Clinical Nutrition Lab, Nutrition/Dietetics Department, Alexander Technological Education Institute of Thessaloniki, Greece.
Acta Paediatr. 2012 Jun;101(6):649-54. doi: 10.1111/j.1651-2227.2012.02641.x. Epub 2012 Mar 24.
To assess the nutrition status of children with CP, applying WHO growth standards, to indentify feeding risk factors and to evaluate their impact on the growth of children with CP.
In 42 paediatric patients (mean age 8.00 ± 4.00 years), anthropometry and food intake records were assessed. z-scores were calculated using WHO Anthro software. Intake to requirements ratio (I/R) was calculated, and patients were classified according to their feeding ability (PFA). Overall diet quality was assessed using the Diet Quality Index International (DQI-I).
Based on WAz, 15 patients (38.1%) were undernourished. No association was found between I/R ratio and BMI z-score, while PFA and DQI-I displayed a significant correlation to both (p < 0.05). Diet Quality Index International was also correlated with macronutrient distribution (p < 0.05). Patients with CP were undernourished in a considerable proportion. Malnutrition in patients with CP is not associated with the intake of estimated energy requirements. Among the other feeding risk factors studied, PFA and DQI-I represented important parameters associated with malnutrition.
WHO z-scores represent accurate parameters for the assessment of malnutrition in patients with CP. Together with anthropometry and PFA evaluation, the use of the DQI-I would add prognostic value to both the initial growth assessment and the patients' growth monitoring.
应用世界卫生组织（WHO）生长标准评估脑瘫患儿的营养状况，确定喂养风险因素，并评估其对脑瘫患儿生长的影响。
对 42 名儿科患者（平均年龄 8.00±4.00 岁）进行人体测量和食物摄入量记录评估。使用 WHO Anthro 软件计算 z 分数。计算摄入量与需求量比（I/R），并根据喂养能力（PFA）对患者进行分类。使用国际膳食质量指数（DQI-I）评估整体饮食质量。
根据 WAz，15 名患者（38.1%）存在营养不良。I/R 比值与 BMI z 评分之间无相关性，而 PFA 和 DQI-I 与两者均显著相关（p<0.05）。DQI-I 还与宏量营养素分布相关（p<0.05）。相当比例的脑瘫患儿存在营养不良。脑瘫患儿的营养不良与估计能量需求的摄入量无关。在研究的其他喂养风险因素中，PFA 和 DQI-I 是与营养不良相关的重要参数。
WHO z 评分是评估脑瘫患儿营养不良的准确参数。与人体测量和 PFA 评估相结合，使用 DQI-I 将为初始生长评估和患者生长监测提供预后价值。
