Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action

Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action

Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active pr...

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Main Authors: Tasneem Karim, Israt Jahan, Rachael Dossetor, Nguyen Thi Huong Giang, Nguyen Thi Van Anh, Trinh Quang Dung, Cao Minh Chau, Nguyen Van Bang, Nadia Badawi, Gulam Khandaker, Elizabeth Elliott
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Nutrients
Subjects:
cerebral palsy
hospital-based surveillance
malnutrition
Vietnam
children
Online Access:https://www.mdpi.com/2072-6643/11/9/2132
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spelling doaj-e99ae58abe56404bb1412db84c5647ea2020-11-25T01:32:42ZengMDPI AGNutrients2072-66432019-09-01119213210.3390/nu11092132nu11092132Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for ActionTasneem Karim0Israt Jahan1Rachael Dossetor2Nguyen Thi Huong Giang3Nguyen Thi Van Anh4Trinh Quang Dung5Cao Minh Chau6Nguyen Van Bang7Nadia Badawi8Gulam Khandaker9Elizabeth Elliott10Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, AustraliaCSF Global, Dhaka 1213, BangladeshDiscipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, AustraliaRehabilitation Department, National Children’s Hospital, Hanoi 117200, VietnamDepartment of Medical Education and Skills Lab, Hanoi Medical University, Hanoi 116177, VietnamRehabilitation Department, National Children’s Hospital, Hanoi 117200, VietnamRehabilitation Department, Hanoi Medical University (Bach Mai Hospital), Hanoi 116177, VietnamDepartment of Paediatrics, Hanoi Medical University, Hanoi 116177, VietnamDiscipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, AustraliaDiscipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, AustraliaDiscipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, AustraliaBackground: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0−18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June−November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV−V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.https://www.mdpi.com/2072-6643/11/9/2132cerebral palsyhospital-based surveillancemalnutritionVietnamchildren
collection DOAJ
language English
format Article
sources DOAJ
author Tasneem Karim
Israt Jahan
Rachael Dossetor
Nguyen Thi Huong Giang
Nguyen Thi Van Anh
Trinh Quang Dung
Cao Minh Chau
Nguyen Van Bang
Nadia Badawi
Gulam Khandaker
Elizabeth Elliott
spellingShingle Tasneem Karim
Israt Jahan
Rachael Dossetor
Nguyen Thi Huong Giang
Nguyen Thi Van Anh
Trinh Quang Dung
Cao Minh Chau
Nguyen Van Bang
Nadia Badawi
Gulam Khandaker
Elizabeth Elliott
Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
Nutrients
cerebral palsy
hospital-based surveillance
malnutrition
Vietnam
children
author_facet Tasneem Karim
Israt Jahan
Rachael Dossetor
Nguyen Thi Huong Giang
Nguyen Thi Van Anh
Trinh Quang Dung
Cao Minh Chau
Nguyen Van Bang
Nadia Badawi
Gulam Khandaker
Elizabeth Elliott
author_sort Tasneem Karim
title Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
title_short Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
title_full Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
title_fullStr Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
title_full_unstemmed Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action
title_sort nutritional status of children with cerebral palsy—findings from prospective hospital-based surveillance in vietnam indicate a need for action
publisher MDPI AG
series Nutrients
issn 2072-6643
publishDate 2019-09-01
description Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0−18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June−November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV−V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.
topic cerebral palsy
hospital-based surveillance
malnutrition
Vietnam
children
url https://www.mdpi.com/2072-6643/11/9/2132
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