially rapid during the first three years of life, with the greatest rate in the first few months after birth. Although children continue to gain height and weight throughout infancy and toddlerhood, the rate of growth gradually slows during the second and third years. At most ages, boys are typically slightly taller and heavier than girls, reflecting a common pattern of early physical development.Changes in Body ProportionsAs infants become toddlers, their body...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Principles of Development01:31

Principles of Development

Physical development during the prenatal period and early childhood follows two major directional principles: cephalocaudal and proximodistal development. These general patterns happen simultaneously and help explain changes in body proportions and the gradual development of motor skills.Cephalocaudal DevelopmentThe cephalocaudal principle describes development from the head downward toward the lower body. During prenatal development, the head and brain structures develop rapidly before many...