Influencing factors for malnutrition in children with cerebral palsy
Objective To explore the influencing factors of malnutrition in children with cerebral palsy(CP),so at to provide references for its prevention and treatment.Methods A total of 80 cases of CP children who visited the Department of Rehabilitation at Anhui Provincial Children's Hospital from January to July 2021 were collected and divided into malnutrition group and control group based on the presence or absence of malnutrition.The differences between the two groups regarding gender,age,gestational age,birth weight,feeding time,Subjective Global Nutritional Assessment(SGNA),clinical classification,Gross Motor Function Classification System(GMFCS)level,serum total protein(TP),25-hydroxyvitamin D[25-(OH)D],hemoglobin(HGB),and ferritin(FE)were compared.Spearman correlation analysis was used to analyze the correlations of TP,25-(OH)D,HGB and FE with nutritional status.Multivariate Logistic regression analysis was conducted to identify the influencing factors of malnutrition in children with CP.Results The proportion of patients with feeding time ≥30 minutes(x2=21.798)and abnormal SGNA assessment(x2=45.263)in the malnutrition group was significantly higher than that in the control group,while the average values of TP,HGB and FE were significantly lower than those in the control group(t=2.739,2.674,2.155,P＜0.01).Serum HGB was positively correlated with nutritional status Z-score(rs=0.314,P＜0.05)in children with CP.Multivariate Logistic regression analysis showed that GMFCS levels Ⅱ,Ⅲ,Ⅳ,and V were risk factors for malnutrition in CP children compared to GMFCS level Ⅰ(OR=1.750,3.667,1.374,2.375,P＜0.05).Conclusions GMFCS levels Ⅱ,Ⅲ,Ⅳ,and V are risk factors for the occurrence of malnutrition in children with CP.Early identification and intervention can help improve their nutritional status.
cerebral palsymalnutritiongross motor functionhemoglobin
万方数据
维普
