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Multiple nutritional deficiencies in cerebral palsy compounding physical and functional impairments

机译:脑瘫的多种营养缺乏症会加剧身体和功能的损害

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Introduction: Cerebral palsy (CP) refers to a spectrum of disorders causing physical and intellectual morbidity. Macro and micro nutrient deficiencies often contribute to the subnormal physical and mental capabilities of them. Objectives: To assess the growth, nutritional status, physical and functional ability and quality of life in cerebral palsy children and to determine any relation with their gross motor and functional capabilities. Method: The study was conducted at a Tertiary Care Centre, with the participants in the age group 1-16 years. A pretested evaluation tool was prepared which included Anthropometric measurements, tests for hemoglobin and Vitamin D estimation, evidence of micronutrient deficiencies, Dietary patterns, Epidemiological factors, Functional assessment using GMFM (Gross Motor Function Measure ) and FIM (Functional Independent Measurement) scales and Quality of life (QOL) assessment. The data was statistically analyzed. Results: Out of the 41 children, 30 had quadriplegia, 3 had hemiplegia and 8 had spastic diplegia. 34 (82.9%) were severely underweight, 35 (85.4%) had severe stunting and 38 (92.7%) had severe wasting. Micronutrient deficiencies were noted like vitamin B complex deficiency in 37 (90.2%), vitamin A deficiency in 31 (75.6%), low vitamin D levels in 27 (65.9%) and insufficient levels in 9 (22%), severe anemia in 5 (12.2%) and moderate anemia in 26 (63.4%).The gross motor and functional scores were suboptimum in the majority of patients and the care givers had significant impairment in the quality of life. Conclusion: Majority of children with cerebral palsy had multiple nutritional deficiencies, gross motor and functional disabilities. QOL of the children and their care givers were suboptimum. A comprehensive package that address dietary intake, correction of micronutrient deficiencies especially anemia and vitamin D deficiency, physical and emotional support is recommended for the wellbeing of the affected children.
机译:简介:脑性瘫痪(CP)是指引起身体和智力发病的一系列疾病。大量和微量营养素缺乏通常会导致其身体和心理能力不正常。目的:评估脑瘫儿童的生长,营养状况,身体和功能能力以及生活质量,并确定与其总运动能力和功能能力的关系。方法:该研究在三级护理中心进行,参与者年龄在1-16岁之间。准备了一个预先测试的评估工具,其中包括人体测量,血红蛋白和维生素D评估测试,微量营养素缺乏症的证据,饮食模式,流行病学因素,使用GMFM(总运动功能测量)和FIM(功能独立测量)量表的质量评估和质量生活(QOL)评估。对数据进行统计分析。结果:在41名儿童中,四肢瘫痪30名,半身瘫痪3名,痉挛性截瘫8名。严重体重过轻的有34(82.9%),严重发育迟缓的有35(85.4%),严重消瘦的有38(92.7%)。微量营养素缺乏症被发现,如37种维生素B缺乏症(90.2%),31种维生素A缺乏症(75.6%),27种维生素D低水平(65.9%)和9种维生素D不足水平(22%),5例严重贫血(12.2%)和中度贫血者中有26人(63.4%)。大多数患者的运动和功能总评分未达最佳水平,护理人员的生活质量明显受损。结论:多数脑瘫患儿存在多种营养缺陷,严重运动障碍和功能障碍。儿童及其照顾者的生活质量未达到最佳水平。建议使用综合性解决方案,以解决饮食摄入,纠正微量营养素缺乏症(尤其是贫血和维生素D缺乏症),身体和情绪支持的问题,以使患病儿童的身心健康。

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