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Published on: February 2, 2024
Intensive nutritional support improves the nutritional status and body composition in severely malnourished children
Andrea A García-Contreras1, Edgar M Vásquez-Garibay2, Enrique Romero-Velarde3
1Instituto de Nutrición Humana. Universidad de Guadalajara.. vasquez.garibay@gmail.com.
Objective:
To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia.
Methods:
Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used.
Results:
During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01). The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%).
Conclusion:
Intensive nutritional support for four weeks had a significant effect on the nutritional status and body composition of severe and moderately malnourished children with cerebral palsy spastic quadriplegia.
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