Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register
Background: The study aimed to define the burden and underlying risk factors of malnutrition among children with cerebral palsy (CP) in Gorkha district, Nepal. Methods: The first population-based register of children with CP in Gorkha, Nepal (i.e., Nepal CP Register—NCPR) was established in 2018. Ch...
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doaj-df65ee10138d492ca62876e6c79402292021-08-26T14:09:58ZengMDPI AGNutrients2072-66432021-07-01132537253710.3390/nu13082537Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy RegisterIsrat Jahan0Mohammad Muhit1Mahmudul Hassan Al Imam2Ratul Ghose3Amir Banjara Chhetri4Nadia Badawi5Gulam Khandaker6CSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global-Nepal, Balaju, Kathmandu 44611, NepalCerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, NSW 2086, AustraliaSchool of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4701, AustraliaBackground: The study aimed to define the burden and underlying risk factors of malnutrition among children with cerebral palsy (CP) in Gorkha district, Nepal. Methods: The first population-based register of children with CP in Gorkha, Nepal (i.e., Nepal CP Register—NCPR) was established in 2018. Children aged <18 years with confirmed CP were registered following standard protocol. Nutritional status was determined based on anthropometric measurements (height/length, weight, mid-upper-arm-circumference) following WHO guidelines. Descriptive analyses and adjusted logistic regression were completed. Results: Between June–October 2018, 182 children with CP were registered into the NCPR (mean (SD) age at assessment: 10.3 (5.0) years, 37.4% female). Overall, 51.7%, 64.1%, and 29.3% children were underweight, stunted, and thin, respectively. Furthermore, 14.3% of children with CP aged <5 years had severe wasting. Underweight and stunting were significantly higher among children with spastic CP (<i>p</i> = 0.02, <i>p</i> < 0.001) and/or Gross Motor Function Classification System (GMFCS) level (III–V) (<i>p</i> = 0.01, <i>p</i> < 0.001) and/or who were not enrolled in school (<i>p</i> = 0.01, <i>p</i> < 0.001). In adjusted analysis, GMFCS level III–V and non-attendance to school significantly increased the odds of stunting by 8.2 (95% CI 1.6, 40.8) and 4.0 (95% CI 1.2, 13.2) times, respectively. Conclusions: the high rate of different forms of undernutrition among children with CP in Gorkha, Nepal is concerning. Need-based intervention should be taken as priority to improve their nutritional outcome.https://www.mdpi.com/2072-6643/13/8/2537cerebral palsy (CP)malnutritiondisabilitykey informant methodNepal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Israt Jahan Mohammad Muhit Mahmudul Hassan Al Imam Ratul Ghose Amir Banjara Chhetri Nadia Badawi Gulam Khandaker |
spellingShingle |
Israt Jahan Mohammad Muhit Mahmudul Hassan Al Imam Ratul Ghose Amir Banjara Chhetri Nadia Badawi Gulam Khandaker Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register Nutrients cerebral palsy (CP) malnutrition disability key informant method Nepal |
author_facet |
Israt Jahan Mohammad Muhit Mahmudul Hassan Al Imam Ratul Ghose Amir Banjara Chhetri Nadia Badawi Gulam Khandaker |
author_sort |
Israt Jahan |
title |
Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register |
title_short |
Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register |
title_full |
Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register |
title_fullStr |
Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register |
title_full_unstemmed |
Nutritional Status of Children with Cerebral Palsy in Gorkha, Nepal: Findings from the Nepal Cerebral Palsy Register |
title_sort |
nutritional status of children with cerebral palsy in gorkha, nepal: findings from the nepal cerebral palsy register |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-07-01 |
description |
Background: The study aimed to define the burden and underlying risk factors of malnutrition among children with cerebral palsy (CP) in Gorkha district, Nepal. Methods: The first population-based register of children with CP in Gorkha, Nepal (i.e., Nepal CP Register—NCPR) was established in 2018. Children aged <18 years with confirmed CP were registered following standard protocol. Nutritional status was determined based on anthropometric measurements (height/length, weight, mid-upper-arm-circumference) following WHO guidelines. Descriptive analyses and adjusted logistic regression were completed. Results: Between June–October 2018, 182 children with CP were registered into the NCPR (mean (SD) age at assessment: 10.3 (5.0) years, 37.4% female). Overall, 51.7%, 64.1%, and 29.3% children were underweight, stunted, and thin, respectively. Furthermore, 14.3% of children with CP aged <5 years had severe wasting. Underweight and stunting were significantly higher among children with spastic CP (<i>p</i> = 0.02, <i>p</i> < 0.001) and/or Gross Motor Function Classification System (GMFCS) level (III–V) (<i>p</i> = 0.01, <i>p</i> < 0.001) and/or who were not enrolled in school (<i>p</i> = 0.01, <i>p</i> < 0.001). In adjusted analysis, GMFCS level III–V and non-attendance to school significantly increased the odds of stunting by 8.2 (95% CI 1.6, 40.8) and 4.0 (95% CI 1.2, 13.2) times, respectively. Conclusions: the high rate of different forms of undernutrition among children with CP in Gorkha, Nepal is concerning. Need-based intervention should be taken as priority to improve their nutritional outcome. |
topic |
cerebral palsy (CP) malnutrition disability key informant method Nepal |
url |
https://www.mdpi.com/2072-6643/13/8/2537 |
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