Evaluation of food intake, weight and body composition in children with cerebral palsy / Avaliação da ingestão alimentar, peso e composição corporal em crianças com paralisia cerebral

Lidiana de Souza Holanda, Margarida Maria de Castro Antunes, Fabiana Cristina Lima da Silva Pastich Gonçalves, Bruna Merten Padilha, Maria Lúcia Diniz Araújo, Leila Virgínia da Silva Prado, Poliana Coelho Cabral

Abstract


Aim: We investigated food intake, weight and body composition evaluation in children with cerebral palsy.

Method: A case-series study was conducted involving 53 children with mild to moderate motor impairment. Food intake was estimated and bioimpedance was used to determine body composition, with the calculation of the free fat mass index and fat mass index (FMI). The anthropometric profile was determined using z-scores of the following indices: height-for-age (zH/A), weight-for-age (zW/A) and body mass index-for-age (zBMI/A).

Results: Height deficit was found in 7.5% of the children. Excess weight was found in 20.8% (zW/A) and 30.2% (zBMI/A). The prevalence of underweight was 7.5% (zW/A) and 5.7% (zBMI/A). Excess fat mass was found in 77.4%. No associations were found between excess fat mass or fat-free mass and excess weight or calorie intake. Height was positively correlated with age, mobility and zH/A. FMI was positively correlated with age and height. Lipid intake was positively correlated with age, height and FMI.

Conclusion: The nutritional status and food intake of the children analyzed in the study was similar to that of children without neurological disease, possibly due to the lower degree of motor impairment.


Keywords


Cerebral Palsy, Nutritional Status, Food Intake, Body Composition, Anthropometry.

Full Text:

PDF

References


Oftedal S, Davies PSW, Boyd RN, Stevenson RD, Ware RS, Keawutan P. et al. Body composition, diet, and physical activity: a longitudinal cohort study in preschoolers with cerebral palsy. Am J Clin Nutr. 2017;105(2):368-378. https://doi: 10.3945/ajcn.116.137810

Walker JL, Bell KL, Stevenson RD, Weir KA, Boyd RN, Davies PSW. Relationships between dietary intake and body composition according to gross motor functional ability in preschool-aged children with cerebral palsy. Ann Nutr Metab. 2012;61:349–357. https://doi.org/10.1159/000342557

Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: norma técnica do Sistema de Vigilância Alimentar e Nutricional – SISVAN. Brasília: Ministério da Saúde, 2011. 76p. (Série G. Estatística e Informação em Saúde)

Stevenson R, Roberts C, Vogtle L. The effects of non-nutritional factors on growth in cerebral palsy. Dev Med Child Neurol. 1995;37(2):124-130. https://doi.org/10.1111/j.1469-8749.1995.tb11981.x

World Health Organization. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age – Methods and development. WHO (nonserial publication). Geneva, Switzerland: WHO, 2006.

World Health Organization. WHO. Deonis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 2007:WHO, 2007.

Heyward, V; Stolarczyk, L. Avaliação da Composição Corporal Aplicada. 1 ed. São Paulo: Manole. 2000. 241p.

Bell KL, Boyd RN, Walker JL, Stevenson RD, Davies PSW. The use of bioelectrical impedance analysis to estimate total body water in Young children with cerebral palsy. Clinical Nutrition.2013;32:579-584. http:// 10.1038/ejcn.2013.223

Fomon SJ, Haschke, F, Ziegler EE, Nelson SE. Body composition of reference children from birth to age 10 years. Am J Clin Nutr.1982;35(5):1169-1175. http:// 10.1093/ajcn/35.5.1169

Wells JCK, Cole TJ. Adjustment of fat-free mass and fat mass for height in children aged 8 years. J Obes Relat Metab Disord. 2002;26(7):947-952.

Laurson KR, Eisenmann JC, Welk GJ. Body fat percentile curves for U.S. children and adolescents. Am J Prev Med. 2011;41(4):87-92.

Lohman TG. The use of skinfold to estimate body fatness on children and youth. JOPERD. 1987;58(9):98-103. https://doi.org/10.1080/07303084.1987.10604383

Institute of Medicine. Dietary reference intake for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington: The National Academies Press; 2002.

Guenther, PM.; Kott OS.; Carriquiri, AL. Development of an approach for estimating usual nutrient intake distributions at the population level. J Nutr. 1997;127(6):1106-1112. http:// 10.1093/jn/127.6.1106

Carriquiri, AL. Assessing the prevalence of nutrient inadequacy. Public Health Nutr. 1999;2(1):23-33.

III Pesquisa Estadual de Saúde e Nutrição (PESN). Situação Alimentar, nutricional e de saúde no estado de Pernambuco: contexto socioeconômico e de serviços. Departamento de Nutrição-UFPE, Instituto Materno Infantil de Pernambuco e Secretaria Estadual de Saúde de Pernambuco, 2008.

Pascoe J, Thomason P, Graham HK, Reddihough D, Sabin MA. Body mass index in ambulatory children with cerebral palsy: a cohort study. J Paediatr Child Health. 2016; 52(4):417-421. https://doi.org/10.1111/jpc.13097

Rogozinski BM, Davids JR, Davis RB, Christopher LM, Anderson JP, Jameson GG. et al. Prevalence of obesity in ambulatory children with cerebral palsy. J Bone Joint Surg Am. 2007;89(11):2421-2426.

Park ES, Chang WH, Park JH, Yoo JK, Kim SM, Rha DW. Childhood obesity in ambulatory children and adolescentes with spastic cerebral palsy in Korea. 2011;42(2):60-66. http:// 10.2106/JBJS.F.01080

Wang F, Cai Q, Shi W, Jiang H, Li N, Ma D. et al. A Cross-sectional Survey of Growth and Nutritional Status in Children With Cerebral Palsy in West China. Pediatr Neurol. 2016;58:90-97. https://doi.org/10.1016/j.clnesp.2018.05.002

Stevenson RD, Conaway M, Chumlea WC, Rosenbaum C, Fung EB, Henderson RC. et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics. 2006;118(3):1010-1018.

Walker JL, Bell KL, Stevenson RD, Weir KA, Boyd RN, Davies PS. Differences in body composition according to functional ability in preschool-aged children with cerebral palsy. Clin Nutr. 2015;34(1):140-145.

Mathewson MA, Lieber RL. Pathophysiology of Muscle Contractures in Cerebral Palsy. Phys Med Rehabil Clin Am. 2015;26(1):57-67. http://doi. 10.1016/j.pmr.2014.09.005

Sangermano M, D’Aniello R, Massa G, Albano R, Pisano P, Budetta M. et al. Nutritional problems in children with neuromotor disabilities: an Italian case series. Ital J Pediatr. 2014;40-61. https://doi: 10.1186/1824-7288-40-61

Carvalho CA, Fonsêca PCA, Priore SE, Franceschini SCC, Novaes JF. Consumo alimentar e adequação nutricional em crianças brasileiras: revisão sistemática. Rev Paul Pediatr. 2015;33(2):211-221. http://dx.doi.org/10.1016/j.rpped.2015.03.0020103-0582/

Fidelis CM, Osório MM. Dietary intake of macro and micro-nutrients by children under five years of age in the State of Pernambuco, Brazil. Rev Bras Saúde Matern Infant. 2007;7(1):63-74. http://dx.doi.org/10.1590/S1519-38292007000100008




DOI: https://doi.org/10.34117/bjdv6n11-051

Refbacks

  • There are currently no refbacks.