Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Acta Paediatr. 2012 Jan;101(1):92-8. doi: 10.1111/j.1651-2227.2011.02412.x. Epub 2011 Aug 2.
The aim was to estimate the prevalence of feeding and nutritional problems in children with cerebral palsy (CP) in Norway.
Data were abstracted from the Norwegian CP Register for 661 (368 boys) children born 1996-2003 (mean age 6 years 7 months; SD: 1.5). For children born from 1999 to 2003, weight and height were available. Body mass index (BMI) (kg/m(2)) was used to assess nutritional status.
One hundred and thirty-two (21%) children with CP were completely dependent on assistance during feeding. The prevalence of gastrostomy tube feeding was 14%. Longer duration of gastrostomy tube feeding was associated with higher weight and BMI, but not with height. Only 63% of the children with CP had normal BMI, 7% had grade 3 thinness, while the prevalence of overweight and obesity in our study was 16%. In all, 20% of the children had mean z-scores for weight and/or height below - 2 SD.
Feeding problems in children with CP were common and associated with poor linear growth. A high proportion of the children were undernourished. Moreover, our results suggest that gastrostomy tube feeding may have been introduced too late in some children.
评估挪威脑瘫（CP）儿童的喂养和营养问题的患病率。
从挪威 CP 登记处提取了 1996-2003 年出生的 661 名（368 名男孩）儿童的数据（平均年龄 6 岁 7 个月；SD：1.5）。对于 1999 年至 2003 年出生的儿童，可获得体重和身高。体重指数（BMI）（kg/m²）用于评估营养状况。
132 名（21%）CP 儿童在喂养过程中完全依赖于帮助。胃造口管喂养的患病率为 14%。胃造口管喂养时间较长与体重和 BMI 较高有关，但与身高无关。只有 63%的 CP 儿童 BMI 正常，7%的儿童消瘦程度为 3 级，而本研究中超重和肥胖的患病率为 16%。总共有 20%的儿童体重和/或身高的平均 z 分数低于-2SD。
CP 儿童的喂养问题很常见，并与线性生长不良有关。相当一部分儿童营养不良。此外，我们的结果表明，胃造口管喂养在某些儿童中可能引入得太晚。
