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Malnutrition is common in Ugandan children with cerebral palsy, particularly those over the age of five and those who had neonatal complications
Makerere University College of Health Sciences, Kampala, Uganda; Karolinska Institutet, Stockholm, Sweden.
Makerere University College of Health Sciences and Mulago Hospital, Kampala, Uganda.
Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0001-7527-3810
Makerere University College of Health Sciences and Mulago Hospital, Kampala, Uganda.
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2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 12, p. 1259-1268Article in journal (Refereed) Published
Abstract [en]

AIM: Poor growth and malnutrition are frequently reported in children with cerebral palsy in developed countries, but there is limited information from developing countries. We investigated the nutritional status of Ugandan children with cerebral palsy and described the factors associated with poor nutrition.

METHODS: We examined 135 children from two to 12 years with cerebral palsy, who attended Uganda's national referral hospital. A child was considered underweight, wasted, stunted or thin if the standard deviation scores for their weight for age, weight for height, height for age and body mass index for age were ≤-2.0 using World Health Organization growth standards. Multivariable logistic regression identified the factors associated with nutritional indicators.

RESULTS: Over half (52%) of the children were malnourished, with underweight (42%) being the most common category, followed by stunting (38%), thinness (21%) and wasting (18%). Factors that were independently associated with being malnourished were as follows: presence of cognitive impairment, with an adjusted odds ratio (aOR) of 4.5, being 5 years or older (aOR = 3.4) and feeding difficulties in the perinatal period (aOR = 3.2).

CONCLUSION: Malnutrition was common in Ugandan children with cerebral palsy and more likely if they were 5 years or more or had experienced neonatal complications.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2015. Vol. 104, no 12, p. 1259-1268
Keywords [en]
Cerebral palsy, Children, Malnutrition, Uganda, World Health Organization growth standards
National Category
Pediatrics Occupational Therapy Neurology
Identifiers
URN: urn:nbn:se:oru:diva-83883DOI: 10.1111/apa.13089ISI: 000367536000023PubMedID: 26088908Scopus ID: 2-s2.0-84983160323OAI: oai:DiVA.org:oru-83883DiVA, id: diva2:1448961
Available from: 2020-06-29 Created: 2020-06-29 Last updated: 2020-07-02Bibliographically approved

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Eliasson, Ann-Christin

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