Cieri M E, Ruiz Brunner M M, Condinanzi A L, Escobar J, Gil C, Cuestas E
Instituto de Investigación en Ciencias de la Salud, Consejo Nacional de Investigación en Ciencias de la Salud, Consejo Nacional de Investigaciones Científicas y Técnicas (INICSA-UNC-CONICET), Universidad Nacional de Córdoba, Córdoba, Argentina.
Centro de Investigaciones en Nutrición Humana (CenINH), Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Eur J Clin Nutr. 2025 Apr;79(4):365-368. doi: 10.1038/s41430-024-01549-y. Epub 2024 Nov 26.
This study was to analyze the impact of dietary difficulties and gastrointestinal problems on the nutritional status of people with CP from 2-19 years old who attend rehabilitation centers in the province of Córdoba-Argentina.
This was a retrospective observational-cohort study. Data from 105 people of both sexes with a CP. Motor compromise was assessed with GMFCS. Multiple logistic regression models with a binomial response were used, with a p < 0.05.
63.8% boys were collected. The mean age was 11 y 6 m (SD 4,4). The dependence on a caregiver at mealtime presents 4 (p = 0.027) times more chances of having undernutrition than those who feed independently. Requiring a change in food consistency was almost 7 (p = 0.021) times more likely to present undernutrition.
A relationship was identified between dysphagia and constipation with a greater nutritional compromise. The food difficulties in those children with disorders highlights the need to implement specific and adapted nutritional strategies.
本研究旨在分析饮食困难和胃肠道问题对来自阿根廷科尔多瓦省康复中心的2至19岁脑瘫患者营养状况的影响。
这是一项回顾性观察队列研究。收集了105名患有脑瘫的男女患者的数据。使用粗大运动功能分类系统（GMFCS）评估运动功能障碍。采用二项式反应的多重逻辑回归模型，p < 0.05。
收集到63.8%为男孩。平均年龄为11岁6个月（标准差4.4）。用餐时依赖照顾者出现营养不良的几率是独立进食者的4倍（p = 0.027）。需要改变食物稠度出现营养不良的可能性几乎是7倍（p = 0.021）。
吞咽困难和便秘与更大的营养损害之间存在关联。这些患有疾病的儿童的饮食困难凸显了实施特定且合适的营养策略的必要性。
