Analysis of nutritional status and related factors of school-aged children with cerebral palsy in a welfare institution of Guangzhou

CHEN Jingyi; XIAO Jiaqi; GUO Feng; LIANG Quanquan; YANG Jiewen

doi:10.16835/j.cnki.1000-9817.2024283

Volume 45 Issue 9

Sep. 2024

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(9): 1238-1241

CHEN Jingyi, XIAO Jiaqi, GUO Feng, LIANG Quanquan, YANG Jiewen. Analysis of nutritional status and related factors of school-aged children with cerebral palsy in a welfare institution of Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1238-1241. doi: 10.16835/j.cnki.1000-9817.2024283

Citation:

CHEN Jingyi, XIAO Jiaqi, GUO Feng, LIANG Quanquan, YANG Jiewen. Analysis of nutritional status and related factors of school-aged children with cerebral palsy in a welfare institution of Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1238-1241. doi: 10.16835/j.cnki.1000-9817.2024283

Citation:

CHEN Jingyi, XIAO Jiaqi, GUO Feng, LIANG Quanquan, YANG Jiewen. Analysis of nutritional status and related factors of school-aged children with cerebral palsy in a welfare institution of Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1238-1241. doi: 10.16835/j.cnki.1000-9817.2024283

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Analysis of nutritional status and related factors of school-aged children with cerebral palsy in a welfare institution of Guangzhou

doi: 10.16835/j.cnki.1000-9817.2024283

Guangzhou Social Welfare Institute, Guangzhou (510000), Guangdong Province, China

Received Date: 2024-05-17
Rev Recd Date: 2024-08-20

Available Online: 2024-10-08

Publish Date: 2024-09-25

Abstract

Abstract

Objective To under the prevalence of malnutrition and its associated factors in school-aged children with cerebral palsy, so as to provide a basis for relevant departments to formulate targeted policies. Methods From July to August 2023, the researchers selected 333 children with cerebral palsy and 960 children with other diseases aged 6-18 years who were residents of a social welfare institution in Guangzhou, China. Their height and weight were measured and a nutritional status analysis was carried out using a cluster sampling method. Multivariate Logistic analysis was performed to analyze the relative factors and malnutrition status of school-aged children with cerebral palsy. Results The prevalence of growth retardation among school-aged children with cerebral palsy was 74.5%, with rates of stunting, normal nutrition status, and overweight/obesity being 17.7%, 7.2%, and 0.6%, respectively. The results of the univariate analysis revealed statistically significant differences in the detection rate of malnutrition among school-aged children with cerebral palsy based on gender, gross motor function classification system (GMFCS) grading, and the presence of swallowing disorders (χ²=6.02, 15.23, 32.16, P < 0.05). The results of the multivariate Logistic regression analysis showed that gender (OR=0.37, 95%CI=0.15-0.91), dysphagia (OR=4.10, 95%CI=1.39-12.12), and GMFCS classification (OR=1.45, 95%CI=1.04-3.01) were influencing factors of malnutrition (P < 0.05). Conclusions The detection rate of malnutrition among children and adolescents with cerebral palsy in welfare institutions was found to be relatively high, and influenced by various factors. Corresponding nutritional interventions should be developed and implemented based on the risk factors of malnutrition in school-aged children with cerebral palsy to improve their nutritional status.
- Child welfare,
- Charities,
- Cerebral palsy,
- Nutritional status,
- Regression analysis,
- Child

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References(25)

References

[1]	中国康复医学会儿童康复专业委员会, 中国残疾人康复协会小儿脑性瘫痪康复专业委员会, 中国医师协会康复医师分会儿童康复专业委员会, 等. 中国脑性瘫痪康复指南(2022)[J]. 中华实用儿科临床杂志, 2022, 37(15): 1121-1141. Chinese Association of Rehabilitation Medicine Pediatric Rehabilitation Committee, Chinese Association of Rehabilitation of Disabled Persons Rehabilitation Committee for Pediatric Cerebral Palsy, Chinese Medical Doctor Association Pediatric Rehabilitation Committee, et al. Chinese rehabilitation guidelines for cerebral palsy(2022)[J]. Chin J Appl Clin Pediatr, 2022, 37(15): 1121-1141. (in Chinese)
[2]	李梦月. 脑瘫患儿营养状况及其生活质量的研究[D]. 郑州: 郑州大学, 2019. LI M Y. Study on nutritional status and quality of life of children with cerebral palsy[D]. Zhengzhou: Zhengzhou University, 2019. (in Chinese)
[3]	尹维. 新疆乌鲁木齐孤残儿童营养不良发生情况及影响因素分析[J]. 中外医学研究, 2016, 14(25): 157-158. YIN W. Analysis of the incidence and influencing factors of malnutrition among orphaned and disabled children in Urumqi, Xinjiang[J]. Chin Foreign Med Res, 2016, 14(25): 157-158. (in Chinese)
[4]	李玲, 李小玲, 李霞, 等. 2~6岁孤独症、脑瘫儿童体格生长及营养状况分析[J]. 中国妇幼保健, 2016, 31(1): 95-97. LI L, LI X L, LI X, et al. Analysis of physical growth and nutritional status of children with autism and cerebral palsy aged 2 to 6 years old[J]. Matern Child Health Care China, 2016, 31(1): 95-97. (in Chinese)
[5]	王景刚, 李庆云, 余春宇, 等. 深圳市1~5岁脑性瘫痪儿童营养现状调查及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(11): 1180-1184. WANG J G, LI Q Y, YU C Y, et al. A survey on the nutritional status and influencing factors of children with cerebral palsy aged 1-5 in Shenzhen[J]. Chin J Child Health Care, 2023, 31(11): 1180-1184. (in Chinese)
[6]	PENAGINI F, MAMELI C, FABIANO V, et al. Dietary intakes and nutritional issues in neurologically impaired children[J]. Nutrients, 2015, 7(11): 9400-9415. doi: 10.3390/nu7115469
[7]	李颖妍, 李鑫, 黄信萍, 等. 脑瘫儿童营养状况的影响因素研究进展[J]. 中国儿童保健杂志, 2021, 29(11): 1203-1207. doi: 10.11852/zgetbjzz2020-1304 LI Y Y, LI X, HUANG X P, et al. Research progress on influencing factors of nutritional status in children with cerebral palsy[J]. Chin J Child Health Care, 2021, 29(11): 1203-1207. (in Chinese) doi: 10.11852/zgetbjzz2020-1304
[8]	HERRERA-ANAYA E, ANGARITA-FONSECA A, HERRERA-GALINDO V M, et al. Association between gross motor function and nutritional status in children with cerebral palsy: a cross-sectional study from Colombia[J]. Dev Med Child Neurol, 2016, 58(9): 936-941. doi: 10.1111/dmcn.13108
[9]	OLACK S, ADAMS M, O'BANION D, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life[J]. Dev Med Child Neurol, 2018, 60(9): 914-921. doi: 10.1111/dmcn.13797
[10]	ISRAT J, MOHAMMAD M, TASNEEM K, et al. What makes children with cerebral palsy vulnerable to malnutrition? Findings from the Bangladesh cerebral palsy register (BCPR)[J]. Disabil Rehabil, 2019, 41(19): 2247-2254. doi: 10.1080/09638288.2018.1461260
[11]	JAHAN I, MUHIT M, HARDIANTO D, et al. Nutritional status of children with cerebral palsy in remote Sumba Island of Indonesia: a community-based key informants study[J]. Disabil Rehabil, 2021, 43(13): 1819-1828. doi: 10.1080/09638288.2019.1676833
[12]	王以文, 袁俊英, 岳筱, 等. 脑性瘫痪儿童合并营养不良与呼吸道感染相关性的研究[J]. 中国康复医学杂志, 2022, 37(10): 1382-1385. WANG Y W, YUAN J Y, YUE X, et al. A study on the correlation between malnutrition and respiratory infections in children with cerebral palsy[J]. Chin J Rehabil Med, 2022, 37(10): 1382-1385. (in Chinese)
[13]	梁莉丹, 郭君怡, 刘一苇, 等. 脑性瘫痪患儿院内感染相关因素调查和防治对策[J]. 浙江医学, 2014, 36(2): 140-142. LIANG L D, GUO J Y, LIU Y W, et al. Investigation of factors related to nosocomial infection in children with cerebral palsy and prevention and control countermeasures[J]. Zhejiang Univ, 2014, 36(2): 140-142. (in Chinese)
[14]	VERSCHUREN O, MCPHEE P, ROSENBAUM P, et al. The formula for health and well-being in individuals with cerebral palsy: physical activity, sleep, and nutrition[J]. Dev Med Child Neurol, 2016, 58(9): 989-990.
[15]	李初阳, 史惟, 周美琴, 等. 脑瘫粗大运动功能分级系统修订扩展版(中文版)的信度和效度研究[J]. 中国康复理论与实践, 2011, 17(12): 1112-1115. LI C Y, SHI W, ZHOU M Q, et al. Reliability and validity of the revised and extended version of the gross motor function classification system for cerebral palsy (Chinese version)[J]. Chin J Rehabil Theory Pract, 2011, 17(12): 1112-1115. (in Chinese)
[16]	中华人民共和国卫生部. 学生健康检查技术规范: GB/T 26343-2010[S]. 2011-01-14. Ministry of Health of the PRC. Technical standard for physical examination for students: GB/T 26343-2010[S]. 2011-01-14. (in Chinese)
[17]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456-2014[S]. 2014-06-20. National Health and Family Planning Commission of the PRC. Screening for malnutrition among school-age children and adolescents: WS/T 456-2014[S]. 2014-06-20. (in Chinese)
[18]	中华人民共和国国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586-2018[S]. 北京: 中国标准出版社, 2018. National Health Commission of the PRC. Screening for overweight and obesity in school-age children and adolescents: WS/T 586-2018[S]. Beijing: Standards Press of China, 2018. (in Chinese)
[19]	第八次全国学生体质与健康调研结果发布[J]. 中国学校卫生, 2021, 42(9): 1281-1282. The results of the 8th national survey on student physical fitness and health[J]. Chin J Sch Health, 2021, 42(9): 1281-1282. (in Chinese)
[20]	吕蝶艳, 曾淳子, 黄婕, 等. 广州市中小学生营养不良现状及影响因素分析[J]. 现代预防医学, 2022, 49(17): 3123-3129. LÜ D Y, ZENG C Z, HUANG J, et al. Analysis of the current situation and influencing factors of malnutrition among primary and secondary school students in Guangzhou[J]. Mod Prev Med, 2022, 49(17): 3123-3129. (in Chinese)
[21]	刘丽林, 李初阳, 梁琪, 等. 脑性瘫痪学生营养状况调查[J]. 中国康复理论与实践, 2013, 19(3): 285-287. LIU L L, LI C Y, LIANG Q, et al. A survey on the nutritional status of students with cerebral palsy[J]. Chin J Rehabil Theory Pract, 2013, 19(3): 285-287. (in Chinese)
[22]	刘春明, 刘芸, 张扬萍, 等. 160例脑瘫患儿营养状况分析[J]. 中国保健营养, 2015, 259(17): 143. LIU C M, LIU Y, ZHANG Y P, et al. Nutritional status analysis of 160 children with cerebral palsy[J]. China Health Care Nutr, 2015, 259(17): 143. (in Chinese)
[23]	王军, 李梦月, 朱登纳, 等. 脑瘫患儿营养状况及其生活质量的横断面研究[J]. 中国妇幼卫生杂志, 2018, 9(2): 31-35. WANG J, LI M Y, ZHU D N, et al. A cross-sectional study on the nutritional status and quality of life of children with cerebral palsy[J]. Chin J Women Child Health, 2018, 9(2): 31-35. (in Chinese)
[24]	JAHAN I, KARIM T, DAS MANIK C, et al. Mortality in children with cerebral palsy in rural Bangladesh: a population-based surveillance study[J]. Dev Med Child Neurol, 2019, 61(11): 1336-1343.
[25]	杨帝, 孙群英. 脑性瘫痪儿童的营养状况及评估[J]. 山东医药, 2021, 61(1): 110-113. YANG D, SUN Q Y. Nutritional status and evaluation of children with cerebral palsy[J]. Shandong Med J, 2021, 61(1): 110-113. (in Chinese)