Association between gross motor function and nutritional status in children with cerebral palsy: a cross-sectional study from Colombia.

Abstract:

AIM:To determine the association between gross motor function and nutritional status in children with cerebral palsy (CP) residing in an urban area in a developing country. METHOD:We conducted a cross-sectional study in 177 children (ages 2-12y, 59.3% male) with a diagnosis of CP who were attending rehabilitation centres in Bucaramanga, Colombia (2012-2013). A physiotherapist evaluated patients using the Gross Motor Function Classification System (GMFCS, levels I to V). Nutritional status was evaluated by nutritionists and classified according to the World Health Organization growth charts. We used linear and multinomial logistic regression methods to determine the associations. RESULTS:There were 39.5%, 6.8%, 5.6%, 16.4%, and 31.6% patients classified in levels I to V respectively. The mean adjusted differences for weight-for-age, height-for-age, BMI-for-age, and height-for-weight z-scores were significantly larger for children classified in levels II to V compared with those in level I. The children classified in levels IV and V were more likely to have malnutrition (adjusted odds ratio [OR] 5.64; 95% confidence interval [CI] 2.27-14.0) and stunting (OR 8.42; 95% CI 2.90-24.4) than those classified in GMFCS levels I to III. INTERPRETATION:Stunting and malnutrition are prevalent conditions among paediatric patients with CP, and both are directly associated with higher levels of gross motor dysfunction.

journal_name

Dev Med Child Neurol

authors

Herrera-Anaya E,Angarita-Fonseca A,Herrera-Galindo VM,Martínez-Marín RD,Rodríguez-Bayona CN

doi

10.1111/dmcn.13108

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

936-41

issue

9

eissn

0012-1622

issn

1469-8749

journal_volume

58

pub_type

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