Public Health Authority, Riyadh 13354, Saudi Arabia.
The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW 2145, Australia.
Nutrients. 2021 Sep 15;13(9):3199. doi: 10.3390/nu13093199.
We aimed to estimate the burden and underlying risk factors of malnutrition among children and adolescents with cerebral palsy in Arabic-speaking countries.
OVID Medline, OVID Embase, CINAHL via EBSCO, Cochrane Library, and SCOPUS databases were searched up to 3 July 2021. Publications were reviewed to identify relevant papers following pre-defined inclusion/exclusion criteria. Two reviewers independently assessed the studies for inclusion. Data extraction was independently completed by two reviewers. Descriptive and pooled analysis has been reported.
From a total of 79 records screened, nine full-text articles were assessed for eligibility, of which seven studies met the inclusion criteria. Study characteristics, anthropometric measurements used, and nutritional outcome reported varied between the studies. The included studies contained data of total 400 participants aged 1-18 years. Overall, (mean: 71.46%, 95% confidence interval: 55.52-85.04) of children with cerebral palsy had at least one form of malnutrition. Severe gross motor function limitation, feeding difficulties, cognitive impairment and inadequate energy intake were the commonly reported underlying risk factors for malnutrition among children with cerebral palsy.
The burden of malnutrition is high among children with cerebral palsy in Arabic-speaking countries. More research is needed for better understanding of this public health issue in these countries.
我们旨在评估阿拉伯国家脑瘫儿童和青少年营养不良的负担和潜在危险因素。
我们对 OVID Medline、OVID Embase、CINAHL 通过 EBSCO、Cochrane 图书馆和 SCOPUS 数据库进行了检索，检索时间截至 2021 年 7 月 3 日。根据预先确定的纳入/排除标准，对出版物进行了回顾，以确定相关文献。两名评审员独立评估研究纳入情况。数据提取由两名评审员独立完成。报告了描述性和汇总分析。
从总共筛选出的 79 条记录中，有 9 篇全文文章符合纳入标准，其中 7 项研究符合纳入标准。研究特征、使用的人体测量学测量方法和报告的营养结果在研究之间存在差异。纳入的研究包含了 400 名年龄在 1 至 18 岁的脑瘫儿童的数据。总体而言，（平均值：71.46%，95%置信区间：55.52-85.04）的脑瘫儿童存在至少一种形式的营养不良。严重的粗大运动功能障碍、喂养困难、认知障碍和能量摄入不足是脑瘫儿童营养不良的常见潜在危险因素。
阿拉伯国家脑瘫儿童的营养不良负担很高。这些国家需要进一步研究以更好地了解这一公共卫生问题。
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