Samson-Fang Lisa, Fung Ellen, Stallings Virginia A, Conaway Mark, Worley Gordon, Rosenbaum Peter, Calvert Randy, O'donnell Maureen, Henderson Richard C, Chumlea W Cameron, Liptak Gregory S, Stevenson Richard D
University of Utah, Salt Lake City, USA.
J Pediatr. 2002 Nov;141(5):637-43. doi: 10.1067/mpd.2002.129888.
To describe nutritional status in a population-based sample of children with moderate or severe cerebral palsy (CP) and to explore the relationships between nutritional status and health and functional outcomes.
A population-based strategy was used to enroll children with CP at 6 geographic sites. Research assistants performed anthropometric assessment, determined severity of motor impairment, and interviewed caregivers with the Child Health Questionnaire and a questionnaire designed specifically for this study. Anthropometric measures were converted to Z scores and the relationship between health and nutritional status was assessed using regression models.
Among the 235 participants, indicators of malnutrition were common. Poor nutritional status correlated with increased health care utilization (hospitalizations, doctor visits) and decreased participation in usual activities by the child and parent.
Malnutrition is common in children with moderate or severe CP and associated with poorer health status and limitations in societal participation. Further studies are needed to determine the nature of these associations and how to manage nutrition in children with CP to optimize growth and health outcomes.
描述以人群为基础的中重度脑瘫（CP）患儿样本的营养状况，并探讨营养状况与健康及功能结局之间的关系。
采用基于人群的策略，在6个地理区域招募CP患儿。研究助理进行人体测量评估，确定运动障碍的严重程度，并使用儿童健康问卷和专门为本研究设计的问卷对照料者进行访谈。人体测量指标转换为Z评分，并使用回归模型评估健康与营养状况之间的关系。
在235名参与者中，营养不良指标很常见。营养状况不佳与医疗保健利用率增加（住院、就诊）以及儿童和家长参与日常活动减少相关。
中重度CP患儿中营养不良很常见，且与较差的健康状况和社会参与受限有关。需要进一步研究以确定这些关联的性质，以及如何管理CP患儿的营养以优化生长和健康结局。
