Dietary Modifications for the Malnourished Children with Cerebral Palsy

Main Article Content

Rimsha Fatima
Ieaman Fatima
Fizza Yousaf
Wajeeha Kaynat
Nimra Ikram
Sadia Ansar
Moha Akram Khan

Abstract

Background: Cerebral palsy (CP) is a neurological disorder that often results in physical disability, particularly affecting movement and posture. Children with CP are particularly susceptible to malnutrition due to various factors including difficulties with feeding, altered metabolism, and increased nutritional needs related to their condition.


Objective: The primary objective of this study was to assess the impact of tailored dietary interventions on the health outcomes of malnourished children with CP, focusing on weight, height, waist-to-hip ratio (WHR), and biochemical parameters such as hemoglobin and vitamin D levels.


Methods: This quantitative study involved 20 malnourished children with CP, aged 2-14 years, selected via random sampling in Lahore, Pakistan. Ethical approval was obtained, and informed consent was secured from all participants' guardians. Participants were assigned to one of five dietary treatment plans varying in composition of protein, calcium, and micronutrients. Key assessments included anthropometric measurements (weight, height, WHR) and biochemical analyses (hemoglobin, RBC, WBC, platelets, vitamin D, calcium levels), conducted at baseline and every 30 days for a 90-day period. Statistical analysis was performed using SPSS version 25, with significance set at α=0.05.


Results: Dietary modifications led to significant improvements in average weight gain (p=0.05), with specific increases noted in height and WHR, also at the significance level of α=0.05. Biochemical markers showed notable improvements, with hemoglobin levels increasing by an average of 12%, and vitamin D levels rising significantly, demonstrating the effectiveness of the dietary interventions in addressing nutritional deficiencies in the CP population.


Conclusion: The study confirms that dietary interventions tailored to the specific needs of children with CP can substantially improve their growth metrics and biochemical profiles, underlining the necessity of integrating personalized nutrition strategies into routine care for these patients to enhance their overall health outcomes.

Article Details

How to Cite
Fatima, R., Fatima, I., Fizza Yousaf, Kaynat, W., Ikram, N., Ansar, S., & Khan, M. A. (2024). Dietary Modifications for the Malnourished Children with Cerebral Palsy. Journal of Health and Rehabilitation Research, 4(2), 320–324. https://doi.org/10.61919/jhrr.v4i2.798
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Articles
Author Biographies

Rimsha Fatima, Institute of Allied Health Sciences FMH College of Medicine and Dentistry.

Senior lecturer, Institute of Allied Health Sciences FMH College of Medicine and Dentistry. PhD Scholar, National Institute of Food Science and Technology.

Ieaman Fatima, University of Agriculture Faisalabad- Faisalabad- Pakistan.

PhD Scholar & Senior Lecturer, National Institute of Food Science and Technology, University of Agriculture Faisalabad- Faisalabad- Pakistan.

Fizza Yousaf, University of Management and Technology Sialkot Campus- Pakistan.

Lecturer, University of Management and Technology, Sialkot Campus- Pakistan.

Wajeeha Kaynat, University of Management and Technology Sialkot Campus- Pakistan.

Lecturer, University of Management and Technology, Sialkot Campus- Pakistan.

Nimra Ikram, Nishtar Hospital Multan- Pakistan.

Physiotherapist, Nishtar Hospital Multan- Pakistan.

Sadia Ansar, University of Agriculture Faisalabad- Faisalabad- Pakistan.

PhD Scholar at National institute of Food Science and Technology, University of Agriculture Faisalabad- Faisalabad- Pakistan.

Moha Akram Khan, Rashid Latif Khan University Lahore- Pakistan.

Lecturer, Course Coordinator at Department of Human Nutrition and Dietetics, Rashid Latif Khan University, Lahore- Pakistan.

References

Fehlings DL, Zarrei M, Engchuan W, Sondheimer N, Thiruvahindrapuram B, MacDonald JR, et al. Comprehensive whole-genome sequence analyses provide insights into the genomic architecture of cerebral palsy. Nature Genetics. 2024:1-10.

Vitrikas K, Dalton H, Breish D. Cerebral palsy: an overview. American family physician. 2020;101(4):213-20.

Da Silva D, da Cunha MdSB, de Oliveira Santana A, dos Santos Alves A, Santos MP. Malnutrition and nutritional deficiencies in children with cerebral palsy: a systematic review and meta-analysis. Public Health. 2022;205:192-201.

Jesus AO, Stevenson RD. Optimizing Nutrition and Bone Health in Children with Cerebral Palsy. Physical Medicine and Rehabilitation Clinics. 2020;31(1):25-37.

Aggarwal S, Chadha R, Pathak R. Nutritional status and growth in children with cerebral palsy: a review. International Journal of Medical Science and Public Health. 2015;4(6):737-44.

Maggioni L, Araújo CMTd. Guidelines and practices on feeding children with cerebral palsy. Journal of Human Growth and Development. 2020;30(1):65-74.

Kuperminc MN, Stevenson RD. Growth and nutrition disorders in children with cerebral palsy. Developmental disabilities research reviews. 2008;14(2):137-46.

Ahmad S, Sharif F, ASHFAQ AHMAD SAG. Nature and Frequency Of feeding Problems and Oral Motor Dysfunction in Children with Cerebral Palsy. Pak Pediatr J. 2020;44(2):142-47.

Simpamba MM. Malnutrition and disability: Evaluating factors influencing severe malnutrition in children with cerebral palsy in Lusaka, Zambia. Indonesian Journal of Disability Studies. 2020;7(1):81-91.

Gangil A, Patwari A, Aneja S, Ahuja B, Anand V. Feeding problems in children with cerebral palsy. Indian pediatrics. 2001;38(8):839-46.

Rempel G. The importance of good nutrition in children with cerebral palsy. Physical Medicine and Rehabilitation Clinics. 2015;26(1):39-56.

Scarpato E, Staiano A, Molteni M, Terrone G, Mazzocchi A, Agostoni CJIJoFS, et al. Nutritional assessment and intervention in children with cerebral palsy: a practical approach. 2017;68(6):763-70.

Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RNJDM, et al. Food and fluid texture consumption in a population‐based cohort of preschool children with cerebral palsy: relationship to dietary intake. 2015;57(11):1056-63.

Hurvitz EA, Green LB, Hornyak JE, Khurana SR, Koch LGJAjopm, rehabilitation. Body mass index measures in children with cerebral palsy related to gross motor function classification: a clinic-based study. 2008;87(5):395-403.

Rimmer JH, Wang E, Pellegrini CA, Lullo C, Gerber BS. Telehealth Weight Management Intervention for Adults with Physical Disabilities: A Randomized Controlled Trial. American Journal of Physical Medicine & Rehabilitation. 2013;92(12).

Grammatikopoulou MG, Daskalou E, Tsigga MJN. Diet, feeding practices, and anthropometry of children and adolescents with cerebral palsy and their siblings. 2009;25(6):620-6.

Ryan J, Crowley V, Hensey O, McGahey A, Gormley J. Waist Circumference Provides an Indication of Numerous Cardiometabolic Risk Factors in Adults With Cerebral Palsy. Archives of physical medicine and rehabilitation. 2014;95.

Keller UJJocm. Nutritional laboratory markers in malnutrition. 2019;8(6):775.

Kim H-J, Choi H-N, Yim J-EJCnr. Food habits, dietary intake, and body composition in children with cerebral palsy. 2018;7(4):266-75.

Henderson RC, Grossberg RI, Matuszewski J, Menon N, Johnson J, Kecskemethy HH, et al. Growth and nutritional status in residential center versus home-living children and adolescents with quadriplegic cerebral palsy. 2007;151(2):161-6.

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