Body Mass Index In Children With Cerebral Palsy
Body Mass Index In Children With Cerebral Palsy
Keywords:
BMI, cerebral palsy, Gross motor function, Indian studyAbstract
Background: Review of literature suggest conflicting presence of undernourishment as well as over weightness in children with cerebral palsy. The purpose of present study is to analyse body mass index of children with different clinical types of cerebral palsy with respect to their gross motor functions using GMFCS. Methods: prospective cross sectional observational study was conducted on 50 children with CP (1- 18 yr old) at pediatric rehab centre. BMI (Kg/m2) was calculated. Abilities & limitations in gross motor functions were analyzed using GMFCS -E & R. Result: mean BMI of ambulatory & non ambulatory group were 13.82 kg/m2& 13.14 kg/m2 respectively. There was no significant difference in terms of BMI between both group with p value 0.187 & level of significance 5%. Pearson correlation test was applied between BMI and GMFCS Level and negative correlation was found with r = - 0.174. out of 50 patients 58% were having underweight. Amongst all underweight patients 34.48% were having Spastic quadriplegic CP. Conclusion: Underweight is prevalent in children with spastic quadriplegic CP. Therapeutic measures should be taken to prevent malnourishment.
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26. Stallings VA, Charney EB, Davies JC, CronkCE : Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol1993; 35: 997-1006.
27. Reilly S &Skuse D: The prevalence of feeding problems in pre-school children with cerebral palsy. Dev Med Child Neurol1994;36(5):214-220.
28. Dahl M, Thommessen M, Rasmussen Selberg: Feeding and nutritional characteristics in children with moderate or severe cerebral palsy.ActaPediatrScand1996; 85: 697-701.
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2. Coleridge P: Disability, Liberation and Development, Oxford; Oxfam Publications, 1993.
3. Bax M, Goldstein M, Rosenbaum P, et al: Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol2005;47:571–6
4. Sullivan PB. Gastrointestinal disorders in children with neurodevelopmentaldisabilities. DevDisabil Res Rev 2008;14:128–36.
5. Suzuki M, Saitoh S, Tasaki Y, Shimomura y, Makishima R, Hosoya N: Nutritional status and daily physical activity of handicapped students in Tokyo metropolitan schools for deaf, blind, mentally retarded, and physically handicapped individuals. Am J ClinNutr1991; 54: 1101-1111.
6. Thommessen M, Kase BF, Riis G, Heiberg A: The impact of feeding problems on growth and energy intake in children with cerebral palsy. EurJ Clin Health 1991; 45: 479-487
7. Stallings VA, Charney EB, Davies JC, CronkCE : Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol1993; 35: 997-1006
8. Willig TN, Carlier L, Legrand M, et al.: Nutritional assessment in Duchenne muscular dystrophy. Dev Med Child Neurol1993; 35: 1074-1082.
9. Fung EB, Samson-Fang L, Stallings VA, et al: Feedingdysfunction is associated with poor growth and healthstatus in children with cerebral palsy. J Am Diet Assoc 2002;102:361–73
10. Stevenson RD, Roberts CD, Vogtle L: The effects of nonnutritional factors on growth incerebral palsy. Dev MedChild Neurol1995;37:124–30
11. Stallings VA, Charney EB, Davies JC, Cronk CE: Nutritionalstatus and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol1993;35:997–1006
12. Hales CN, Barker DJ: The thrifty phenotype hypothesis. BrMed Bull 2002;60:5–20
13. Hales CN, Barker DJ, Clark PM, et al: Fetal and infant growth and impaired glucose tolerance at age 64. BMJ 1991;303:1010–22
14. Curhan GC, Chertow GM, Willett WC, et al: Birth weight and adult hypertension and obesity in women. Circulation 1996;94:1310–5
15. Bandini LG, Schoeller DA, Fukagawa NK, Wykes LJ, Dietz WH: Body composition and energy expenditure in adolescentswith cerebral palsy or myelodysplasia. Pediatr Res 1991;29:70–7
16. Stallings VA, Cronk CE, Zemel BS, Charney EB: Bodycomposition in children with spastic quadriplegic cerebralpalsy. J Pediatr1995;126:833–9
17. Azcue MP, Zello GA, Levy LD, Pencharz PB: Energy expenditureand body composition in children with spastic quadriplegiccerebral palsy. J Pediatr1996;129:870–6
18. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B: Development and reliability of a system toclassify gross motor function in children with cerebralpalsy. Dev Med Child Neurol1997;39:214–23
19. Steinberger J, Moran A, Hong CP, Jacobs DR Jr, Sinaiko AR: Adiposity in childhood predicts obesity and insulin resistancein young adulthood. J Pediatr2001;138:469–73
20. van den Berg-Emons HJ, Saris WH, de Barbanson DC, Westerterp KR, Huson A, van Baak MA: Daily physical activity of schoolchildren with spastic diplegia and of healthy control subjects. J Pediatr1995;127:578–84
21. Diwan S, Diwan J. A Study Of Feeding Problems In Children With Cerebral Palsy, NJIRM 2013; 4(1):78-86.
22. Sullivan PB, Lambert B, Rose M, Ford-Adams M, Johnson A: Prevalence and severity of feeding and nutritional problems in children with neurological impairement: Oxford Feeding Study. Development Med & Child Neurology 2000; 42: 674-680.
23. Fomon SJ, Haschke F, Ziegler EE, Nelson SE: Body composition of reference children from birth to age 10 years. American Journal of Clinical Nutrition 1982; 35: 1169-1175.
24. Waterman ET, Koltai PJ, Downey JC, Cacace AT: Swallowing disorders in a population of children with cerebral palsy. Int J of Paed Otorhinolaryngology 1992; 24: 63-71.
25. Thommessen M, Kase BF, Riis G, Heiberg A: The impact of feeding problems on growth and energy intake in children with cerebral palsy. Eur J Clin Health 1991; 45: 479-487.
26. Stallings VA, Charney EB, Davies JC, CronkCE : Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol1993; 35: 997-1006.
27. Reilly S &Skuse D: The prevalence of feeding problems in pre-school children with cerebral palsy. Dev Med Child Neurol1994;36(5):214-220.
28. Dahl M, Thommessen M, Rasmussen Selberg: Feeding and nutritional characteristics in children with moderate or severe cerebral palsy.ActaPediatrScand1996; 85: 697-701.
29. Yousafzai AK, Suzanne Filteau, SheilaWirz: Feeding difficulties in disabled children leads to malnutrition: experience in an Indian slum. British J of Nutrition 2003; 90: 1097-1106.
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Published
2014-02-28
How to Cite
Diwan, J., Diwan, S., & Bansal, A. (2014). Body Mass Index In Children With Cerebral Palsy: Body Mass Index In Children With Cerebral Palsy. National Journal of Integrated Research in Medicine, 5(1), 39–44. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2275
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