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Vol. 89. Núm. 3.Maio - Junho 2013
Páginas 211-326
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Vol. 89. Núm. 3.Maio - Junho 2013
Páginas 211-326
ARTIGO ORIGINAL
DOI: 10.1016/j.jpedp.2012.11.010
Anthropometric assessment of patients with cerebral palsy: Which curves are more appropriate?
Avaliação antropométrica dos pacientes com paralisia cerebral: quais as curvas mais adequadas?
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3712
Liubiana A. Araújoa,
Autor para correspondência
, Luciana R. Silvab
a Doutora em Neuropediatria, Programa de Pós-graduação em Medicina e Saúde, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil. Fellow, Harvard Medical School, Boston, MA, EUA
b Doutora. Pós-doutora. Chefe, Serviço de Gastroenterologia e Hepatologia Pediátrica, Complexo do Hospital Universitário Professor Edgard Santos (HUPES), Centro Pediátrico Professor Hosannah de Oliveira (CPPHO), UFBA, Salvador, BA, Brasil
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Informação do artigo
Abstract
Objective

To describe the nutritional assessment of children with cerebral palsy, verifying the correlation of growth curves specific for cerebral palsy with general curves, in addition to assessing the presence of digestive manifestations associated with nutritional problems.

Methods

This was a cross-sectional study of 187 individuals with cerebral palsy, evaluating anthropometric data in curves commonly used in pediatrics and specific curves for cerebral palsy, in addition to the description of presence of dysphagia, constipation, and respiratory infections.

Results

58% of patients were males, with a mean age of 5.6±3.5 years. Anthropometric data of weight below the 10th percentile occurred in 10% of the sample considering the cerebral palsy scale, versus 51% when considering the reference from the Centers for Disease Control and Prevention (p < 0.01; Kappa 0.19). The weight of most individuals with dysphagia, recurrent respiratory infections, and constipation was below the 50th percentile, with respective percentages of 67%, 75%, and 72%.

Conclusion

The references commonly used in pediatrics tend to overestimate malnutrition in individuals with cerebral palsy, and their correlation with specific references for cerebral palsy is low. Digestive manifestations were mainly found in those individuals whose anthropometric measurements were below the 50th percentile.

Keywords:
Cerebral palsy
malnutrition
swallowing disorders
intestinal constipation
respiratory infections
Resumo
Objetivo

Descrever a avaliação nutricional de crianças com paralisia cerebral, verifi- cando a concordância de curvas de crescimento específicas para paralisia cerebral com curvas gerais, além de avaliar a presença das manifestações digestórias associadas a agravos nutricionais.

Métodos

Corte transversal de 187 indivíduos com paralisia cerebral, avaliando-se dados antopométricos em curvas habitualmente utilizadas em pediatria e em curvas especí- ficas para paralisia cerebral, além da descrição da presença de disfagia, constipação intestinal e infecções respiratórias de repetição.

Resultados

Dos indivíduos, 58% eram masculinos; média de idade de 5,6 anos ± 3,5 anos. Dados antopométricos de peso abaixo do percentil 10 ocorreu em 10% da amostra, consi- derando a escala para paralisia cerebral, contra 51% na referência do Center of Disease Control (p < 0,01; Kappa 0,19). A maioria dos indivíduos comprometidos com disfagia, infecções respiratórias de repetição e constipação intestinal encontrava-se abaixo do percentil 50, com porcentagens respectivas de 67%, 75% e 72%.

Conclusão

As referências habitualmente utilizadas em pediatria tendem a superestimar a desnutrição em indivíduos com paralisia cerebral, e sua concordância com referências específicas para paralisia cerebral é baixa. As manifestações digestórias foram encon- tradas principalmente naqueles indivíduos cujas medidas antropométricas encontram-se abaixo do percentil 50.

Palavras chave:
Paralisia cerebral
Desnutrição
Transtornos de deglutição
Constipação intestinal
Infecções respiratórias
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Como citar este artigo: Araújo LA, Silva LR. Anthropometric assessment of patients with cerebral palsy: which curves are more appropriate?. J Pediatr (Rio J). 2013;89:307–14.

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