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Anthropometry of children with cerebral palsy at the Lagos University Teaching Hospital

机译:拉各斯大学教学医院的脑瘫儿童人体测量

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Background: Cerebral palsy (CP) is one the most common causes of disability among children in developing countries and is often associated with poor growth. The assessment of growth and nutrition of children is an important aspect of health monitoring and is one of the determinants of child survival. Aim: To assess the nutritional status of children with CP as seen in Lagos University Teaching Hospital (LUTH). Subjects and Methods: A prospective case-control study was conducted on children with CP attending the weekly pediatric neurology clinic of the LUTH between April 2005 and March 2006. Controls were apparently healthy children being followed up at the children's out-patient clinic of LUTH for acute illness that had resolved. Anthropometric measurements of weight, length/height, mid-upper arm circumference, and skinfold thickness were taken according to the protocols recommended by the International Society of the Advancement of Kinanthropometry. Statistical Analysis: EPI-INFO (version 6.04) was used for analysis. Chi-square test was used to determine associations. Student's t-test was used to compare means of patients and matched controls. Probability P Results: The controls had higher weight than the patients with mean weight (standard deviation) of 13.7 (4.8) kg, and 12.0 (4.5) kg, respectively (P = 0.01). There were also statistically significant differences in the subscapular and biceps skinfold measurements between the patient and control groups (P = 0.00004 and 0.000008), respectively. Twenty-four (25.8%) and 5 (5.4%) of the patients had moderate and severe undernutrition compared to 6 (6.1%) and none, respectively, in the control group (P = 0.00005). Conclusion: Children with CP had significantly lower mean anthropometric parameters and were more malnourished compared with the control group of children matched for age, sex, and social class.
机译:背景:脑性瘫痪(CP)是发展中国家儿童中最常见的残疾原因之一,通常与生长不良有关。对儿童生长发育和营养状况的评估是健康监测的重要方面,并且是儿童存活率的决定因素之一。目的:评估拉各斯大学教学医院(LUTH)中患有CP的儿童的营养状况。研究对象和方法:前瞻性病例对照研究是对2005年4月至2006年3月在LUTH的每周儿科神经病学门诊就诊的CP儿童进行的。对照组为健康儿童,在LUTH儿童门诊进行了随访。急性疾病已经解决。根据国际人体测量学学会的建议,对人体的体重,身长/身高,上臂中段周长和皮褶厚度进行人体测量。统计分析:使用EPI-INFO(6.04版)进行分析。卡方检验用于确定关联。学生t检验用于比较患者和匹配对照的平均值。概率P结果:对照组的体重高于平均体重(标准差)分别为13.7(4.8)kg和12.0(4.5)kg的患者(P = 0.01)。患者和对照组之间的肩cap下和二头肌皮褶测量值也有统计学上的显着差异(P = 0.00004和0.000008)。二十四名(25.8%)和五名(5.4%)患有中度和严重营养不良的患者,而对照组分别为六名(6.1%)和无营养不良(P = 0.00005)。结论:与年龄,性别和社会阶层相匹配的对照组相比,CP患儿的平均人体测量学参数明显更低,营养不良也更多。

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