%0 Journal Article %T Nutritional status of children with cerebral palsy in Ghana. %A Jahan I %A Sultana R %A Laryea F %A Amponsah SK %A Danquah FI %A Muhit M %A Bashar SMK %A Smithers-Sheedy H %A McIntyre S %A Badawi N %A Khandaker G %J Afr J Disabil %V 13 %N 0 %D 2024 %M 39114454 暂无%R 10.4102/ajod.v13i0.1335 %X 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.