Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi

Tülay Tarsuslu Şimşek; Gamze Tuç

doi:10.4274/jcp.74946

Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi

Year 2014, Volume: 12 Issue: 2, 73 - 80, 01.09.2014

Tülay Tarsuslu Şimşek Gamze Tuç

https://doi.org/10.4274/jcp.74946

Abstract

Giriş: Bu çalışmanın amacı, serebral palsili SP çocuklarda beslenme problemlerinin belirlenmesi ve beslenme problemlerinin büyüme üzerine etkisinin incelenmesidir.Gereç ve Yöntem: Çalışmaya 2-18 yaş arasında, serebral palsi tanısı konmuş 278 çocuk dahil edildi. Değerlendirme kapsamında, çocukların sosyo-demografik ve klinik özellikleri kaydedildi, beslenme problemleri sorgulandı. Motor fonksiyon seviyeleri ve antropometrik ölçümler vücut ağırlığı, boy uzunluğu, kol bölgesi ve uyluk bölgesi çevre ölçümü, üst ekstremite uzunluğu kol ve önkol uzunluğu olarak , tibial uzunluk ölçümleri, triceps ve subskapular bölge skinfold ölçümleri yapıldı.Bulgular: Çalışmaya dahil edilen çocukların yaş ortalaması 8,50±4,49 yıl idi. Çalışmaya dahil edilen çocukların 130’unda %46,8 beslenme problemi varken, 148’inde %53,2 beslenme problemi yoktu. Orta ve şiddetli etkilenimli SP’li çocuklarda beslenme problemi hafif etkilenimli çocuklara oranla daha fazla idi p< 0,05 . Çocuklarda sıklıkla gözlenen beslenme problemleri yutma güçlüğü, kusma, aspirasyon, çiğneme güçlüğü, salya ve yiyecekleri ağızda tutamamaydı. Beslenme problemi olan ve beslenme problemi olmayan çocuklarda boy, kilo, kol ve uyluk bölgesinden elde edilen çevre ölçüm değerleri, kol, ön kol ve tibial uzunluk ölçüm değerleri, triceps ve subskapular bölge deri altı yağ ölçüm değerleri arasında önemli bir fark bulundu p< 0,05 .Sonuç: Peryodik antropometrik ölçümler serebral palsili çocuklarda beslenme problemleri ve beslenme geriliklerinin erken dönemden itibaren belirlenmesi açısından önemli olup, rehabilitasyon sürecinde özellikle üzerinde durulması gereken önemli parametrelerdendir

Keywords

Serebral palsi, büyüme, beslenme problemleri, sağlık

References

1. Campanozzi A, Capano G, Miele E, Romano A, Scuccimarra G, Del Giudice E, et al. Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy. Brain Dev 2007;29:25-9.
2. Fung EB, Samson-Fang L, Stallings VA, Conaway M, Liptak G, Henderson RC, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc 2002;102:361-73.
3. Rogozinski BM, Davids JR, Davis RB, Christopher LM, Anderson JP, Jameson GG, et al. Prevalence of obesity in ambulatory children with cerebral palsy. J Bone Joint Surg Am 2007;89:2421-6.
4. Sleigh, Sullivian PB, Thomas AG. Gastrostomy feeding versus oral feeding alone for children with cerebral palsy. Cochrane Database Syst Rev 2004;2:CD003943.
5. Dahlseng MO, Finbråten AK, Júlíusson PB, Skranes J, Andersen G, Vik T. Feeding problems, growth and nutritional status in children with cerebral palsy. Acta Paediatr 2012;101:92-8.
6. Redstone F, West JF. The importance of postural control for feeding. Pediatric Nurs 2004;32:97-100.
7. Gangil A, Patwari AK, Aneja S. Feding problems in children with cerebral palsy. Indian Pediatrics 2001;38:839-46.
8. Samson-Fang LJ, Stevenson RD. Identification of malnutrition in children with cerebral palsy: poor performance of weight-forheight centiles. Dev Med Child Neurol 2000;42:162-8.
9. Sullivan PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME, Johnson A. Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II. Dev Med Child Neurol 2002;44:461-7.
10. Jen-Wen Hung, Te-Jui Hsu, Pi-Chuan Wu, Chau-Peng Leong. Risk factors of Undernutrition in Children with Spastic Cerebral Palsy. Chang Gung Med J 2003;26:425-32.
11. Rogers B. Feding method and health outcomes of children with cerebral palsy. J Pediatr 2004;145:28-32.
12. Samson-Fang L, Fung E, Stallings VA, Conaway M, Worley G, Rosenbaum P, et al. Relationship of nutritional status to health and societal participation in children with cerebral palsy. J Pediatr 2002;141:637-43.
13. Erkin G, Culha C, Özel S, Kırbıyık EG. Feding and gastrointestinal problems in children with cerebral palsy. J Rehabil Res 2010;33:218-24.
14. Gisel EG, Alphonce E. Classification of eating impairments based on eating eficiency in children with cerebral palsy. Dysphagia 1995;10:268-74.
15. Clancy KJ, Hustad KC. Longitudinal changes in feding among children with cerebral palsy between the ages of 4 and 7 years. Dev Neurorehabil 2011;14:191-8.
16. Tomoum HY, Badawy NB, Hassan NE, Alian KM. Antropomotry and body composition analysis in children with cerebral palsy. Clin Nutr 2010;29:477-81.
17. Santoro A, Lang MBD, Moretti E, Sellari-Franceschini S, Orazini L, Cipriani P, et al. A Proposed Multidisciplinary Approach for Identifying Feeding Abnormalities in Children With cerebral palsy. J Child Neurol 2012;27:708-12.
18. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997;39:214-23.
19. Stevenson RD, Conaway M, Chumlea WC, Rosenbaum P, Fung EB, Henderson RC, et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics 2006;118:1010-21.
20. Otman S, Demirel H, Sade A. Tedavi hareketlerinde temel değerlendirme prensipleri. Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu Yayınları 1995:49-56.
21. Pai M, Alur M, Wirz S, Filteau S, Pagedar S, Yousafzai A. A pilot study of the nutritional status of disabled and non-disabled children living in Dharavi, Mumbai. Ind Pediatr 2001;38:60-5.
22. Tüzün EH, Güven DK, Eker L, Elbasan B, Bülbül SF. Nutritional status of children with cerebral palsy in Turkey. Disabil Rehabil 2013;35:413-7.
23. Sullivian PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME, Johnson A. Impact of feding problems on nutritional intake and growth: Oxford feding study II. Dev Med Child Neurol 2002;44:461-7.
24. Yılmaz Ş, Başar P, Gisel EG. Assesment of feding performance in patients with cerebral palsy. Int J Rehab Res 2004;27:325-9.
25. Gangil A, Patwari AK, Aneja S. Feding problems in children with cerebral palsy. Indian Pediatr 2001;38:839-46.
26. Soylu Ö, Unalp A, Uran N, Dizdarer G, Ozgonul FO, Conku A, et al. Effect of nutritional support in children with spastic quadriplegic. Pediatr Neurol 2008;39:330-4.
27. Stallings VA, Charney EB, Davis JC, Cronk CE. Nutritionrelated growth failure of children with quadriplegic CP. Dev Med Child Neurol 1993;35:126-38.
28. Stallings VA, Charney EB, Davies JC, Cronk CE. Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol 1993;35:997-1006.
29. Beker L. Principles of growth assessment. Pediatr Rev 2006;27:196-7

Feeding Problems in Children with Cerebral Palsy and the Effect of Feeding Problems on Growth

Year 2014, Volume: 12 Issue: 2, 73 - 80, 01.09.2014

Tülay Tarsuslu Şimşek Gamze Tuç

https://doi.org/10.4274/jcp.74946

Abstract

Introduction: The aim of this study was to determine of feeding problems and the effect of feeding problems on growth in children with cerebral palsy CP . Materials and Methods: The study was included 278 children who have cerebral palsy. Socio-demographic data and clinical characteristics and feeding problems of the children were recorded. Gross motor function levels and anthropometric measurements body weight, height, knee length, upper arm length, mid upper arm area, arm and thigh circumferences, arm and forearm length, tibia length, triceps and subscapular skin-fold thickness were taken.Results: Average age of the children was 8.50±4.49 years. 130 46.8% of the children have had feeding problems and 148 53.2% have had no feeding problems. Feeding problems were more in children with moderate and severe disability then mild disability p< 0.05 . Most common feeding problems were difficulty in swallowing, vomiting, aspiration, difficulty in chewing, slaver and difficulty in holding of food in mouth. There was a significant different between weight, height, body weight, height, knee length, upper arm length, mid upper arm area, arm and thigh circumferences, upper extremities length arm and forearm length , tibia length, triceps and subscapular skin-fold thickness in children who have feeding problems and have not feeding problem p< 0.05 . Conclusions: Periodic anthropometric measurements is most important factors in early determine of feeding problems and feeding deficiency in children with CP and should be considered in the process of rehabilitation.

Keywords

Cerebral palsy, growth, feeding problems, health

References

1. Campanozzi A, Capano G, Miele E, Romano A, Scuccimarra G, Del Giudice E, et al. Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy. Brain Dev 2007;29:25-9.
2. Fung EB, Samson-Fang L, Stallings VA, Conaway M, Liptak G, Henderson RC, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc 2002;102:361-73.
3. Rogozinski BM, Davids JR, Davis RB, Christopher LM, Anderson JP, Jameson GG, et al. Prevalence of obesity in ambulatory children with cerebral palsy. J Bone Joint Surg Am 2007;89:2421-6.
4. Sleigh, Sullivian PB, Thomas AG. Gastrostomy feeding versus oral feeding alone for children with cerebral palsy. Cochrane Database Syst Rev 2004;2:CD003943.
5. Dahlseng MO, Finbråten AK, Júlíusson PB, Skranes J, Andersen G, Vik T. Feeding problems, growth and nutritional status in children with cerebral palsy. Acta Paediatr 2012;101:92-8.
6. Redstone F, West JF. The importance of postural control for feeding. Pediatric Nurs 2004;32:97-100.
7. Gangil A, Patwari AK, Aneja S. Feding problems in children with cerebral palsy. Indian Pediatrics 2001;38:839-46.
8. Samson-Fang LJ, Stevenson RD. Identification of malnutrition in children with cerebral palsy: poor performance of weight-forheight centiles. Dev Med Child Neurol 2000;42:162-8.
9. Sullivan PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME, Johnson A. Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II. Dev Med Child Neurol 2002;44:461-7.
10. Jen-Wen Hung, Te-Jui Hsu, Pi-Chuan Wu, Chau-Peng Leong. Risk factors of Undernutrition in Children with Spastic Cerebral Palsy. Chang Gung Med J 2003;26:425-32.
11. Rogers B. Feding method and health outcomes of children with cerebral palsy. J Pediatr 2004;145:28-32.
12. Samson-Fang L, Fung E, Stallings VA, Conaway M, Worley G, Rosenbaum P, et al. Relationship of nutritional status to health and societal participation in children with cerebral palsy. J Pediatr 2002;141:637-43.
13. Erkin G, Culha C, Özel S, Kırbıyık EG. Feding and gastrointestinal problems in children with cerebral palsy. J Rehabil Res 2010;33:218-24.
14. Gisel EG, Alphonce E. Classification of eating impairments based on eating eficiency in children with cerebral palsy. Dysphagia 1995;10:268-74.
15. Clancy KJ, Hustad KC. Longitudinal changes in feding among children with cerebral palsy between the ages of 4 and 7 years. Dev Neurorehabil 2011;14:191-8.
16. Tomoum HY, Badawy NB, Hassan NE, Alian KM. Antropomotry and body composition analysis in children with cerebral palsy. Clin Nutr 2010;29:477-81.
17. Santoro A, Lang MBD, Moretti E, Sellari-Franceschini S, Orazini L, Cipriani P, et al. A Proposed Multidisciplinary Approach for Identifying Feeding Abnormalities in Children With cerebral palsy. J Child Neurol 2012;27:708-12.
18. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997;39:214-23.
19. Stevenson RD, Conaway M, Chumlea WC, Rosenbaum P, Fung EB, Henderson RC, et al. Growth and health in children with moderate-to-severe cerebral palsy. Pediatrics 2006;118:1010-21.
20. Otman S, Demirel H, Sade A. Tedavi hareketlerinde temel değerlendirme prensipleri. Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu Yayınları 1995:49-56.
21. Pai M, Alur M, Wirz S, Filteau S, Pagedar S, Yousafzai A. A pilot study of the nutritional status of disabled and non-disabled children living in Dharavi, Mumbai. Ind Pediatr 2001;38:60-5.
22. Tüzün EH, Güven DK, Eker L, Elbasan B, Bülbül SF. Nutritional status of children with cerebral palsy in Turkey. Disabil Rehabil 2013;35:413-7.
23. Sullivian PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME, Johnson A. Impact of feding problems on nutritional intake and growth: Oxford feding study II. Dev Med Child Neurol 2002;44:461-7.
24. Yılmaz Ş, Başar P, Gisel EG. Assesment of feding performance in patients with cerebral palsy. Int J Rehab Res 2004;27:325-9.
25. Gangil A, Patwari AK, Aneja S. Feding problems in children with cerebral palsy. Indian Pediatr 2001;38:839-46.
26. Soylu Ö, Unalp A, Uran N, Dizdarer G, Ozgonul FO, Conku A, et al. Effect of nutritional support in children with spastic quadriplegic. Pediatr Neurol 2008;39:330-4.
27. Stallings VA, Charney EB, Davis JC, Cronk CE. Nutritionrelated growth failure of children with quadriplegic CP. Dev Med Child Neurol 1993;35:126-38.
28. Stallings VA, Charney EB, Davies JC, Cronk CE. Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Dev Med Child Neurol 1993;35:997-1006.
29. Beker L. Principles of growth assessment. Pediatr Rev 2006;27:196-7

There are 29 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Article
Authors	Tülay Tarsuslu Şimşek Gamze Tuç This is me
Publication Date	September 1, 2014
Published in Issue	Year 2014 Volume: 12 Issue: 2

Cite

APA	Tarsuslu Şimşek, T., & Tuç, G. (2014). Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi. Güncel Pediatri, 12(2), 73-80. https://doi.org/10.4274/jcp.74946
AMA	Tarsuslu Şimşek T, Tuç G. Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi. Güncel Pediatri. September 2014;12(2):73-80. doi:10.4274/jcp.74946
Chicago	Tarsuslu Şimşek, Tülay, and Gamze Tuç. “Serebral Palsili Çocuklarda Beslenme Problemleri Ve Büyüme Üzerine Etkisi”. Güncel Pediatri 12, no. 2 (September 2014): 73-80. https://doi.org/10.4274/jcp.74946.
EndNote	Tarsuslu Şimşek T, Tuç G (September 1, 2014) Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi. Güncel Pediatri 12 2 73–80.
IEEE	T. Tarsuslu Şimşek and G. Tuç, “Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi”, Güncel Pediatri, vol. 12, no. 2, pp. 73–80, 2014, doi: 10.4274/jcp.74946.
ISNAD	Tarsuslu Şimşek, Tülay - Tuç, Gamze. “Serebral Palsili Çocuklarda Beslenme Problemleri Ve Büyüme Üzerine Etkisi”. Güncel Pediatri 12/2 (September 2014), 73-80. https://doi.org/10.4274/jcp.74946.
JAMA	Tarsuslu Şimşek T, Tuç G. Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi. Güncel Pediatri. 2014;12:73–80.
MLA	Tarsuslu Şimşek, Tülay and Gamze Tuç. “Serebral Palsili Çocuklarda Beslenme Problemleri Ve Büyüme Üzerine Etkisi”. Güncel Pediatri, vol. 12, no. 2, 2014, pp. 73-80, doi:10.4274/jcp.74946.
Vancouver	Tarsuslu Şimşek T, Tuç G. Serebral Palsili Çocuklarda Beslenme Problemleri ve Büyüme Üzerine Etkisi. Güncel Pediatri. 2014;12(2):73-80.

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