Eating and drinking ability and nutritional status in adults with cerebral palsy

McAllister, AnitaKarolinska Institutet,Karolinska Institute,Karolinska University Hospital,Karolinska Inst, Div Speech & Language Pathol, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Speech & Language Pathol, Womens Hlth & Allied Hlth Profess Theme, Stockholm, Sweden (författare)

Aim: To describe eating and drinking ability in adults with cerebral palsy (CP) relative to sex, age, subtype, and severity of gross motor and hand function and nutritional status. Method: This was a cross-sectional study based on data of 2035 adults with CP, median age 26 years (range 18–78 years). The Eating and Drinking Ability Classification System (EDACS), Gross Motor Function Classification System (GMFCS), and Manual Ability Classification System (MACS) were used in addition to subtype, body weight, height, body mass index (BMI), skin fold thickness, and gastrostomy. Linear regression models were used to estimate associations between body weight and the other variables. Results: More than half of the adults (52.5%) eat and drink safely and 32.4% have dysphagia with limitations to eating and drinking safety. Weight, height, and BMI decreased with increasing EDACS levels. In EDACS level V, 86% had a gastrostomy, 23.4% in EDACS levels III to V were underweight, whereas 42.3% in EDACS levels I to II had a BMI over 25, indicating overweight or obesity. Increasing EDACS levels and need of support during meals were associated with lower body weight. Interpretation: Adults with CP should be routinely screened and treated for dysphagia to avoid nutritional complications. Being dependent on others during mealtimes is a risk factor for low body weight.

Sjöstrand, EvaRegion Östergötland,Reg Ostergotland, Habilitat Unit, Motala, Sweden (författare)
Rodby-Bousquet, ElisabetUppsala universitet,Uppsala University,Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Västmanlands läns landsting / Region Västmanland,Centrum för klinisk forskning, Västerås,Lund Univ, Dept Clin Sci Lund, Orthopaed, Lund, Sweden(Swepub:uu)eliel158 (författare)
Karolinska InstituteKarolinska University Hospital (creator_code:org_t)

Ingår i:Developmental Medicine and Child Neurology: Wiley64:8, s. 1017-10240012-16221469-8749

Av författaren/redakt...: McAllister, Anit ...; Sjöstrand, Eva; Rodby-Bousquet, ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Näringslära

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