Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indone...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Israt Jahan, Mohammad Muhit, Denny Hardianto, Francis Laryea, Samuel Kofi Amponsah, Amir Banjara Chhetri, Hayley Smithers-Sheedy, Sarah McIntyre, Nadia Badawi, Gulam Khandaker
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	malnutrition underweight stunting cerebral palsy children LMIC Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/97ffb457633c4607b7610d25bcf0a983
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:97ffb457633c4607b7610d25bcf0a983
record_format	dspace
spelling	oai:doaj.org-article:97ffb457633c4607b7610d25bcf0a9832021-11-25T18:33:05ZEpidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register10.3390/nu131136762072-6643https://doaj.org/article/97ffb457633c4607b7610d25bcf0a9832021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3676https://doaj.org/toc/2072-6643Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition. Results: Between January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72–98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III–V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III–V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III–V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted. Conclusion: Most children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III–V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.Israt JahanMohammad MuhitDenny HardiantoFrancis LaryeaSamuel Kofi AmponsahAmir Banjara ChhetriHayley Smithers-SheedySarah McIntyreNadia BadawiGulam KhandakerMDPI AGarticlemalnutritionunderweightstuntingcerebral palsychildrenLMICNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3676, p 3676 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	malnutrition underweight stunting cerebral palsy children LMIC Nutrition. Foods and food supply TX341-641
spellingShingle	malnutrition underweight stunting cerebral palsy children LMIC Nutrition. Foods and food supply TX341-641 Israt Jahan Mohammad Muhit Denny Hardianto Francis Laryea Samuel Kofi Amponsah Amir Banjara Chhetri Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
description	Background: This study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs). Methods: Data from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition. Results: Between January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72–98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III–V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III–V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III–V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted. Conclusion: Most children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III–V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.
format	article
author	Israt Jahan Mohammad Muhit Denny Hardianto Francis Laryea Samuel Kofi Amponsah Amir Banjara Chhetri Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker
author_facet	Israt Jahan Mohammad Muhit Denny Hardianto Francis Laryea Samuel Kofi Amponsah Amir Banjara Chhetri Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker
author_sort	Israt Jahan
title	Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
title_short	Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
title_full	Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
title_fullStr	Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
title_full_unstemmed	Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register
title_sort	epidemiology of malnutrition among children with cerebral palsy in low- and middle-income countries: findings from the global lmic cp register
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/97ffb457633c4607b7610d25bcf0a983
work_keys_str_mv	AT isratjahan epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT mohammadmuhit epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT dennyhardianto epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT francislaryea epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT samuelkofiamponsah epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT amirbanjarachhetri epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT hayleysmitherssheedy epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT sarahmcintyre epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT nadiabadawi epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister AT gulamkhandaker epidemiologyofmalnutritionamongchildrenwithcerebralpalsyinlowandmiddleincomecountriesfindingsfromthegloballmiccpregister
_version_	1718411033280774144

Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register

Ejemplares similares