Malnutrition is common in children with cerebral palsy in Saudi Arabia – a cross-sectional clinical observational study View Full Text


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Article Info

DATE

2019-12-10

AUTHORS

Abdul Rahman Almuneef, Ali Almajwal, Iftikhar Alam, Mahmoud Abulmeaty, Bader Al Bader, Mohamed Farouq Badr, May Almuammar, Suhail Razak

ABSTRACT

BackgroundCerebral palsy (CP) is considered as the main cause of severe physical impairment and malnutrition in children. This cross-sectional study intended to survey the nutritional status of children cerebral palsy in Riyadh, Saudi Arabia.MethodsWe examined 74 children (age: 1–10 yrs) with CP, who attended Sultan Bin Abdulaziz Humanitarian City (SBAHC), Riyadh Saudi Arabia. Data on age, general demographics, nutritional status, and dietary intake were collected. A child was considered underweight, wasted, stunted or thin if the standard deviation scores for his/her weight for age, weight for height, height for age and body mass index for age were ≤ −2.0 standard deviation (SD) using WHO growth standards. Multivariable logistic regression identified the factors associated with nutritional indicators.ResultsMore than half (56.4%) of the children with cerebral palsy were malnourished as they had z-score below <−2 SD in at least one of the four indicators. Thinness (50%) was the most common form of malnutrition, followed by underweight, stunting, and wasting. Arm anthropometrics gave similar results on the percent number of malnourished children. Factors that were independently associated with malnutrition with an adjusted OR (aOR) were as follow: age ≤ 5 yrs. (aOR: 4.29); presence of cognitive impairment (aOR: 4.13); presence of anemia (aOR: 3.41) and inadequate energy intake (aOR: 4.86) (p, for all trends <0.05).ConclusionChildren with cerebral palsy of the current study have impaired growth and nutritional status as assessed by all four common nutritional status indicators. Further large-scale community-based studies for in-depth evaluation of nutritional status and growth patterns in children with CP are needed. More... »

PAGES

317

References to SciGraph publications

  • 2013-12-04. Assessment of growth and nutrition in children with cerebral palsy in EUROPEAN JOURNAL OF CLINICAL NUTRITION
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    http://scigraph.springernature.com/pub.10.1186/s12883-019-1553-6

    DOI

    http://dx.doi.org/10.1186/s12883-019-1553-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1123268877

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31823743


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