Melunovic Melika, Hadzagic-Catibusic Feriha, Bilalovic Vildan, Rahmanovic Samra, Dizdar Selma
Pediatric Gastroenterology and Hepatology Department, Pediatric Clinic 1, Discipline for the child's health, Clinical Centre of Sarajevo University, Bosnia and Herzegovina.
Pediatric Neurology Department, Pediatric Clinic 2, Discipline for the child's health Clinical Centre of Sarajevo University, Bosnia and Herzegovina.
Mater Sociomed. 2017 Mar;29(1):68-72. doi: 10.5455/msm.2017.29.68-72.
Patients with cerebral palsy (CP), besides the basic neurological damage, are also often undernourished. Adequate nutrition for children is very important during the period of intensive growth and development, which is of particular importance in patients with CP.
To evaluate the nutritional status of patients with CP who are treated at the Pediatric Clinic, Clinical Centre of Sarajevo University and causes of malnutrition in these patients.
Eighty patients with CP underwent anthropometric assessment (body weight, body height, body mass index, head circumference, subscapular skinfold thickness, triceps skinfold thickness and mid upper arm muscle circumference). Severity of CP was classified based on the Gross Motor Function Classification System (GMFCS). We compared the anthropometric parameters of our patients with normal values of healthy children, as well as with degree of motor impairment, oromotor dysfunction, feeding assistance, length of meals and daily feeding time.
There were significant differences in all monitored parameters in relation to normal values, with 38 (47.5%) malnourished patients in the total group, out of which 29 (63.0%) with severe motor impairment and with 9 (11.3%) obese patients in the total group. The presence of oromotor dysfunction and other monitored parameters had a significant impact on the nutritional status of these patients.
In severely disabled patients with CP there is a risk of profound malnutrition. Early identification and treatment of these patients is very important for their growth, development and health.
脑瘫（CP）患者除了基本的神经损伤外，还常常营养不良。在儿童快速生长发育阶段，充足的营养非常重要，这对脑瘫患者尤为关键。
评估在萨拉热窝大学临床中心儿科诊所接受治疗的脑瘫患者的营养状况以及这些患者营养不良的原因。
对80例脑瘫患者进行人体测量评估（体重、身高、体重指数、头围、肩胛下皮褶厚度、肱三头肌皮褶厚度和上臂中部肌肉周长）。根据粗大运动功能分类系统（GMFCS）对脑瘫严重程度进行分类。我们将患者的人体测量参数与健康儿童的正常值进行比较，同时也与运动障碍程度、口运动功能障碍、喂养辅助、进餐时长和每日喂养时间进行比较。
与正常值相比，所有监测参数均存在显著差异，总共有38例（47.5%）患者营养不良，其中29例（63.0%）存在严重运动障碍，总共有9例（11.3%）肥胖患者。口运动功能障碍和其他监测参数的存在对这些患者的营养状况有显著影响。
重度残疾的脑瘫患者存在严重营养不良的风险。对这些患者进行早期识别和治疗对其生长、发育和健康非常重要。
