Evidence map›Paper›PMID 35229295›Full record

ArticleDevelopmental medicine and child neurology2022

Eating and drinking ability and nutritional status in adults with cerebral palsy.

Anita McAllister, Eva Sjöstrand, Elisabet Rodby-Bousquet

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Anita McAllisterDivision of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology-CLINTEC, Karolinska Institutet, Stockholm, Sweden.
Eva SjöstrandHabilitation Unit, Region Östergötland, Motala, Sweden.
Elisabet Rodby-BousquetDepartment of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.ORCID 0000-0001-8373-1017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe eating and drinking ability in adults with cerebral palsy (CP) relative to sex, age, subtype, and severity of gross motor and hand function and nutritional status.

methodThis was a cross-sectional study based on data of 2035 adults with CP, median age 26 years (range 18-78 years). The Eating and Drinking Ability Classification System (EDACS), Gross Motor Function Classification System (GMFCS), and Manual Ability Classification System (MACS) were used in addition to subtype, body weight, height, body mass index (BMI), skin fold thickness, and gastrostomy. Linear regression models were used to estimate associations between body weight and the other variables.

resultsMore than half of the adults (52.5%) eat and drink safely and 32.4% have dysphagia with limitations to eating and drinking safety. Weight, height, and BMI decreased with increasing EDACS levels. In EDACS level V, 86% had a gastrostomy, 23.4% in EDACS levels III to V were underweight, whereas 42.3% in EDACS levels I to II had a BMI over 25, indicating overweight or obesity. Increasing EDACS levels and need of support during meals were associated with lower body weight.

interpretationAdults with CP should be routinely screened and treated for dysphagia to avoid nutritional complications. Being dependent on others during mealtimes is a risk factor for low body weight.

Indexed as

Cerebral PalsyDeglutition DisordersAdolescentAdultAgedBody WeightCross-Sectional StudiesHumansMiddle AgedNutritional StatusSeverity of Illness IndexYoung Adult

Identifiers

PMID35229295
PMCPMC9314006

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