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

作者：Herrera Anaya Elizabeth; Angarita Fonseca Adriana; Herrera Galindo Victor M; Martinez Marin Rocio D P; Rodriguez Bayona Cindy N

来源：Developmental Medicine and Child Neurology, 2016, 58(9): 936-941.

DOI：10.1111/dmcn.13108

<jats:sec><jats:title>Aim</jats:title><jats:p>To determine the association between gross motor function and nutritional status in children with cerebral palsy (<jats:styled-content style="fixed-case">CP</jats:styled-content>) residing in an urban area in a developing country.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>We conducted a cross‐sectional study in 177 children (ages 2–12y, 59.3% male) with a diagnosis of <jats:styled-content style="fixed-case">CP</jats:styled-content> who were attending rehabilitation centres in Bucaramanga, Colombia (2012–2013). A physiotherapist evaluated patients using the Gross Motor Function Classification System (<jats:styled-content style="fixed-case">GMFCS</jats:styled-content>, 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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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, <jats:styled-content style="fixed-case">BMI</jats:styled-content>‐for‐age, and height‐for‐weight z‐scores were significantly larger for children classified in levels <jats:styled-content style="fixed-case">II</jats:styled-content> to V compared with those in level I. The children classified in levels <jats:styled-content style="fixed-case">IV</jats:styled-content> and V were more likely to have malnutrition (adjusted odds ratio [<jats:styled-content style="fixed-case">OR</jats:styled-content>] 5.64; 95% <jats:styled-content style="fixed-case">confidence interval [CI]</jats:styled-content> 2.27–14.0) and stunting (<jats:styled-content style="fixed-case">OR</jats:styled-content> 8.42; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 2.90–24.4) than those classified in <jats:styled-content style="fixed-case">GMFCS</jats:styled-content> levels I to <jats:styled-content style="fixed-case">III</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Interpretation</jats:title><jats:p>Stunting and malnutrition are prevalent conditions among paediatric patients with CP, and both are directly associated with higher levels of gross motor dysfunction.</jats:p></jats:sec>

• 出版日期2016-9