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Growth, Dietary Intakes and Feeding Behaviors of Children With Cerebral Palsy Who Have Chewing Disorders

Completed
Conditions
Malnutrition
Mastication Disorder
Growth Delay
Cerebral Palsy
Interventions
Other: Growth, feeding evaluation
Registration Number
NCT02777645
Lead Sponsor
Hacettepe University
Brief Summary

The nutritional status of CP children may be decreased when children have chewing disorders too due to insufficient solid food intake. The objective of this study was to investigate growth, dietary intakes and feeding behaviours of children with CP who have chewing disorders, and to compare them with their healthy peers.

Detailed Description

Chewing function is defined as a rhythmic oral motor activity to comminute and soften solid food. Children with CP often have difficulty in transitioning to solid food. The main food of 45% of them was liquids and semisolids. It was reported that food/fluid textures were modified for 39% of children in which with poorer gross motor function tended to receive a greater proportion of energy from fluids in their diets and fewer chewable foods. Lopes et al. investigated dietary patterns of 90 children with CP aged 2-13 years by using the 24-hour recall method and found that 26% and 9% of children had difficulty in chewing and swallowing of solid foods, respectively. However, the diet of children with normal feeding skills includes liquid, semisolid and/or solid foods together so unable to take any solid food may affect sufficient food intake and nutritional status of children with CP who have chewing disorders. The significance of this situation is that nutritional status has effects on general health and quality of life of children and their families. Therefore, it is important to show the nutritional status of CP children with chewing disorders to increase the awareness of both parents and healthcare providers on solid food intake and solve the problem early. The objective of this study was to investigate growth, dietary intakes and feeding behaviours of children with CP who have chewing disorders, and to compare them with their healthy peers.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
85
Inclusion Criteria

Study group

  • Children with cerebral palsy
  • Having complaints about chewing function
  • Do not manage solid food intake
  • Above the age of 18 months Control group
  • Healthy children
  • No complaints about chewing function
  • Can manage solid food intake
  • Above the age of 18 months
Exclusion Criteria
  • Under the age of 18 months
  • Requiring tube feeding or taking any oral nutritional supplements
  • Using any medicine and/or oral appliances that could affect the chewing performance

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Control groupGrowth, feeding evaluationControl group(n=35)= healthy children without chewing disorder Growth, feeding evaluation will be done.
Study groupGrowth, feeding evaluationStudy group(n=50) included CP children with chewing disorder. Growth, feeding evaluation will be done.
Primary Outcome Measures
NameTimeMethod
Growth of children with cerebral palsy (CP) who have chewing disorders (Z-scores)3 months

Z-scores of the nutritional indicators were calculated.

Secondary Outcome Measures
NameTimeMethod
Dietary intakes of children with cerebral palsy (CP) who have chewing disorders (dietary assessment)3 months

The dietary assessment was performed by using the 24-hour recall method.

Feeding behaviours of children with cerebral palsy (CP) who have chewing disorders (BPFAS)3 months

The Behavioural Paediatrics Feeding Assessment Scale (BPFAS) was used to assess both frequencies of negative feeding behaviours and parents' problematic perceptions.

Trial Locations

Locations (1)

Hacetttepe University

🇹🇷

Ankara, Turkey

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