The Relationship between Motor Levels of Children with Cerebral Palsy and Their Eating and Drinking Skills and Energy Intakes
Year 2022,
, 607 - 614, 01.10.2022
Saniye Sözlü
,
Bülent Elbasan
,
Efsun Karabudak
Abstract
Aim: Cerebral Palsy (CP) is defined as a musculoskeletal system disorder characterized by a non-progressive but the most important symptom of the disease is loss of motor function. This study was conducted to evaluate the relationship of eating and drinking skills with the intake of energy and some nutrients according to gross motor skills of children with CP.
Study Design: The research was conducted on 74 volunteer children (52.7% male; 8.7±3.32 years) and their parents. For the evaluation of the nutritional status of the children, a 3-day food intake record and Eating and Drinking Ability Classification System (EDACS) was used.
Results: In all age groups, the daily energy, carbohydrate and fiber intake of children in the GMFCS IV-V group is less than those in the GMFCS I-II-III group. There was a statistically significant positive strong relationship between GMFCS and EDACS, however there was a low negative correlation between GMFCS and average daily carbohydrate intakes.
Conclusions: Results are supported by this study and EDACS can be an easy and practical method in classifying children's eating and drinking skills in order to create a common language in the literature.
References
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Year 2022,
, 607 - 614, 01.10.2022
Saniye Sözlü
,
Bülent Elbasan
,
Efsun Karabudak
References
- 1. Sankar C, Mundkur N. Cerebral palsy-definition, classification, etiology and early diagnosis. Indian J Pediatr. 2005; 72: 865-8.
- 2. Arneson CL, Durkin MS, Benedict RE, Kirby RS, Yeargin-Allsopp M, Van Naarden Braun K, and Doernberg NS. Prevalence of cerebral palsy: Autism and Developmental Disabilities Monitoring Network, three sites, United States, 2004. Disabil Health J. 2009; 2: 45-8.
- 3. Paneth N, Hong T, Korzeniewski S. The descriptive epidemiology of cerebral palsy. Clin Perinatol. 2006; 33: 251-67.
- 4. Winter S, Autry A, Boyle C, Yeargin-Allsopp M. Trends in the prevalence of cerebral palsy in a population-based study. Pediatrics. 2002; 110: 1220-5.
- 5. Serdaroglu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006; 48: 413-6.
- 6. Cans C. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol. 2000; 42: 816-24.
- 7. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39: 214-23.
- 8. Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005; 47: 571-6.
- 9. Penagini F, Mameli C, Fabiano V, Brunetti D, Dilillo D, Zuccotti GV. Dietary intakes and nutritional issues in neurologically impaired children. Nutrients. 2015; 7: 9400-15.
- 10. Azcue MP, Zello GA, Levy LD, Pencharz PB. Energy expenditure and body composition in children with spastic quadriplegic cerebral palsy. J Pediatr. 1996; 129: 870-6.
- 11. Sellers D, Mandy A, Pennington L, Hankins M, Morris C. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Dev Med Child Neurol. 2014; 56: 245-51.
- 12. Merdol T. Standart Yemek Tarifeleri (3. bs.). Ankara: Hatipoğlu Yayınevi, 2003.
- 13. Baysal A. Türk mutfağından örnekler. Ankara: Hatipoğlu Yayınevi, 1993.
- 14. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC. 2005.
- 15. Statistical Package for the Social Sciences (SPSS) version 22.0 for Windows. SPSS Inc; Chicago,USA.
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- 18. Brooks J, Day S, Shavelle R, Strauss D. Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics. 2011; 128: 299-307.
- 19. Kuperminc MN, Gottrand F, Samson-Fang L, Arvedson J, Bell K, Craig GM, Sullivan PB. Nutritional management of children with cerebral palsy: a practical guide. Eur J Clin Nutr. 2013; 67: S21-23.
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- 21. Gangil A, Patwari A, Aneja S, Ahuja B, Anand V. Feeding problems in children with cerebral palsy. Indian Pediatr. 2001; 38: 839-46.
- 22. Walker JL, Bell KL, Boyd RN, Davies PS. Energy requirements in preschool-age children with cerebral palsy. Am J Clin Nutr. 2012; 96: 1309-15.
- 23. Stallings VA, Zemel BS, Davies JC, Cronk CE, Charney EB. Energy expenditure of children and adolescents with severe disabilities: a cerebral palsy model. Am J Clin Nutr. 1996; 64: 627-34.
- 24. Bell KL, Samson-Fang L. Nutritional management of children with cerebral palsy. Eur J Clin Nutr. 2013; 67: S13-6.
- 25. Hogan SE. Energy requirements of children with cerebral palsy. Can J Diet Pract Res. 2004; 65: 124-30.
- 26. Johnson RK, Hildreth HG, Contompasis SH, Goran ML. Total energy expenditure in adults with cerebral palsy as assessed by doubly labeled water. J Am Diet Assoc. 1997; 97: 966-70.
- 27. Lopes PA, Amancio OM, Araujo RF, Vitalle MS, Braga JA. Food pattern and nutritional status of children with cerebral palsy. Rev Paul Pediatr. 2013; 31: 344-9.
- 28. Sullivan PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME, Johnson A. Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II. Dev Med Child Neurol. 2002; 44: 461-7.
- 29. Thommessen M, Riis G, Kase B, Larsen S, Heiberg A. Energy and nutrient intakes of disabled children: do feeding problems make a difference? J Am Diet Assoc. 1991; 91: 1522-5.
- 30. Calis EA, Veugelers R, Rieken R, Tibboel D, Evenhuis HM, Penning C. Energy intake does not correlate with nutritional state in children with severe generalized cerebral palsy and intellectual disability. Clin Nutr. 2010; 29: 617-21.
- 31. Kilpinen-Loisa P, Pihko H, Vesander U, Paganus A, Ritanen U, Makitie O. Insufficient energy and nutrient intake in children with motor disability. Acta Paediatr. 2009; 98: 1329-33.
- 32. Baysal A. Beslenme (20. bs.). Ankara: Hatipoğlu Yayınevi, 2020.
- 33. Sabuncular G. 6-18 Yaş Arası Serebral Palsili Çocukların Beslenme Durumunun Değerlendirilmesi. Yüksek Lisans Tezi, Haliç Üniveristesi, İstanbul, 2013.
- 34. Sangermano M, D'Aniello R, Massa G, Albano R, Pisano P, Budetta M, Scuccimarra G, Papa E, Coppola G, Vajro P. Nutritional problems in children with neuromotor disabilities: an Italian case series. Ital J Pediatr. 2014; 40: 61.
- 35. Sullivan P, Lambert B, Rose M, Ford-Adams M, Johnson A, Griffiths P. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000; 42: 674-80.
- 36. Mahan LK, Raymond JL. Krause's food & the nutrition care process (15. Edition), Elsevier Health Sciences, 2020.
- 37. Patrick, J., and Gisel, E. Nutrition for the feeding impaired child. 1990.
- 38. Grammatikopoulou MG, Daskalou E, Tsigga M. Diet, feeding practices, and anthropometry of children and adolescents with cerebral palsy and their siblings. Nutrition. 2009; 25: 620-6.
- 39. Kalra S, Aggarwal A, Chillar N, Faridi MM. Comparison of micronutrient levels in children with cerebral palsy and neurologically normal controls. Indian J Pediatr. 2015; 82: 140-4.
- 40. Bağlam N. Nörolojik Disfajisi Olan Çocuklarda Malnutrisyon ve Beslenme Durumunun Saptanması. Yüksek Lisans Tezi, Ankara, 2014.
- 41. Walker JL, Bell KL, Stevenson RD, Weir KA, Boyd RN, Davies PS. Relationships between dietary intake and body composition according to gross motor functional ability in preschool-aged children with cerebral palsy. Ann Nutr Metab. 2012; 61: 349-57.