PDF(Pubmed)
Abstract：
UNASSIGNED: Limited knowledge on nutritional epidemiology in Ghanaian children with Cerebral Palsy (CP) necessitates a comprehensive investigation for an improved understanding of malnutrition in this population.
UNASSIGNED: We aimed to describe the epidemiology of malnutrition among children with CP in Ghana.
UNASSIGNED: The study used data collected as part of the Ghana CP Register (GCPR). The GCPR is an institution-based surveillance of children with CP aged < 18 years in Ghana. Between October 2018 and April 2020, N = 455 children with CP were registered. Data were collected on (i) weight, length or height, mid-upper-arm-circumference of children with CP; (ii) socio-demographic characteristics; (iii) motor type and topography, gross motor function classification system level (GMFCS); (iv) associated impairments; (v) educational and rehabilitation status for each child. Descriptive and bivariate analyses were performed.
UNASSIGNED: Mean and standard deviation age of the registered children at assessment was 5.9 ± 4.1 years, and 42.1% were female. Two-thirds of the children had ≥ one form of undernutrition (underweight or severely underweight: 38.9%, stunted or severely stunted: 51.2%, thin or severely thin: 23.8%). In the adjusted analysis, low maternal education, GMFCS-IV, speech impairment and epilepsy significantly increased the odds of undernutrition among participating children (aOR: 2.6 [95% CI:1.3-5.4]; 2.2 [95% CI:1.0-4.8]; 2.0 [95% CI:1.1-3.6]; 2.9 [95% CI:1.1-7.5] respectively).
UNASSIGNED: The high malnutrition rate indicates an urgent need for nutrition interventions and translational research to improve nutritional status and prevent adverse outcomes among children with CP in Ghana.
UNASSIGNED: Our study contributes important data and a framework to develop guidelines and evidence-based interventions for children with CP in Ghana.
UNASSIGNED: We aimed to describe the epidemiology of malnutrition among children with CP in Ghana.
UNASSIGNED: The study used data collected as part of the Ghana CP Register (GCPR). The GCPR is an institution-based surveillance of children with CP aged < 18 years in Ghana. Between October 2018 and April 2020, N = 455 children with CP were registered. Data were collected on (i) weight, length or height, mid-upper-arm-circumference of children with CP; (ii) socio-demographic characteristics; (iii) motor type and topography, gross motor function classification system level (GMFCS); (iv) associated impairments; (v) educational and rehabilitation status for each child. Descriptive and bivariate analyses were performed.
UNASSIGNED: Mean and standard deviation age of the registered children at assessment was 5.9 ± 4.1 years, and 42.1% were female. Two-thirds of the children had ≥ one form of undernutrition (underweight or severely underweight: 38.9%, stunted or severely stunted: 51.2%, thin or severely thin: 23.8%). In the adjusted analysis, low maternal education, GMFCS-IV, speech impairment and epilepsy significantly increased the odds of undernutrition among participating children (aOR: 2.6 [95% CI:1.3-5.4]; 2.2 [95% CI:1.0-4.8]; 2.0 [95% CI:1.1-3.6]; 2.9 [95% CI:1.1-7.5] respectively).
UNASSIGNED: The high malnutrition rate indicates an urgent need for nutrition interventions and translational research to improve nutritional status and prevent adverse outcomes among children with CP in Ghana.
UNASSIGNED: Our study contributes important data and a framework to develop guidelines and evidence-based interventions for children with CP in Ghana.
摘要：
■加纳脑瘫（CP）儿童的营养流行病学知识有限，因此需要进行全面调查，以提高对该人群营养不良的认识。
■我们旨在描述加纳CP儿童营养不良的流行病学。
■该研究使用了作为加纳CP登记册（GCPR）一部分收集的数据。GCPR是对加纳18岁以下CP儿童的基于机构的监测。在2018年10月至2020年4月之间，N=455名患有CP的儿童进行了登记。收集了关于(I)体重的数据，长度或高度，CP儿童的中上臂围；（ii）社会人口统计学特征；（iii）运动类型和地形，粗大运动功能分类系统水平（GMFCS）；（iv）相关损伤；（v）每个孩子的教育和康复状况。进行描述性和双变量分析。
■评估时注册儿童的平均和标准偏差年龄为5.9±4.1岁，42.1%为女性。三分之二的儿童有≥一种形式的营养不良（体重不足或体重严重不足：38.9％，发育不良或严重发育不良：51.2%，瘦或严重瘦：23.8%）。在调整后的分析中，低母亲教育，GMFCS-IV,语言障碍和癫痫显著增加了参与儿童营养不良的几率(分别为aOR:2.6[95%CI:1.3-5.4];2.2[95%CI:1.0-4.8];2.0[95%CI:1.1-3.6];2.9[95%CI:1.1-7.5]).
高营养不良率表明加纳迫切需要营养干预措施和转化研究，以改善儿童的营养状况并预防不良结局。
■我们的研究为加纳CP儿童制定指南和循证干预措施提供了重要的数据和框架。
■我们旨在描述加纳CP儿童营养不良的流行病学。
■该研究使用了作为加纳CP登记册（GCPR）一部分收集的数据。GCPR是对加纳18岁以下CP儿童的基于机构的监测。在2018年10月至2020年4月之间，N=455名患有CP的儿童进行了登记。收集了关于(I)体重的数据，长度或高度，CP儿童的中上臂围；（ii）社会人口统计学特征；（iii）运动类型和地形，粗大运动功能分类系统水平（GMFCS）；（iv）相关损伤；（v）每个孩子的教育和康复状况。进行描述性和双变量分析。
■评估时注册儿童的平均和标准偏差年龄为5.9±4.1岁，42.1%为女性。三分之二的儿童有≥一种形式的营养不良（体重不足或体重严重不足：38.9％，发育不良或严重发育不良：51.2%，瘦或严重瘦：23.8%）。在调整后的分析中，低母亲教育，GMFCS-IV,语言障碍和癫痫显著增加了参与儿童营养不良的几率(分别为aOR:2.6[95%CI:1.3-5.4];2.2[95%CI:1.0-4.8];2.0[95%CI:1.1-3.6];2.9[95%CI:1.1-7.5]).
高营养不良率表明加纳迫切需要营养干预措施和转化研究，以改善儿童的营养状况并预防不良结局。
■我们的研究为加纳CP儿童制定指南和循证干预措施提供了重要的数据和框架。
