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01.12.2014 | Research | Ausgabe 1/2014 Open Access

Italian Journal of Pediatrics 1/2014

Nutritional problems in children with neuromotor disabilities: an Italian case series

Zeitschrift:
Italian Journal of Pediatrics > Ausgabe 1/2014
Autoren:
Maria Sangermano, Roberta D’Aniello, Grazia Massa, Raffaele Albano, Pasquale Pisano, Mauro Budetta, Goffredo Scuccimarra, Enrico Papa, Giangennaro Coppola, Pietro Vajro
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1824-7288-40-61) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contribution

PV and MS designed the study, and prepared the last draft of the manuscript. PV supervised the study. MS coordinated clinical and anthropometric data collection and wrote the first draft. RD made substantial contributions to acquisition and interpretation of data. RA, PP, MB, GS, EP, GC contributed with their own patients, critically improved the study protocol, and revised the manuscript. GM and PP elaborated nutritional data of the patients. All authors read and approved the final manuscript.

Abstract

Background and aims

Several neuromotor disorders share exclusive, although often overlooked, nutritional problems. The objective of this study is therefore to delineate the frequency of malnutrition, evaluate the effectiveness of nutritional care, and identify issues needing to be possibly strengthened when caring for these patients into a general pediatrics department.

Patients and methods

The study included 30 patients, 21 males and 9 females, aged between 2 and 15 years, affected by cerebral palsy, epileptic encephalopathy, and severe psychomotor developmental delay.
Nutritional status was assessed by a dietary questionnaire administered to parents to investigate feeding difficulties; 3 days food diary to quantify daily calorie intake; anthropometrical (weight, height/length, body mass index percentiles, plicometry, specific body segments measurement) and blood (blood count, serum iron, albumin, transferrin, calcium, phosphorus) parameters.

Results

More than 44% individuals of the study population was at risk of malnutrition, according to feeding difficulties, progressive depletion of weight, reduced daily calorie intake, reduced albumin and transferrin levels. This occurred despite a massive caregivers commitment, as documented by almost universal parental constant assistance during their long-duration meals.

Conclusions

Our results individuate the nutritional aspect being still a problem in the care of children with severe neuromotor disability.
Zusatzmaterial
Authors’ original file for figure 1
13052_2014_562_MOESM1_ESM.pdf
Literatur
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