Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age

De Nobili Lucía; Gómez Eliana

doi:doi:10.11648/j.rd.20220301.16

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Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age

De Nobili Lucía, Gómez Eliana

Published in Research & Development (Volume 3, Issue 1)

Received: 27 November 2021 Accepted: 17 December 2021 Published: 26 January 2022

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Abstract

Cerebral palsy (CP) is a term employed to define different physical disability syndromes. Children‘s nutritional status is highly related to their growth and general development. Gastrointestinal symptoms (GIS) are frequent and have influence on nutritional status (NS). It’s necessary to evaluate and treat these symptoms adequately to improve the NS. Generally, pre and perinatal risk factors are 85% of the causes and 35% of the cases are premature newborn. In this analytical, observational and cross-sectional study with retrospective data. It was included patients under 18 years with CP with GMFCS V with exclusive enteral nutrition, ambulatory patients in Hospital Nacional Profesor Alejandro Posadas from January to June 2021. The sample consisted of 36 patients with a median age of 66 months (pc 25 32-pc 75 133). 61% of the patients were born at term. 42% with a prenatal cause. The most frequent SGIs were constipation (33%) and GER (19%). The median for the P / E according to WHO was -2.7 SD (CI: -3.41 - 1.97) (underweight). 50% of them presented a P / E < 25^th percentile (higher risk of morbidity and mortality). We conclude that patients with postnatal CP had a nutritional diagnosis of underweight, in comparison with the CP diagnosed pre and perinatally. It was evidenced that the severe underweight, which was evaluated using WHO tables, coincides with the low percentiles of the Brooks table, indicating a higher risk of morbidity and mortality in underweight patients.

Published in	Research & Development (Volume 3, Issue 1)
DOI	10.11648/j.rd.20220301.16
Page(s)	28-33
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Cerebral Palsy, Nutrition Assessment, Nutrition Therapy, Malnutrition

References

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APA Style

De Nobili Lucía, Gómez Eliana. (2022). Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Research & Development, 3(1), 28-33. https://doi.org/10.11648/j.rd.20220301.16

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ACS Style

De Nobili Lucía; Gómez Eliana. Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Res. Dev. 2022, 3(1), 28-33. doi: 10.11648/j.rd.20220301.16

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AMA Style

De Nobili Lucía, Gómez Eliana. Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Res Dev. 2022;3(1):28-33. doi: 10.11648/j.rd.20220301.16

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@article{10.11648/j.rd.20220301.16,
  author = {De Nobili Lucía and Gómez Eliana},
  title = {Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age},
  journal = {Research & Development},
  volume = {3},
  number = {1},
  pages = {28-33},
  doi = {10.11648/j.rd.20220301.16},
  url = {https://doi.org/10.11648/j.rd.20220301.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rd.20220301.16},
  abstract = {Cerebral palsy (CP) is a term employed to define different physical disability syndromes. Children‘s nutritional status is highly related to their growth and general development. Gastrointestinal symptoms (GIS) are frequent and have influence on nutritional status (NS). It’s necessary to evaluate and treat these symptoms adequately to improve the NS. Generally, pre and perinatal risk factors are 85% of the causes and 35% of the cases are premature newborn. In this analytical, observational and cross-sectional study with retrospective data. It was included patients under 18 years with CP with GMFCS V with exclusive enteral nutrition, ambulatory patients in Hospital Nacional Profesor Alejandro Posadas from January to June 2021. The sample consisted of 36 patients with a median age of 66 months (pc 25 32-pc 75 133). 61% of the patients were born at term. 42% with a prenatal cause. The most frequent SGIs were constipation (33%) and GER (19%). The median for the P / E according to WHO was -2.7 SD (CI: -3.41 - 1.97) (underweight). 50% of them presented a P / E th percentile (higher risk of morbidity and mortality). We conclude that patients with postnatal CP had a nutritional diagnosis of underweight, in comparison with the CP diagnosed pre and perinatally. It was evidenced that the severe underweight, which was evaluated using WHO tables, coincides with the low percentiles of the Brooks table, indicating a higher risk of morbidity and mortality in underweight patients.},
 year = {2022}
}

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TY - JOUR
T1 - Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age
AU - De Nobili Lucía
AU - Gómez Eliana
Y1 - 2022/01/26
PY - 2022
N1 - https://doi.org/10.11648/j.rd.20220301.16
DO - 10.11648/j.rd.20220301.16
T2 - Research & Development
JF - Research & Development
JO - Research & Development
SP - 28
EP - 33
PB - Science Publishing Group
SN - 2994-7057
UR - https://doi.org/10.11648/j.rd.20220301.16
AB - Cerebral palsy (CP) is a term employed to define different physical disability syndromes. Children‘s nutritional status is highly related to their growth and general development. Gastrointestinal symptoms (GIS) are frequent and have influence on nutritional status (NS). It’s necessary to evaluate and treat these symptoms adequately to improve the NS. Generally, pre and perinatal risk factors are 85% of the causes and 35% of the cases are premature newborn. In this analytical, observational and cross-sectional study with retrospective data. It was included patients under 18 years with CP with GMFCS V with exclusive enteral nutrition, ambulatory patients in Hospital Nacional Profesor Alejandro Posadas from January to June 2021. The sample consisted of 36 patients with a median age of 66 months (pc 25 32-pc 75 133). 61% of the patients were born at term. 42% with a prenatal cause. The most frequent SGIs were constipation (33%) and GER (19%). The median for the P / E according to WHO was -2.7 SD (CI: -3.41 - 1.97) (underweight). 50% of them presented a P / E th percentile (higher risk of morbidity and mortality). We conclude that patients with postnatal CP had a nutritional diagnosis of underweight, in comparison with the CP diagnosed pre and perinatally. It was evidenced that the severe underweight, which was evaluated using WHO tables, coincides with the low percentiles of the Brooks table, indicating a higher risk of morbidity and mortality in underweight patients.
VL - 3
IS - 1
ER -

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Author Information

De Nobili Lucía

Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina
Gómez Eliana

Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina

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APA Style

De Nobili Lucía, Gómez Eliana. (2022). Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Research & Development, 3(1), 28-33. https://doi.org/10.11648/j.rd.20220301.16

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ACS Style

De Nobili Lucía; Gómez Eliana. Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Res. Dev. 2022, 3(1), 28-33. doi: 10.11648/j.rd.20220301.16

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AMA Style

De Nobili Lucía, Gómez Eliana. Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age. Res Dev. 2022;3(1):28-33. doi: 10.11648/j.rd.20220301.16

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@article{10.11648/j.rd.20220301.16,
  author = {De Nobili Lucía and Gómez Eliana},
  title = {Cerebral Palsy in Childhood: Possible Relationship Between Nutritional Status and Gestational Age},
  journal = {Research & Development},
  volume = {3},
  number = {1},
  pages = {28-33},
  doi = {10.11648/j.rd.20220301.16},
  url = {https://doi.org/10.11648/j.rd.20220301.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rd.20220301.16},
  abstract = {Cerebral palsy (CP) is a term employed to define different physical disability syndromes. Children‘s nutritional status is highly related to their growth and general development. Gastrointestinal symptoms (GIS) are frequent and have influence on nutritional status (NS). It’s necessary to evaluate and treat these symptoms adequately to improve the NS. Generally, pre and perinatal risk factors are 85% of the causes and 35% of the cases are premature newborn. In this analytical, observational and cross-sectional study with retrospective data. It was included patients under 18 years with CP with GMFCS V with exclusive enteral nutrition, ambulatory patients in Hospital Nacional Profesor Alejandro Posadas from January to June 2021. The sample consisted of 36 patients with a median age of 66 months (pc 25 32-pc 75 133). 61% of the patients were born at term. 42% with a prenatal cause. The most frequent SGIs were constipation (33%) and GER (19%). The median for the P / E according to WHO was -2.7 SD (CI: -3.41 - 1.97) (underweight). 50% of them presented a P / E th percentile (higher risk of morbidity and mortality). We conclude that patients with postnatal CP had a nutritional diagnosis of underweight, in comparison with the CP diagnosed pre and perinatally. It was evidenced that the severe underweight, which was evaluated using WHO tables, coincides with the low percentiles of the Brooks table, indicating a higher risk of morbidity and mortality in underweight patients.},
 year = {2022}
}

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