ArticleThe American journal of medicine2017
Multimorbidity in Middle-Aged Adults with Cerebral Palsy.
Article in The American journal of medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 158 citations in OpenAlex.
- Exploring the Characteristics and Utilization of General Practice Healthcare by Adults With Cerebral Palsy: A Systematic Review.Journal of primary care & community healthPooled it
- A pilot study proposing an algorithm for pubertal induction in cerebral palsy.Journal of pediatric endocrinology & metabolism : JPEM · 2024Trial
- "We Don't Know What to Do With an Adult" A Qualitative Study of Cerebral Palsy Transition Gaps.Archives of physical medicine and rehabilitation · 2026Article
- Evolving rehabilitation needs across the lifespan: a mixed methods study with adults with cerebral palsy.Disability and rehabilitation · 2026Article
- The THRIVE-CP trial - Targeted home-based training with real-time feedback to improve versatile movement behaviors and enhance outcomes in adolescents and young adults with Cerebral Palsy: Protocol for a randomized controlled trial.Contemporary clinical trials communications · 2025Article
- Rehabilitation needs and healthcare utilization of adults with cerebral palsy: A mixed methods study.Journal of pediatric rehabilitation medicine · 2025Article
- Outcomes of Pediatric Orthopedic Management of Ambulatory Cerebral Palsy Utilizing a Closely Monitored, Lifespan-Guided Approach.Children (Basel, Switzerland) · 2025Article
- Attention over vulnerable brain regions associating cerebral palsy disorder and biological markers.Journal of advanced research · 2025Article
- Observational
- The Prevalence and Risk Analysis of Cerebral Palsy and Other Neuro-Psychological Comorbidities in Children with Low Birth Weight in Taiwan: A Nationwide Population-Based Cohort Study.Journal of clinical medicine · 2024Article
- Comorbidity Clusters Among Adults With Cerebral Palsy: A Latent Class Analysis.American journal of preventive medicine · 2024Article
- "We do it all": A qualitative exploration of the caregiver role for young adults with cerebral palsy.Health care transitions · 2024Article
- Navigating the complex care landscape: Addressing challenges and advancing adult care frameworks for individuals with cerebral palsy.Health care transitions · 2024Article
- Accurate Monitoring of 24-h Real-World Movement Behavior in People with Cerebral Palsy Is Possible Using Multiple Wearable Sensors and Deep Learning.Sensors (Basel, Switzerland) · 2023Article
- Article
- Adults with Cerebral Palsy: Navigating the Complexities of Aging.Brain sciences · 2023Review
- Tools for Nutrition Assessment of Adults with Cerebral Palsy: Development of a Gold Standard.Current nutrition reports · 2023Review
- Longitudinal Patterns of Postfracture Outpatient Physical Therapy and Occupational Therapy Use and Its Association With 3-Year Mortality Among Adults With Cerebral Palsy.Physical therapy · 2023Article
- Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy II: Influencing the Trajectory.Behavioral sciences (Basel, Switzerland) · 2023Article
- Continuity of Care in Adults Aging with Cerebral Palsy and Spina Bifida: The Importance of Community Healthcare and Socioeconomic Context.Disabilities (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveIndividuals with cerebral palsy have less lean body mass, greater relative adiposity, and lower fitness and physical activity participation, and yet the prevalence of age-related multimorbidity in this population has yet to be established. The study objective was to examine the prevalence of lifestyle-related chronic conditions and multimorbidity in a sample of middle-aged adults with cerebral palsy.
methodsA clinic-based sample of middle-aged adults with cerebral palsy was examined using Electronic Medical Records Search Engine software. Our cohort included 435 individuals aged 40 to 60 years, with an International Classification of Diseases, Clinical Modification, 9th and 10th Revisions Diagnosis Code for cerebral palsy. Prevalence of 12 chronic conditions was evaluated, including existing diagnoses or historical record of osteopenia/osteoporosis, myocardial infarction, stroke, coronary artery disease, impaired glucose tolerance/type 2 diabetes, other cardiovascular conditions, rheumatoid arthritis, osteoarthritis, asthma, emphysema, prehypertension/hypertension, and hyperlipidemia. Multivariate logistic models were used to estimate multimorbidity (ie, ≥2 chronic conditions), adjusting for age, sex, smoking status, obesity, and Gross Motor Function Classification System (GMFCS).
resultsThere were 137 unique multimorbidity combinations. Multimorbidity was significantly more prevalent among obese versus nonobese individuals for both GMFCS I-III (75.8% vs 53.6%) and GMFCS IV-V (79.0% vs 64.2%), but was also significantly higher in nonobese individuals with GMFCS IV-V (64.2%) compared with nonobese individuals with GMFCS I-III (53.6%). Both the obesity status (odds ratio, 2.20; 95% confidence interval, 1.32-2.79) and the GMFCS IV-V category (odds ratio, 1.81; 95% confidence interval, 1.32-3.68) were independently associated with multimorbidity.
conclusionsMiddle-aged adults with cerebral palsy have high estimates of multimorbidity; both obesity and higher GMFCS levels are independently associated with greater risk.
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Registered trials
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