Article

AIM: To determine the association between gross motor function and nutritional
status in children with cerebral palsy (CP) residing in an urban area in a developing country. METHOD: We conducted a cross-sectional study in 177 children
(ages 2-12y, 59.3% male) with a diagnosis of CP who were attending rehabilitation
centres in Bucaramanga, Colombia (2012-2013). A physiotherapist evaluated
patients using the Gross Motor Function Classification System (GMFCS, levels I to
V). Nutritional status was evaluated by nutritionists and classified according to
the World Health Organization growth charts. We used linear and multinomial
logistic regression methods to determine the associations. RESULTS: There were
39.5%, 6.8%, 5.6%, 16.4%, and 31.6% patients classified in levels I to V
respectively. The mean adjusted differences for weight-for-age, height-for-age,
BMI-for-age, and height-for-weight z-scores were significantly larger for
children classified in levels II to V compared with those in level I. The
children classified in levels IV and V were more likely to have malnutrition
(adjusted odds ratio [OR] 5.64; 95% confidence interval [CI] 2.27-14.0) and
stunting (OR 8.42; 95% CI 2.90-24.4) than those classified in GMFCS levels I to III. INTERPRETATION: Stunting and malnutrition are prevalent conditions among
paediatric patients with CP, and both are directly associated with higher levels
of gross motor dysfunction.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS