Determination of Nutritional Status in Children with Cerebral Palsy/Serebral Palsili Cocuklarin Beslenme Durumunun Degerlendirilmesi

• Published in: Güncel pediatri Vol. 16; no. 1; p. 69
• Main Authors: Kangalgil, Melda, Ozcelik, Ayse Ozfer
• Format: Journal Article
• Language: Turkish
• Published: Galenos Yayinevi Tic. Ltd 01-04-2018
• Subjects: Care and treatment; Cerebral palsied children; Complications and side effects; Eating disorders in children; Food and nutrition; Malnutrition in children; Parents; Pediatric research; Risk factors; Statistics; Surveys; Turkey
• ISSN: 1304-9054
• DOI: 10.4274/jcp.2018.0007

INTRODUCTION: This study was planned and conducted to determine the nutritional status of children with Cerebral Palsy (CP), and the factors affecting it. METHODS: The sample of the study consists of randomly selected 40 children diagnosed with CP, who were between the ages 7-17, who lived in the province of Ankara, and who were able to eat orally. Research data was collected by face to face interviews with one of the parents by a questionnaire. To determine the status of food consumption, one-day consumption information was obtained by the repeated 24-hour recalls. RESULTS: Of the children, 60.0% were boys and 40.0% were girls with the mean age of 12.3 [+ or -] 3.3 years. It was determined that 30.0% of the children were extremely underweight, 20.0% were underweight, 12.5% were overweight, and 2.5% were obese while only 35.0% of them were found to have normal Body Mass Index (BMI). 52.5% of the children had eating problems. Most common problems encountered during eating were keeping the food in the mouth (73.5%), spilling the food over (58.0%), and coughing or choking spells during eating (42.0%). Of the most commonly encountered problems, drooling was most frequent (42.5%). Of the reported problems encountered in less than two weeks, loss of appetite and constipation rank the second by 22.5%; swallowing and chewing difficulties, and lack of interest in food rank third by 20.0%. It was demonstrated that of the children with cerebral palsy, 80.0% had insufficient intake of fiber, 72.5% had insufficient intake of calcium, and 67.5% had insufficient intake of folate. In general, the energy intake was found not sufficient; while protein intake was adequate. DISCUSSION AND CONCLUSION: To determine the feeding problems and improving the nutritional status by developing problem specific solutions will bring along better life quality for the children with CP. Keywords: Cerebral Palsy, growth, diet, malnutrition GIRIS ve AMAC: Bu calisma Serebral Palsili (SP) cocuklarin beslenme durumunu ve bunu etkileyen etmenleri belirlemek amaciyla planlanmis ve yurutulmustur. YONTEM ve GERECLER: Arastirmanin orneklemini, Ankara ilinde yasayan gelisiguzel ornekleme ile secilen Serebral Palsi tanisi almis, 7-17 yas araliginda ve oral beslenebilen 40 cocuk olusturmustur. Arastirma verileri anket formu ile cocuklarin ebeveynlerinden biri ile yuz yuze gorusulerek toplanmistir. Cocuklarin besin tuketim durumunu belirlemek icin 24 saati hatirlatma yontemi ile bir gunluk besin tuketimleri ogrenilmistir. BULGULAR: Cocuklarin %60,0'i erkek, %40,0'i kiz olup, ortalama yas 12,3 [+ or -] 3,3 yildir. Cocuklarin %30,0'unun asiri zayif, %20,0'sinin zayif, %12,5'inin kilolu ve %2,5'inin obez oldugu bulunurken; sadece %35,0'inin normal Beden Kutle Indeksi (BKI)'nde oldugu saptanmistir. Cocuklarin %52,5'inin yemek yeme ile ilgili problemleri oldugu belirlenmistir. Yemek yerken en cok gorulen problemler; yemegi agzinda bekletme (%73,5), yemek sirasinda yiyecekleri dokme (%58,0) ve yemek sirasinda oksurme veya tikanma nobetidir (%42,0). Siklikla rastlandigi belirtilen sorunlarda en yuksek orani salya akmasi almistir (%42,5). Iki haftadan daha kisa sure icinde karsilasildigi belirtilen sorunlarda %22,5 ile istahsizlik ve konstipasyon ikinci, yutma ve cigneme guclugu, besinlere ilgisizlik %20,0 ile ucuncu siradadir. Serebral Palsili cocuklarin %80,0'inin gunluk diyetleri ile posayi, %72,5'inin kalsiyumu, %67,5'inin folati yetersiz aldiklari belirlenmistir. Genel olarak enerji alimlari yetersiz bulunurken; protein alimlarinin yeterli oldugu saptanmistir. TARTISMA ve SONUC: Beslenme sorunlarinin belirlenmesi ve soruna ozel cozumun belirlenmesi ile beslenme durumunun gelistirilmesi, SP'li cocuklar icin daha iyi bir yasam kalitesini beraberinde getirecektir. Anahtar Kelimeler: Serebral Palsi, buyume, diyet, malnutrisyon