Prevalence and Causes of Malnutrition Among Children with Cerebral Palsy in Maternity and Children Hospital, AIMadinahAIMonawarah, KSA
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Cerebral palsy (CP) is a condition marked by impaired muscle coordination, typically caused by damage to the brain before or at birth. Poor growth and malnutrition are important secondary health conditions impacting the health of children with CP. Objectives: To evaluate the nutritional status of children with CP and identify the causes of malnutrition among those patients. Subjects and Methods: In a Retrospective study; information was collected from the medical records using data collection sheet for 119 CP patients attending the hospital from 2012 to 2016. Data collection followed the same approach for all the studied subjects using one study form. Results: Out of the 119 studied patients 84.9% were underweight for age while only 2.5% were overweight with the remaining subjects were within the normal range. Most common symptoms encountered were chewing, swallowing and suckling difficulties among 70, 63 & 37% respectively, aspiration among 49.6%, vomiting among 31.3%, seizures among 79.8% and dental caries in 16.8%. It was observed that malnutrition is more prevalent in CP patients with associated medical complications, so malnutrition was prevalent among(89.3%) of patients suffering from chest infection 50%, among those who reported aspiration pneumonia and (90.5%), of patients with seizures. 6.7% of the subjects had food allergy all of which were malnourished, likewise 7.6% of the patients were suffering from abdominal pain and all were malnourished. Stunted growth affected 81.5% of the subjects and it significantly affected those with poor appitite and difficult swallowing. Conclusion: Malnutrition is prevalent among CP children. Multiple associated factors are responsible for this situation. Recommendations: Professional nutrition support should be an integral part of the management of these children and nutritional intervention should be provided early to ensure adequate growth, to improve quality of life, to reduce disease complications and to optimize functional status.
Authors and Affiliations
Assem A. Alblowi, Raneem A. AlMutairi, Reem M. Ghabbany, Ahmed M. Manaa, Moatasem M. Alouf, Bayan H. Alraddady, Ghadi K. Ternati, Sahar A. Hammouda
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