[Impact of motor impairment and oro-gastric issues on the growth of children and adolescents with cerebral palsy]
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View abstract on PubMed
Summary
This summary is machine-generated.Children and adolescents with cerebral palsy (CP) experiencing orogastric issues and severe functional limitations face higher risks of growth impairment, including being underweight and stunted.
Area Of Science
- Pediatric Nutrition
- Neurology
- Developmental Pediatrics
Background
- Children and adolescents (CA) with cerebral palsy (CP) frequently encounter growth challenges and gastrointestinal problems, influenced by their functional capabilities.
- Orogastric disorders and varying functional severities significantly impact nutritional status in this population.
Purpose Of The Study
- To investigate the relationship between orogastric disorders, functional classifications (GMFCS, EDACS), and anthropometric parameters in Argentinian children and adolescents with CP.
- To identify risk factors for growth impairment in pediatric CP patients.
Main Methods
- An observational, analytical, cross-sectional study involving sequential sampling of 199 participants aged 1-18 years.
- Assessment of nutritional status using WHO Anthro Plus software, alongside analysis of orogastric disorders, Gross Motor Function Classification System (GMFCS), and Eating and Drinking Ability Classification System (EDACS).
- Statistical analysis included Mann-Whitney and t-tests, with multiple logistic regression models (MLR) for variables with p < 0.05.
Main Results
- Significant differences in P/E, T/E, and BMI/E z-scores were found in CA with CP who had orogastric problems and more severe functional impairments.
- Higher chances of being underweight were associated with severe EDACS levels (8.77 times) and severe GMFCS (3.36 times).
- Increased likelihood of stunting was linked to severe GMFCS (2.63 times) and severe EDACS (7.93 times).
Conclusions
- Orogastric disorders and severe functional limitations in children and adolescents with CP are associated with significant growth impairment.
- These factors increase the risk of stunting and being underweight in pediatric CP patients, highlighting the need for targeted interventions.
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