Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.

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During meal, children and teenagers with cerebral palsy (CP) present difficulties that may lead to affect growth and body composition. The objective of this study was to establish the relationship between the eating and drinking ability level (according to the Eating and Drinking Ability Classi...

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Autores principales: Caramuti, R, Murray, MA, Salazar, NA, Cieri, ME, Cuestas, E, Ruiz Brunner, MM
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
cerebral palsy
feeding
deglutition
children
parálisis cerebral;
bebida;
comida principal;
niños
deglución
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25666
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
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container_title_str Revistas de la UNC
language Español
format Artículo revista
topic cerebral palsy
feeding
deglutition
children
parálisis cerebral;
bebida;
comida principal;
niños
deglución
spellingShingle cerebral palsy
feeding
deglutition
children
parálisis cerebral;
bebida;
comida principal;
niños
deglución
Caramuti, R
Murray, MA
Salazar, NA
Cieri, ME
Cuestas, E
Ruiz Brunner, MM
Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
topic_facet cerebral palsy
feeding
deglutition
children
parálisis cerebral;
bebida;
comida principal;
niños
deglución
author Caramuti, R
Murray, MA
Salazar, NA
Cieri, ME
Cuestas, E
Ruiz Brunner, MM
author_facet Caramuti, R
Murray, MA
Salazar, NA
Cieri, ME
Cuestas, E
Ruiz Brunner, MM
author_sort Caramuti, R
title Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
title_short Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
title_full Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
title_fullStr Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
title_full_unstemmed Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
title_sort eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy.
description During meal, children and teenagers with cerebral palsy (CP) present difficulties that may lead to affect growth and body composition. The objective of this study was to establish the relationship between the eating and drinking ability level (according to the Eating and Drinking Ability Classification System, EDACS), and postural and swallowing observable characteristics during meals. The participants were 2019 children and teenagers with CP at the therapeutic center F.A.R.O.S. from Córdoba. Observational, cross-sectional study. Observations of children and teenagers were made during lunch within the facility, using an ad hoc observation guide. The sampling was intentionally designed. The variables were EDACS levels, nutritional status, postural and swallowing observable characteristics during mealtime. Normal variables were described in means with their SD, those not normal in medians with their ranges and discretes in percentages with CI95%. To analyze the association between variables, Fisher's Exact Test was performed (p<0.05). Statistical calculations were accomplished with MedCalc software version 12.5.0.0. It was approved by the Health Research Ethics Evaluation Board (REPIS No. 3262/3236) and participants gave their informed consent. Sample composed by 27 children/teenagers, aged 7 between 19 years old, who attend the facility. 18 children showed less commitment (EDACS level I-II) (66.70% [46.07-83.51]), and 9 more commitment (EDACS level III-IV) (33.30% [16.5-53.9]) swallowing levels. 18 children showed undernutrition (66.6% [46.1-83.5]), mainly in EDACS level III-IV. EDACS level I-II and III-IV were compared, to analyze significant differences between both groups. Those with EDACS level I-II could balance their head (p = 0.000035) and align it with the neck and spine to a greater extent (p=0.000004) at mealtime. Those with EDACS level III-IV had cough (p=0.01) and sialorrhea during lunch (p=0.04). Constant sialorrhea was not associated with EDACS levels (p=0.42). There are observable variables related to posture and swallowing that may be linked to the eating and drinking ability level in children with CP, which may prove useful for clinical evaluation.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25666
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spelling I10-R10-article-256662019-11-11T21:18:27Z Eating and drinking ability level and its relationship with postural and swallowing characteristics in children with cerebral palsy. Nivel de habilidades al momento de comer/beber y su relación con características posturales y deglutorias en niños/as con parálisis cerebral. Caramuti, R Murray, MA Salazar, NA Cieri, ME Cuestas, E Ruiz Brunner, MM cerebral palsy feeding deglutition children parálisis cerebral; bebida; comida principal; niños deglución During meal, children and teenagers with cerebral palsy (CP) present difficulties that may lead to affect growth and body composition. The objective of this study was to establish the relationship between the eating and drinking ability level (according to the Eating and Drinking Ability Classification System, EDACS), and postural and swallowing observable characteristics during meals. The participants were 2019 children and teenagers with CP at the therapeutic center F.A.R.O.S. from Córdoba. Observational, cross-sectional study. Observations of children and teenagers were made during lunch within the facility, using an ad hoc observation guide. The sampling was intentionally designed. The variables were EDACS levels, nutritional status, postural and swallowing observable characteristics during mealtime. Normal variables were described in means with their SD, those not normal in medians with their ranges and discretes in percentages with CI95%. To analyze the association between variables, Fisher's Exact Test was performed (p<0.05). Statistical calculations were accomplished with MedCalc software version 12.5.0.0. It was approved by the Health Research Ethics Evaluation Board (REPIS No. 3262/3236) and participants gave their informed consent. Sample composed by 27 children/teenagers, aged 7 between 19 years old, who attend the facility. 18 children showed less commitment (EDACS level I-II) (66.70% [46.07-83.51]), and 9 more commitment (EDACS level III-IV) (33.30% [16.5-53.9]) swallowing levels. 18 children showed undernutrition (66.6% [46.1-83.5]), mainly in EDACS level III-IV. EDACS level I-II and III-IV were compared, to analyze significant differences between both groups. Those with EDACS level I-II could balance their head (p = 0.000035) and align it with the neck and spine to a greater extent (p=0.000004) at mealtime. Those with EDACS level III-IV had cough (p=0.01) and sialorrhea during lunch (p=0.04). Constant sialorrhea was not associated with EDACS levels (p=0.42). There are observable variables related to posture and swallowing that may be linked to the eating and drinking ability level in children with CP, which may prove useful for clinical evaluation. Los niños y adolescentes con parálisis cerebral (PC) presentan dificultades al momento de comer/beber que llevarían a afectar el crecimiento y la composición corporal. El objetivo fue establecer la relación entre el nivel de habilidad para comer y beber (según la clasificación internacional EDACS), con características posturales y deglutorias observables al momento de la comida en niños y adolescentes con PC del centro educativo terapéutico F.A.R.O.S. de Córdoba, en el año 2019. Estudio observacional, transversal. Se realizaron observaciones de los niños y adolescentes durante el momento del almuerzo en la institución, utilizando una guía de observación ad hoc. El muestreo fue intencional. Las variables fueron  niveles de EDACS, estado nutricional, características posturales y deglutorias observables al momento de la comida. Las variables normales se describieron en medias con sus DE, las no normales en medianas con sus rangos y las discretas en porcentajes con IC95%. Para analizar la asociación entre variables se realizó Test exacto de Fisher (p<0.05). Los cálculos estadísticos se realizaron con el software MedCalc versión 12.5.0.0. Se contó con aprobación del Consejo de Evaluación Ética de la Investigación en Salud (REPIS N° 3262/3236) y con el consentimiento informado de participantes. Muestra compuesta por 27 niños/adolescentes concurrentes a la institución, de 7 a 19 años. 18 niños presentaban niveles menos comprometidos en la deglución (EDACS nivel I-II) (66,70% [46,07-83,51]), y 9 más comprometidos (EDACS nivel III-IV) (33,30% [16,5-53,9]). 18 niños presentaban desnutrición (66,6% [46,1-83,5]), observándose en mayor medida en los niveles EDACS III-IV. Se comparó entre EDACS nivel I-II y nivel III-IV, analizando  diferencias significativas entre los grupos. Aquellos con EDACS nivel I-II al momento de comer podían equilibrar su cabeza (p=0,000035) y alinear la cabeza, el cuello y la columna en mayor medida (p=0,000004). Quienes tenían EDACS nivel III-IV presentaron tos (p=0,01) y sialorrea durante la comida (p=0,04). La sialorrea constante no se asoció con los niveles de EDACS (p=0,42). Existen variables observables vinculadas a la postura y deglución, que estarían vinculadas con el nivel de habilidades al momento de comer y beber en los niños con PC, resultando útiles para la evaluación clínica. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25666 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/25666/27380 Derechos de autor 2019 Universidad Nacional de Córdoba

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