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Nutritional status of children with cerebral palsy in Turkey
Emine Handan Tüzün1, Duygu Korkem Güven, Levent Eker
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kirikkale University, Kirikkale, Turkey. handan.tuzun@gmail.com
Insights
Cerebral-palsied children in Ankara exhibit poorer nutritional status, with underweight being more common than overweight. Understanding these nutritional challenges is key for effective rehabilitation and prevention strategies.
Area of Science:
- Pediatric Nutrition
- Childhood Disabilities
- Public Health
Background:
- Cerebral palsy (CP) affects children's motor function and can impact nutritional status.
- Assessing nutritional status is crucial for optimizing growth and development in children with CP.
Purpose of the Study:
- To evaluate the nutritional status and anthropometric measurements of children with cerebral palsy in Ankara, Turkey.
- To identify specific nutritional challenges faced by this population.
Main Methods:
- Cross-sectional study involving 447 children with CP.
- Nutritional status assessed using triceps skinfold thickness (TSF) and arm fat area (AFA) Z-scores.
- Functional motor impairment categorized using the Gross Motor Function Classification System (GMFCS).
Main Results:
- Children with CP showed lower TSF and AFA Z-scores compared to healthy references.
- Prevalence of underweight was 8.3% for boys and 19.0% for girls.
- Underweight was more prevalent in children with lower functional motor abilities.
Conclusions:
- Children with cerebral palsy experience significant nutritional challenges, with underweight being a primary concern.
- Nutritional status varies, necessitating individualized approaches for rehabilitation and prevention.
- Understanding the heterogeneity of nutritional status is vital for improving outcomes in children with CP.
Purpose:
The aim of this study was to assess the nutritional status, and provide information regarding anthropometric measurements of cerebral-palsied children living in the city of Ankara, Turkey.
Method:
A total of 447 children with cerebral palsy (CP) were participated in this cross-sectional study. Participants were assessed for functional motor impairment by the gross motor function classification system (GMFCS). Assesment of nutritional status was based on the triceps skinfold thickness (TSF), arm fat area (AFA) estimates derived from TSF and mid-upper arm circumference measurements. TSF and AFA Z-scores were computed using reference data.
Results:
Cerebral-palsied children had lower TSF and AFA Z-scores compared to reference data from healthy children. The prevalence of underweight and overweight among boys was 8.3 and 9.5%, respectively, whereas it was 19.0 and 0.5% for girls. Underweight was more prevalent in the low functioning children than in moderate functioning children.
Conclusions:
The findings of this study indicate that cerebral-palsied children face nutritional challenges. Underweight is more prevalent than overweight among cerebral-palsied children. To optimize the outcomes of rehabilitation and prevention efforts, an understanding of the heterogeneity of nutritional status among children with CP is required.
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