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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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.
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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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