ArticleNutrients2021
Epidemiology of Malnutrition among Children with Cerebral Palsy in Low- and Middle-Income Countries: Findings from the Global LMIC CP Register.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Estimate the burden of malnutrition among children with cerebral palsy in Sub-Saharan Africa: a systematic review with meta-analysis.Scientific reports · 2024Pooled it
- Need and utilization of rehabilitation services in children with cerebral palsy at a referral hospital in Peru: a descriptive study.Revista peruana de medicina experimental y salud publica · 2026Article
- Undernutrition and Feeding Difficulties Among Children with Disabilities in Uganda: A Cross-Sectional Study.Nutrients · 2026Article
- Relationship between nutritional assessment and nutritional risk screening in hospitalized children with cerebral palsy: a single-center prospective study.Scientific reports · 2025Article
- Article
- Impact of Social Disadvantage on Medical and Functional Severity in Children With Cerebral Palsy.Child: care, health and development · 2025Article
- Effectiveness of the Positive deviance and parent facilitator training strategies on the nutritional status of children and youth with cerebral palsy: A quasi-randomised trial with a factorial design.PLOS global public health · 2025Article
- Understanding Dysphagia Care in Pakistan: A Survey of Current Speech Language Therapy Practice.Dysphagia · 2024Article
- Knowledge and practices of traditional management of child malnutrition and associated pathologies in Benin.Journal of ethnobiology and ethnomedicine · 2024Article
- High-calorie, whole protein/peptide nutritional formulations for children with cerebral palsy: a retrospective clinical study.American journal of translational research · 2024Article
- The nutritional and feeding status of children living in selected residential child care facilities in Zambia: implications for programs and policies.Frontiers in public health · 2024Article
- Epidemiology of cerebral palsy among children in Ghana.African journal of disability · 2024Article
- Article
- Dietary Intake, Feeding Pattern, and Nutritional Status of Children with Cerebral Palsy in Rural Bangladesh.Nutrients · 2023Observational
- Nutritional status and growth of children and adolescents with and without cerebral palsy in eastern Uganda: A longitudinal comparative analysis.PLOS global public health · 2023Article
- Measurement of body composition by deuterium oxide dilution technique and development of a predictive equation for body fat mass among severe neurologically impaired children.Frontiers in nutrition · 2023Article
- A Review of Food Texture Modification among Individuals with Cerebral Palsy: The Challenges among Cerebral Palsy Families.Nutrients · 2022Review
- The Effects of Swallowing Disorders and Oral Malformations on Nutritional Status in Children with Cerebral Palsy.Nutrients · 2022Article
- Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review.Nutrients · 2022Article
- Multilevel Analysis of the Nutritional and Health Status among Children and Adolescents in Eastern China.Nutrients · 2022Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundThis study aimed to describe the epidemiology of malnutrition among children with cerebral palsy (CP) in low- and middle-income countries (LMICs).
methodsData from children with confirmed CP aged <18 years registered into the Global LMIC CP Register (GLM CPR) from Bangladesh, Indonesia, Nepal, and Ghana were included. Anthropometric measurements were collected, and nutritional status was determined following the WHO guidelines. Descriptive statistics and adjusted logistic regression were used to describe the nutritional status and identify predictors of malnutrition.
resultsBetween January 2015 and December 2020, 3619 children with CP were registered into the GLM CPR (median age at assessment: 7.0 years, 39% female). Overall, 72-98% of children from Bangladesh, Indonesia, Nepal, and Ghana had at least one form of undernutrition. The adjusted analysis showed, older age, low maternal education, spastic tri/quadriplegia, and Gross Motor Functional Classification System (GMFCS) levels III-V were significant predictors of underweight and stunting among children with CP in Bangladesh. In Nepal, female children, GMFCS III-V had higher odds of underweight and stunting. In Ghana, low maternal education was significantly associated with underweight, whereas older age and the presence of associated impairments were the significant predictors of stunting among children with CP. Having a GMFCS of III-V increased the odds of being underweight among children in Indonesia; however, no predictors were identified for stunting, as nearly all children with CP registered from Indonesia were stunted.
conclusionMost children with CP in GLM CPR had undernutrition. Maternal education and moderate-to-severe motor impairment (GMFCS III-V) were significant predictors. Practical nutrition education to mothers/caregivers and management guidelines according to the motor severity using local resources could improve the nutritional outcome of children with CP in LMICs.
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