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Evaluation of the Nutritional Status in Institutionalized Children and its Relationship to the Development of
M L Nunes1, G C Teixeira2, I Fabris2
1a Division of Neurology , São Lucas University Hospital and School of Medicine-Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) , Av. Ipiranga 6690 #322, Porto Alegre , RS , Brazil 90610-000.
Insights
This study investigated if malnutrition causes epilepsy in children. While malnourished children had more epilepsy cases, the link was not statistically significant, suggesting other factors are involved.
Area of Science:
- Pediatrics
- Neurology
- Public Health
Background:
- Malnutrition remains a major cause of infant mortality globally.
- Childhood epilepsy is prevalent, with a suspected but unproven link to malnutrition.
- Early malnutrition risk factors include poor perinatal care and low birth weight.
Purpose of the Study:
- To investigate the potential causal relationship between malnutrition and epilepsy in human infants.
- To analyze anthropometric and medical data to assess malnutrition's impact on epilepsy development.
Main Methods:
- Retrospective review of anthropometric and medical files of infants in a governmental institution.
- Defined malnutrition as height/weight below two standard deviations from NCHS growth charts.
- Included 243 children: 101 malnourished and 133 nourished.
Main Results:
- Malnutrition showed a predominance in girls (49%).
- A comorbidity of malnutrition and neurological disorders was observed.
- Epilepsy cases were more frequent in the malnourished group, but the difference was not statistically significant.
Conclusions:
- The study could not establish malnutrition as a direct cause of epilepsy in the studied population.
- Other central nervous system damaging diseases confound the relationship between malnutrition and epilepsy.
- Further research is needed to clarify the complex interplay of factors contributing to childhood epilepsy.
Abstract:
Malnutrition as defined by the World Health Organization (WHO) in 1973 is an association of pathologic conditions caused by a lack of calories or protein intake in variable proportions. It is still one of the leading causes of infant mortality in developing countries. Risk factors for early malnutrition are absence of perinatal care and low birth weight. Epilepsy is also a very prevalent condition in childhood. A relationship between malnutrition and epilepsy has been suggested in many basic studies but it has never been proven in humans. In order to verify if malnutrition can lead to epilepsy, we reviewed anthropometric and medical files from infants in a governmental institution and tried to relate to an outcome of epilepsy. We defined malnutrition as height/weight below two pattern deviations from the NCHS tables. Two hundred and forty three children were included, 101 with malnutrition and 133 nourished. Our results indicate a predominance of malnutrition in girls (49%) and a comorbidity of malnutrition and neurological disorders. Although there were more cases of epilepsy in the malnourished group, the difference was not significant, and we could not assume that malnutrition was the cause of epilepsy in these cases because of the association of many other diseases that could also damage the central nervous system.
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