Ruiz Brunner María de Las Mercedes, Cieri Maria E, Rodriguez Marco Maria P, Schroeder A Sebastian, Cuestas Eduardo
Instituto de Investigación en Ciencias de la Salud, Consejo Nacional de Investigaciones Científicas y Técnicas, Universidad Nacional de Córdoba, Cordoba, Argentina.
Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Dev Med Child Neurol. 2020 Dec;62(12):1383-1388. doi: 10.1111/dmcn.14667. Epub 2020 Sep 6.
To describe the nutritional status of children with cerebral palsy (CP) from rehabilitation and therapeutic centers in Argentina, and to analyze their risk of undernutrition based on their Gross Motor Function Classification System (GMFCS) level.
This was a cross-sectional study with data collected from 321 children (196 males, 125 females) with CP age 2 to 19 years (mean age 9y 3mo, SD 4y 5mo) from 17 rehabilitation and therapeutic centers in five Argentine provinces. Nutritional status was defined by height, weight, and body mass index for age z-scores using World Health Organization growth charts. Odds ratios were used to evaluate the association between GMFCS level and nutritional status.
Of the children with CP studied, 52.4% were in GMFCS levels IV and V. Regarding the nutritional status, 41.7% were normal, 19.0% had moderate undernutrition, 33.9% severe undernutrition, 2.5% overweight, and 2.8% obese. When compared to those in GMFCS levels I to III, the odds of children in GMFCS levels IV and V having moderate undernutrition are four times greater and the odds of having severe undernutrition are 14 times greater.
There is a high prevalence of undernutrition associated with CP (GMFCS levels IV and V) among children in rehabilitation and therapeutic centers in Argentina. Risk of severe undernutrition increases with increased motor compromises.
描述来自阿根廷康复与治疗中心的脑瘫（CP）患儿的营养状况，并根据其粗大运动功能分类系统（GMFCS）水平分析其营养不良风险。
这是一项横断面研究，收集了来自阿根廷五个省份17个康复与治疗中心的321名2至19岁（平均年龄9岁3个月，标准差4岁5个月）的CP患儿（196名男性，125名女性）的数据。使用世界卫生组织生长图表，通过身高、体重和年龄别体重指数z评分来定义营养状况。采用比值比来评估GMFCS水平与营养状况之间的关联。
在研究的CP患儿中，52.4%处于GMFCS IV级和V级。关于营养状况，41.7%正常，19.0%有中度营养不良，33.9%有重度营养不良，2.5%超重，2.8%肥胖。与GMFCS I级至III级的患儿相比，GMFCS IV级和V级的患儿出现中度营养不良的几率高四倍，出现重度营养不良的几率高14倍。
在阿根廷康复与治疗中心的儿童中，与CP（GMFCS IV级和V级）相关的营养不良患病率很高。重度营养不良的风险随着运动功能损害的增加而增加。
