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Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active pr...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769778/ https://www.ncbi.nlm.nih.gov/pubmed/31500109 http://dx.doi.org/10.3390/nu11092132 |
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author | Karim, Tasneem Jahan, Israt Dossetor, Rachael Giang, Nguyen Thi Huong Van Anh, Nguyen Thi Dung, Trinh Quang Chau, Cao Minh Van Bang, Nguyen Badawi, Nadia Khandaker, Gulam Elliott, Elizabeth |
author_facet | Karim, Tasneem Jahan, Israt Dossetor, Rachael Giang, Nguyen Thi Huong Van Anh, Nguyen Thi Dung, Trinh Quang Chau, Cao Minh Van Bang, Nguyen Badawi, Nadia Khandaker, Gulam Elliott, Elizabeth |
author_sort | Karim, Tasneem |
collection | PubMed |
description | Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children. |
format | Online Article Text |
id | pubmed-6769778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-67697782019-10-30 Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action Karim, Tasneem Jahan, Israt Dossetor, Rachael Giang, Nguyen Thi Huong Van Anh, Nguyen Thi Dung, Trinh Quang Chau, Cao Minh Van Bang, Nguyen Badawi, Nadia Khandaker, Gulam Elliott, Elizabeth Nutrients Article Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children. MDPI 2019-09-06 /pmc/articles/PMC6769778/ /pubmed/31500109 http://dx.doi.org/10.3390/nu11092132 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Karim, Tasneem Jahan, Israt Dossetor, Rachael Giang, Nguyen Thi Huong Van Anh, Nguyen Thi Dung, Trinh Quang Chau, Cao Minh Van Bang, Nguyen Badawi, Nadia Khandaker, Gulam Elliott, Elizabeth Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title | Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title_full | Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title_fullStr | Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title_full_unstemmed | Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title_short | Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action |
title_sort | nutritional status of children with cerebral palsy—findings from prospective hospital-based surveillance in vietnam indicate a need for action |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769778/ https://www.ncbi.nlm.nih.gov/pubmed/31500109 http://dx.doi.org/10.3390/nu11092132 |
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