Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina

Malnutrition in children and adolescents with cerebral palsy (CP) is multicausal. It can be linked to motor compromise and their eating and drinking ability, impacting on their nutritional status and growth. Objective: To analyze the association between age groups and the level of the Eating and Dri...

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Detalles Bibliográficos
Autores principales: Condinanzi, AL, Gil, C, Cieri , E, Ruiz Brunner, M, Escobar Zuluaga, LI, Sánchez , F, Ibalvaz, C, Cuestas, E
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
Cerebral palsy
Nutrition
Child
Parálisis cerebral
Nutrición
Niño
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42745
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-42745
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic Cerebral palsy
Nutrition
Child
Parálisis cerebral
Nutrición
Niño
spellingShingle Cerebral palsy
Nutrition
Child
Parálisis cerebral
Nutrición
Niño
Condinanzi, AL
Gil, C
Cieri , E
Ruiz Brunner, M
Escobar Zuluaga, LI
Sánchez , F
Ibalvaz, C
Cuestas, E
Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
topic_facet Cerebral palsy
Nutrition
Child
Parálisis cerebral
Nutrición
Niño
author Condinanzi, AL
Gil, C
Cieri , E
Ruiz Brunner, M
Escobar Zuluaga, LI
Sánchez , F
Ibalvaz, C
Cuestas, E
author_facet Condinanzi, AL
Gil, C
Cieri , E
Ruiz Brunner, M
Escobar Zuluaga, LI
Sánchez , F
Ibalvaz, C
Cuestas, E
author_sort Condinanzi, AL
title Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
title_short Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
title_full Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
title_fullStr Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
title_full_unstemmed Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina
title_sort relationship between growth, age and eating and drinking ability in children with cerebral palsy in argentina
description Malnutrition in children and adolescents with cerebral palsy (CP) is multicausal. It can be linked to motor compromise and their eating and drinking ability, impacting on their nutritional status and growth. Objective: To analyze the association between age groups and the level of the Eating and Drinking Ability Classification System (EDACS) with growth in children and adolescents with CP. Observational, descriptive, cross-sectional study. Children and adolescents with CP from five provinces of Argentina were included. Data were collected from the Argentine CP Register through surveys and clinical histories. The variables were nutritional status, EDACS level and age. Growth was assessed by calculating weight/age, height/age and BMI/age z-scores. Categorical variables were described as percentages with [95% CI]. Normal data was presented with mean and standard deviations and non-normal data with median and ranges. T-test or Mann-Whitney test was performed as applicable (p<0.05). 181 children and adolescents were included. 154 (84.6% [78.5-89.5]) were children and 28 (15.4% [10.4-21.4]) adolescents. 105 (65.6% [58.1-72.4]) had severe motor impairment. According to EDACS, 99 (61.5% [53.9-68.6]) were severely compromised (level III, IV and V). Regarding height/age z-scores, adolescents were more compromised with a median of -2.75; [-3.9;1.76] z-score than children -1.89; [-3.1; -0.70] (p= 0.0363). BMI/age was more compromised for adolescents with -2.38; [-3.9; -0.03] z-score. Children with severe level of  EDACS had more compromised in weight/age (median -2.21 [-3.6; -1.1] z-score, p=0.0001), height/age (median -2.66 [-3.7; -1.6] z-score, p=0.0363) and BMI/age (-1.49 [-2.7; 0.0] z-score, p=0.0001) compared to those with  mild level of EDACS. A relationship was observed between growth, age and EDACS level. There is greater compromise in growth in adolescents and those with severe compromise according to level of EDACS.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42745
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spelling I10-R327-article-427452023-10-19T21:19:23Z Relationship between growth, age and eating and drinking ability in children with cerebral palsy in Argentina Relación entre crecimiento, edad y nivel de habilidades para comer y beber en niños y niñas con parálisis cerebral en Argentina Condinanzi, AL Gil, C Cieri , E Ruiz Brunner, M Escobar Zuluaga, LI Sánchez , F Ibalvaz, C Cuestas, E Cerebral palsy Nutrition Child Parálisis cerebral Nutrición Niño Malnutrition in children and adolescents with cerebral palsy (CP) is multicausal. It can be linked to motor compromise and their eating and drinking ability, impacting on their nutritional status and growth. Objective: To analyze the association between age groups and the level of the Eating and Drinking Ability Classification System (EDACS) with growth in children and adolescents with CP. Observational, descriptive, cross-sectional study. Children and adolescents with CP from five provinces of Argentina were included. Data were collected from the Argentine CP Register through surveys and clinical histories. The variables were nutritional status, EDACS level and age. Growth was assessed by calculating weight/age, height/age and BMI/age z-scores. Categorical variables were described as percentages with [95% CI]. Normal data was presented with mean and standard deviations and non-normal data with median and ranges. T-test or Mann-Whitney test was performed as applicable (p<0.05). 181 children and adolescents were included. 154 (84.6% [78.5-89.5]) were children and 28 (15.4% [10.4-21.4]) adolescents. 105 (65.6% [58.1-72.4]) had severe motor impairment. According to EDACS, 99 (61.5% [53.9-68.6]) were severely compromised (level III, IV and V). Regarding height/age z-scores, adolescents were more compromised with a median of -2.75; [-3.9;1.76] z-score than children -1.89; [-3.1; -0.70] (p= 0.0363). BMI/age was more compromised for adolescents with -2.38; [-3.9; -0.03] z-score. Children with severe level of  EDACS had more compromised in weight/age (median -2.21 [-3.6; -1.1] z-score, p=0.0001), height/age (median -2.66 [-3.7; -1.6] z-score, p=0.0363) and BMI/age (-1.49 [-2.7; 0.0] z-score, p=0.0001) compared to those with  mild level of EDACS. A relationship was observed between growth, age and EDACS level. There is greater compromise in growth in adolescents and those with severe compromise according to level of EDACS. La malnutrición en niños y adolescentes con parálisis cerebral (PC) es multicausal. Pudiendo vincularse al compromiso motor y sus habilidades para comer y beber, impactando en el estado nutricional y el crecimiento. Objetivo: Evaluar la asociación entre los grupos de edad y el nivel de habilidad para comer y beber (EDACS) con el crecimiento en niños/as y adolescentes con PC. Estudio observacional, descriptivo y transversal. Se incluyeron niños y adolescentes con PC de cinco provincias de Argentina. Se recolectaron datos con el Registro Argentino de PC mediante encuestas, e historias clínicas. Las variables fueron estado nutricional, nivel de EDACS y edad. El crecimiento se valoró a partir del cálculo de puntajes z de peso/edad, talla/edad e IMC/edad. Las variables categóricas se describieron en porcentajes con [IC 95%]. Los datos normales con media y desvíos estándar y los no normales con mediana con sus rangos. Se realizó Test de T o de Mann-Whitney según correspondía (p<0,05). Se incluyeron 181 niños y adolescentes. 154 (84,6% [78,5-89,5]) eran niños y 28 (15,4% [10,4-21,4]) adolescentes. 105 (65,6% [58,1-72,4]) presentaban un compromiso motor severo. En relación al EDACS 99 (61,5% [53,9-68,6]) presentaban compromiso severo. Respecto a los puntajes z talla/edad, los adolescentes presentaron mayor compromiso con una mediana de -2,75; [-3,9;1.76] puntaje z que los niños -1,89; [-3,1; -0,70] (p= 0,0363). El IMC/edad tuvo mayor compromiso para adolescentes con -2,38; [-3,9; -0,03] puntaje z. Los niños con EDACS severo presentaron más compromiso en el peso/edad (mediana de -2.21 [-3.6; -1.1] puntaje z, p = 0,0001), en talla/edad (mediana -2.66 [-3.7; -1.6] puntaje z, p= 0,0363) e IMC/edad ( -1.49 [-2.7; 0.0] puntaje z, p= 0,0001) comparado con quienes tenían EDACS leve. Se observó una relación entre el crecimiento, la edad y nivel EDACS. Existe mayor compromiso en el crecimiento en adolescentes y quienes presentan un compromiso severo de EDACS. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42745 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42745/42875 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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