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The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy

Byron Alexander Foster1, Jennifer E Lane2, Elizabeth Massey2

  • 1Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon fosterb@ohsu.edu.

Hospital Pediatrics
|November 6, 2020
PubMed

Insights

Assessing nutritional status in children with cerebral palsy (CP) is crucial. Malnutrition, including obesity, impacts hospitalization outcomes, highlighting the need for improved assessment and care strategies for this population.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment
  • Health Outcomes Research

Background:

  • Children with cerebral palsy (CP) and medical complexity represent a significant portion of healthcare utilization.
  • Nutritional status assessment in this population is complex due to unique physiological and medical challenges.
  • Malnutrition, encompassing both underweight and obesity, is a concern with potential links to adverse health outcomes.

Purpose of the Study:

  • To review the current scientific understanding of nutritional status assessment in children with CP.
  • To propose a systematic approach for evaluating nutritional status in this vulnerable group.
  • To identify knowledge gaps and suggest methods for improvement using quality improvement and research tools.

Main Methods:

  • Review of existing scientific literature on nutritional assessment in children with CP.
  • Discussion of available, yet underutilized, methods for assessing body composition and adiposity (e.g., skinfolds, age, sex, activity level).
  • Analysis of limitations in current energy needs estimation and the risks of obesity and micronutrient deficiencies.

Main Results:

  • Accurate body composition assessment methods exist but are not widely implemented.
  • Current energy needs estimation methods have limitations for children with CP.
  • Evidence suggests malnutrition is linked to hospitalization outcomes in children, though specific CP data is lacking.

Conclusions:

  • There is a critical need to bridge the gap between current nutritional science and clinical practice for children with CP.
  • Addressing knowledge gaps in optimal nutritional status is essential for improving health outcomes.
  • Implementing improved assessment tools and strategies can enhance care for children with CP and medical complexity.

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