Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life
Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life
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DOI：
10.1111/dmcn.13797
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发表时间：
2018-09-01
影响因子：
3.8
通讯作者：
Zuurmond, Maria
中科院分区：
文献类型：
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作者：
Polack, Sarah;Adams, Mel;Zuurmond, Maria
目的 评估加纳脑瘫 (CP) 儿童的喂养困难和营养状况，以及喂养困难和营养不良的严重程度是否与照护者的生活质量 (QoL) 独立相关。 方法 这项横断面调查包括来自加纳四个地区的 76 名脑瘫儿童（18 个月至 12 岁）。使用粗大运动功能分类系统对脑瘫的严重程度进行分类，并采取人体测量措施。护理人员对他们的生活质量（使用儿科生活质量调查家庭影响模块）和儿童喂养的八个方面的困难进行了评估。逻辑回归分析探讨了与体重不足相关的因素（社会经济特征、脑瘫的严重程度和喂养困难）。采用线性回归评估看护者生活质量与儿童营养不良和喂养困难之间的关系。 结果 营养状况不佳很常见：65% 的 5 岁以下儿童体重不足，54% 发育迟缓，58% 消瘦。据报告，儿童喂养困难很常见，并且与儿童体重不足（比值比 10.7，95% 置信区间 2.3-49.6）和看护者生活质量较差有关（p
AIM To assess feeding difficulties and nutritional status among children with cerebral palsy (CP) in Ghana, and whether severity of feeding difficulties and malnutrition are independently associated with caregiver quality of life (QoL).METHOD This cross-sectional survey included 76 children with CP (18mo-12y) from four regions of Ghana. Severity of CP was classified using the Gross Motor Function Classification System and anthropometric measures were taken. Caregivers rated their QoL (using the Pediatric Quality of Life Inventory Family Impact Module) and difficulties with eight aspects of child feeding. Logistic regression analysis explored factors (socio-economic characteristics, severity of CP, and feeding difficulties) associated with being underweight. Linear regression was undertaken to assess the relationship between caregiver QoL and child malnutrition and feeding difficulties.RESULTS Poor nutritional status was common: 65% of children aged under 5 years were categorized as underweight, 54% as stunted, and 58% as wasted. Reported difficulties with child's feeding were common and were associated with the child being underweight (odds ratio 10.7, 95% confidence interval 2.3-49.6) and poorer caregiver QoL (p