Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 02-03-2022

Crianças com paralisia cerebral: como podemos avaliar e manejar seus aspectos nutricionais

Nutricionista, mestre em ciências médicas: Saúde da criança e do adolescente pela Universidade Federal do Rio Grande do Sul
Hospital de Clínicas de Porto Alegre
Doutora em Ciências Médicas: Pediatria pela Universidade Federal do Rio grande do Rio Grande do Sul
cerebral palsy nutritional therapy and nutritional status

Abstract

Introduction: The population of children with cerebral palsy (CP) has grown over the years. It is estimated that has 30,000 to 40,000 new cases per year in Brazil. In this sense, health professionals must be prepared to serve this population. The classification of nutritional status appropriate for the population of PC, optimizes an appropriate nutritional intervention. And, it is important to consider at the time of nutritional assessment, children with CP have characteristics such as swallowing disorders and motor deficits should not be evaluated the same way as healthy children. In this sense the objective of this study is to review the literature on methods of nutritional assessment and nutritional therapy used in children and adolescents with cerebral palsy. Data Sources: Articles indexed in MEDLINE, SCIELO, and classical references. The words used were “cerebral palsy”, “nutrition assessment”, “growth curves” and “nutritional therapy”. Conclusions: It is observed that is not clear which methods should be used in nutritional assessment of patients with CP. In this sense, is being highlighted important aspects of nutritional care for children with CP.

Metrics

Metrics Loading ...

References

  1. Alcock, NS, Bates J, Carmichael A, Crosland J, Evans PR, Joseph MC, McArdle MJ, et. al. Memorandum on terminology and classification of “cerebral palsy”. The Little club. 1959; 5: 27-35.
  2. Rotta T.N. Paralisia Cerebral, novas perspectivas terapêuticas. J Pediatr. 2002;78 (1) S48-54.
  3. Mancini MC, Fiúza PM, Rebelo JM, Magalhães LC, Coelho ZAC, Paixão ML, et al. Comparação do desempenho de atividades funcionais em crianças com desenvolvimento normal e crianças com paralisia cerebral. Arq Neuropsiquiatr. 2002;60(2B):446-52.
  4. Andersen, LG, Irgens L, Haagaas I, Skranes JS, Meberg AE, Vik T. Cerebral palsy in Norway: Prevalence, subtypes and severity. Eur J Paediatr Neurol. 2008; 12: 4-13.
  5. Odding, E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 2006; 28 (4): 183-91.
  6. Geloh-Mann IK, Cans C. Cerebral palsy update. Brain Dev. 2009; 31: 537-44.
  7. Robertson TMC, Watt MJ, Dinu IA. Outcomes for the extremely premature infant: What is new? and where are we going? Pediatr Neurol. 2009; 40: 189-96.
  8. For health care providers (endereço na internet). Estados Unidos: North American Growth in Cerebral Palsy Projet. (Última atualização 10/2009; citado em 10/2009). Disponível em http://www.healthsystem.virginia.edu/internet/nagcepp/.
  9. Stevenson, R.D. Use of segmental measures to estimate stature in children with cerebral palsy. Arch Pediatr Adolesc Med. 1995; 149 (6): 658-62.
  10. Liu L, Roberts R; Miluer LM, Fang LS. Determination of body composition in children with cerebral palsy: bioelectrical impedance analysis and anthropometry vs dual-energy X-ray absorptiometry. J Am Diet Assoc. 2005;105:794-7.
  11. Krick, J, Miller MP, Zeger S, Weight E. Pattern of growth in children with cerebral palsy. J Am Diet Assoc. 1996; 96(7): 680-5.
  12. National Center for Health Statistics Growth curves for children birth to 18 years: United States Departament of Health Education and Welfare, Vital and Health Statistics, 1977; 11: 165.
  13. Day SM, Strauss DJ, Vachon PJ, Rosenbloom L, Shavelle RM, Wu YW. Growth patterns in a population of children and adolescents with cerebral palsy. Dev Med Child Neurol. 2007; 49: 167–71.
  14. Stallings VA, Cronk CE, Zemel BS, Charney EB. Body composition in children with spastic quadriplegic cerebral palsy. J Pediatr. 1995; 126 (5): 833-9.
  15. Piva CRE, Gaya ACA, Bottaro M, Bezerra RFA. Avaliação da composição corporal em meninos brasileiros: o método de impedância bioelétrica. Rev. bras. cineantropom desempenho hum. 2002; 4(1): 37-45.
  16. Lukaski HC, Johnson P, Bolonchuk W, Lykken G. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr. 1985; 41: 810-17.
  17. Kettaneh A, Heude B, Lommez A, Borys JM, Ducimetière P, Charles MA. Reliability of bioimpedance analysis compared with other adiposity measurementsin children: The FLVS II Study. Diabetes Metab. 2005; 31(6): 534-41.
  18. Liu L, Roberts R; Miluer LM, Fang LS. Determination of body composition in children with cerebral palsy: bioelectrical impedance analysis and anthropometry vs dual-energy X-ray absorptiometry. J Am Diet Assoc. 2005;105:794-7.
  19. Veugelers R, Penning C, Gulik MEV, Tibboel D, Evenhuis HM. Feasibility of bioelectrical impedance analysis in children with a severe generalized cerebral palsy. Nutrition. 2006; 22: 16-22.
  20. Rieken R, Calis EAC, Tibboel D, Evenhuis HM, Penning P. Validation of skinfold measurements and bioelectrical impedance analysis in children with severe cerebral palsy: A review. Clin Nutr. 2009; 2:1-5.
  21. Jordão RE, Bernardi JLD, Filho AAB. Prevalência de anemia ferropriva no Brasil: uma revisão sistemática. Rev Paul Pediatr. 2009; 27(1): 90-8.
  22. Papadopoulos A, Ntaios G, Kaiafa G, Girtovitis F, Saouli Z, Kontoninas Z, et al. Increased incidence of iron deficiency anemia secondary to inadequate iron intake in institutionalized, young patients with cerebral palsy. Int J Hematol. 2008; 88:495–7.
  23. Marchand V, Motil KJ, NASPGHAN Committee on Nutrition. Nutrition Support for Neurologically Impaired Children: A Clinical Report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2006; 43: 123-35.
  24. Sulivan PB, Juszczak E, Lambert BR, Rose M, Ford-Adams ME. Impact of feeding problems on nutritional intake and growth: Oxford Feeding Study II. Dev Med Child Neurol. 2002; 44: 461–7.
  25. Grammatikopoulou MG, Daskalou E, Tsigga M. Diet, feeding practices, and anthropometry of children and adolescents with cerebral palsy and their siblings. Nutrition. 2009; 25: 620–6.
  26. Aurélio SR, Genaro KF, Filho EDM. Análise comparativa dos padrões de deglutição de crianças com paralisia cerebral e crianças normais. Rev Bras Otorrinolaringol. 2002; 68 (2): 167-73.
  27. Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: A community survey. J Pediatr. 1996; 129 (6): 877-82.
  28. Fung EB, Fang LS, Stallings VA, Conaway M, Liptak G, Henderson RC, et. al. Feendig dysfunction is associated with poor growth and heath status in children with cerebral palsy. J Am Diet Assoc. 2002; 102 (3): 361-73.
  29. Campanozzi A, Capanoa G, Mielea E, Romanoa A, Scuccimarrac G, Giudicea ED, et. al. Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy. Brain Dev. 2007; 29 (1): 25-9.
  30. Sullivan PB. Gastrointestinal disorders in children with neurodevelopmental disabilities. Dev Disabil Res Rev. 2008;14:128–36.
  31. Sullivan PB, B Lambert B, Rose M, Ford-Adams M, A Johnson A, Griffiths P. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000; 42 (10): 674-80.
  32. Robertson TMC, Watt MJ, Dinu IA. Outcomes for the Extremely Premature Infant: What Is New: and Where Are We Going? Pediatr Neurol. 2009; 40: 189-96.
  33. Hals J, Ek J, Svalastog AG, Nilsen H. Studies on nutrition in severely neurologically disabled children in an institution. Acta Pediatr. 2008; 85 (12): 1469-75.
  34. Carroll RJ, Freedman LS, Hartman AM. Use of Semiquantitative Food Frequency questionnaires to estimate the distribution of usual intake. Am J Epidemiol. 1996; 143 (4): 392-404.
  35. Krick J, Murphy PE, Markham JF, et al. A proposed formula for calculating energy needs of children with cerebral palsy. Dev Med Child Neurol. 1992;34(6):481-7.
  36. National Agricultural Library (endereço de internet). Beltsville: Dietary Reference Intakes. (Última atualização 04/2010; citado em 04/2010). Disponível em: http://www.nal.usda.gov/fnic/etext/000105.html.
  37. Culley WJ, Middleton TO. Caloric requirements of mentally retarded children with and without motor dysfunction. J Pediatr. 1969;75(3) 380-4.
  38. Silva MPN. Síndrome da anorexia-caquexia em portadores de câncer. Rev Bras Cancerol. 2006; 52(1): 59-77.
  39. Sullivan PB, Juszczak E, Bachlet AME, Lambart B, Roberts AV, Grant HW, et. al. Gastrostomy tube Feeding in children With cerebral palsy: A prospective, Longitudinal study. Dev Med Child Neurol. 2005, 47: 77–85.
  40. Stroud M, Ducan H, Nightingale J. Guidelines for enteral feeding in adult hospital patients. Gut. 2003; 52 (VII): vii1vii12
  41. Borges PP, Mello ED. Alimentação em crianças com paralisia cerebral. Nutrição em Pauta. 2004; 50-4.
  42. Kilpinen-Loisa P, Nenonen H, Pihko H, Mäkitie O. High-Dose Vitamin D Supplementation in Children with Cerebral Palsy or Neuromuscular Disorder. Neuropediatrics. 2007; 38 (4): 167-72.
  43. Centro de Informações sobre Medicamentos do Hospital de Clínicas de Porto Aalegre (endereço na internet). Porto Alegre: Tabela de Medicamentos Via Oral X alimentos/nutrientes. (Última atualização 04/2010; citado em 04/2010). Disponível em: http://www.hcpa.ufrgs.br//downloads/Cim/data/Tabela_Medicamentos/Medicamentos%20Orais%20x%20Alimentos%20-%20Nutrientes.pdf.

How to Cite

Mota, M. A., Silveira, C. R. M., & Mello, E. D. de. (2022). Crianças com paralisia cerebral: como podemos avaliar e manejar seus aspectos nutricionais. International Journal of Nutrology, 6(2), 60–68. https://doi.org/10.1055/s-0040-1705674