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PP-025 Evaluation of efficacy of nutritional support in children with cerebral palsy
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  1. Aelita Kamalova,
  2. Razilya Rakhmaeva
  1. Kazan State Medical University

Abstract

Aim To study the efficacy and safety of a high-calorie formula with dietary fibers compared to nutrition counseling in relation to the nutritional status of children with cerebral palsy (CP) and protein-energy malnutrition.

Material and Method The controlled non-randomized study included 30 children with spastic forms of CP, 4–10 years of age, body weight/age z-score less than −1.5, with GMFCS III-IV motor disorders, intact intellect, and being fed per os. Children were divided into 2 groups: the treatment group (n=15) received nutritional support with a 200 ml (300 kcal) high-calorie formula with dietary fibers per day in addition to nutrition counseling, children in the control group (n=15) received only nutrition counseling. Three visits were organized: at baseline, Weeks 6 and 12. At each visit, anthropometric parameters (z-score of body weight/age, height/age, body mass index (BMI)/age, mid upper arm circumference, arm muscle circumference, triceps and subscapular skin fold thickness) and body component composition were assessed. At the baseline visit, the children of both groups were trained in motor skills, and they were also given recommendations for daily physical activity.

Results There were no adverse events associated with the use of the high-calorie formula with dietary fibers. During 12 weeks of follow-up, an increase in the body weight/age z-score was observed in children in the treatment group (p=0.032). Children in the treatment group demonstrated an increase in lean mass (p=0.008), active cell mass (p=0.019), and skeletal muscle mass (p=0.004), mid upper arm circumference (p=0,01), arm muscle circumference (p=0,01) and triceps skin-fold thickness (p=0,032).

Conclusions The prescription of nutritional support to children with CP is an obvious necessary intervention for the correction of nutritional status disorders and for the positive changes in the body component composition.

  • children
  • cerebral palsy
  • nutritional support

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