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脑儿童的饮食能力和营养状况:基于人口的研究

Anna Nyman^1,2, Anita McAllister¹, Elisabet Rodby-Bousquet^3,4,5

¹Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology-CLINTEC, Karolinska Institutet, Stockholm, Sweden.

Developmental medicine and child neurology

|December 10, 2025

概括

几乎三分之一的脑 (CP) 儿童经历饮食困难 (食),影响他们的成长. 营养不良与这些挑战有关,增长从早期就受到影响.

科学领域:

儿科神经学儿科神经学
临床营养学临床营养学
康复医学康复医学康复医学

背景情况:

大脑 (CP) 影响运动功能,往往导致饮食挑战.
饮食和饮用能力分类系统 (EDACS) 将这些困难分类.
了解CP失调的患病率和影响对于营养管理至关重要.

研究的目的:

通过EDACS在一大批患有CP的儿童中确定饮食困难的患病率.
检查EDACS分类与该人口营养不良之间的关系.
评估EDACS水平如何影响生长参数,考虑运动功能和CP亚型.

主要方法:

采用瑞典CP随访计划对19岁及以下儿童的数据进行的横截面研究.
EDACS评级与体重与年龄和身高与年龄的z-score相关.
回归模型分析了EDACS水平对身高对年龄的影响,控制总运动功能和CP亚型.

主要成果:

包括2280名患有CP的儿童;30.6%有安全问题 (EDACS III-V级).
19.9%的儿童经历过营养不良,EDACS水平与营养状况之间存在显著的关联 (p < 0.001).
从EDACSII级别来看,身高下降,即使控制了运动功能和CP亚型.

结论:

几乎三分之一的患有CP的儿童表现出食障碍.
从EDACSII级开始,CP的儿童的生长受到负面影响,这突显了早期干预的重要性.

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