Padrões de referência nutricionais na população de crianças com paralisia cerebral: uma revisão analítica

• Autor(a) principal: Gouveia, Mara Alves da Cruz
• Data de Publicação: 2022
• Outros Autores: Chueire, Fernando Bahdur, Mello, Elza Daniel de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Journal of Nutrology (Online)
• Texto Completo: https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/155
• topic: cerebral palsy; growth curves; malnutrition; nutritional assessment

Growth and nutrition disorders are frequent health problems in children with cerebral palsy (CP). These nutritional disorders may lead to impaired motor and cognitive development, socialization, and increased need for health care and hospital admission. Even under adequate conditions (appropriate environment and regular medical care), children with CP grow more slowly than those without chronic health conditions and have unique growth patterns. In general, health teams use as a reference the growth curves for populations without neurological deficit, which are not suitable for children with CP, since this population has a distinct growth. In the last decades, researchers have been building specific growth curves for the PC. To date, there are five published references. Choosing the best reference for this population is a difficult task. However, the growth curves developed by Brooks et al. seem to be more reliable and are the most used in specialized centers for these children and adolescents. They are simple, methodologically safer, based on a large representative sample of all motor development groups and are related to clinical outcomes. Nevertheless, it needs further studies to prove its quality, especially in different contexts. However, because of the importance of evaluating each child/adolescent with their specific growth curve for their illness, it is suggested that it should be integrated into the anthropometric evaluation along with other nutritional parameters in clinical practice.