Determinants of linear growth in Malaysian children with cerebral palsy

S. H. Zainah, L. C. Ong, A. Sofiah, Bee Koon Poh, I. H M I Hussain

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To compare the linear growth and nutritional parameters of a group of Malaysian children with cerebral palsy (CP) against a group of controls, and to determine the nutritional, medical and sociodemographic factors associated with poor growth in children with CP. Methodology: The linear growth of 101 children with CP and of their healthy controls matched for age, sex and ethnicity was measured using upper-arm length (UAL). Nutritional parameters of weight, triceps skin-fold thickness and mid-arm circumference were also measured. Total caloric intake was assessed using a 24-h recall of a 3-day food intake and calculated as a percentage of the Recommended Daily Allowance. Multiple regression analysis was used to determine nutritional, medical and sociodemographic factors associated with poor growth (using z-scores of UAL) in children with CP. Results: Compared with the controls, children with CP had significantly lower mean UAL measurements (difference between means -1.1, 95% confidence interval -1.65 to - 0.59), weight (difference between means -6.0, 95% CI -7.66 to -4.34), mid-arm circumference (difference between means -1.3, 95% CI -2.06 to -0.56) and triceps skin-fold thickness (difference between means -2.5, 95% CI -3.5 to -1.43). Factors associated with low z-scores of UAL were a lower percentage of median weight (P < 0.001), tube feeding (P < 0.001) and increasing age (P < 0.001). Conclusion: A large proportion of Malaysian children with CP have poor nutritional status and linear growth. Nutritional assessment and management at an early age might help this group of children achieve adequate growth.

Original languageEnglish
Pages (from-to)376-381
Number of pages6
JournalJournal of Paediatrics and Child Health
Volume37
Issue number4
DOIs
Publication statusPublished - 2001

Fingerprint

Cerebral Palsy
Arm
Growth
Weights and Measures
Recommended Dietary Allowances
Skin
Nutrition Assessment
Enteral Nutrition
Energy Intake
Nutritional Status
Eating
Regression Analysis
Confidence Intervals
Control Groups

Keywords

  • Anthropometry
  • Cerebral palsy
  • Nutrition

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Determinants of linear growth in Malaysian children with cerebral palsy. / Zainah, S. H.; Ong, L. C.; Sofiah, A.; Poh, Bee Koon; Hussain, I. H M I.

In: Journal of Paediatrics and Child Health, Vol. 37, No. 4, 2001, p. 376-381.

Research output: Contribution to journalArticle

Zainah, S. H. ; Ong, L. C. ; Sofiah, A. ; Poh, Bee Koon ; Hussain, I. H M I. / Determinants of linear growth in Malaysian children with cerebral palsy. In: Journal of Paediatrics and Child Health. 2001 ; Vol. 37, No. 4. pp. 376-381.
@article{0ac297c5b52446959a49879d8f0909d0,
title = "Determinants of linear growth in Malaysian children with cerebral palsy",
abstract = "Objective: To compare the linear growth and nutritional parameters of a group of Malaysian children with cerebral palsy (CP) against a group of controls, and to determine the nutritional, medical and sociodemographic factors associated with poor growth in children with CP. Methodology: The linear growth of 101 children with CP and of their healthy controls matched for age, sex and ethnicity was measured using upper-arm length (UAL). Nutritional parameters of weight, triceps skin-fold thickness and mid-arm circumference were also measured. Total caloric intake was assessed using a 24-h recall of a 3-day food intake and calculated as a percentage of the Recommended Daily Allowance. Multiple regression analysis was used to determine nutritional, medical and sociodemographic factors associated with poor growth (using z-scores of UAL) in children with CP. Results: Compared with the controls, children with CP had significantly lower mean UAL measurements (difference between means -1.1, 95{\%} confidence interval -1.65 to - 0.59), weight (difference between means -6.0, 95{\%} CI -7.66 to -4.34), mid-arm circumference (difference between means -1.3, 95{\%} CI -2.06 to -0.56) and triceps skin-fold thickness (difference between means -2.5, 95{\%} CI -3.5 to -1.43). Factors associated with low z-scores of UAL were a lower percentage of median weight (P < 0.001), tube feeding (P < 0.001) and increasing age (P < 0.001). Conclusion: A large proportion of Malaysian children with CP have poor nutritional status and linear growth. Nutritional assessment and management at an early age might help this group of children achieve adequate growth.",
keywords = "Anthropometry, Cerebral palsy, Nutrition",
author = "Zainah, {S. H.} and Ong, {L. C.} and A. Sofiah and Poh, {Bee Koon} and Hussain, {I. H M I}",
year = "2001",
doi = "10.1046/j.1440-1754.2001.00693.x",
language = "English",
volume = "37",
pages = "376--381",
journal = "Journal of Paediatrics and Child Health",
issn = "1034-4810",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Determinants of linear growth in Malaysian children with cerebral palsy

AU - Zainah, S. H.

AU - Ong, L. C.

AU - Sofiah, A.

AU - Poh, Bee Koon

AU - Hussain, I. H M I

PY - 2001

Y1 - 2001

N2 - Objective: To compare the linear growth and nutritional parameters of a group of Malaysian children with cerebral palsy (CP) against a group of controls, and to determine the nutritional, medical and sociodemographic factors associated with poor growth in children with CP. Methodology: The linear growth of 101 children with CP and of their healthy controls matched for age, sex and ethnicity was measured using upper-arm length (UAL). Nutritional parameters of weight, triceps skin-fold thickness and mid-arm circumference were also measured. Total caloric intake was assessed using a 24-h recall of a 3-day food intake and calculated as a percentage of the Recommended Daily Allowance. Multiple regression analysis was used to determine nutritional, medical and sociodemographic factors associated with poor growth (using z-scores of UAL) in children with CP. Results: Compared with the controls, children with CP had significantly lower mean UAL measurements (difference between means -1.1, 95% confidence interval -1.65 to - 0.59), weight (difference between means -6.0, 95% CI -7.66 to -4.34), mid-arm circumference (difference between means -1.3, 95% CI -2.06 to -0.56) and triceps skin-fold thickness (difference between means -2.5, 95% CI -3.5 to -1.43). Factors associated with low z-scores of UAL were a lower percentage of median weight (P < 0.001), tube feeding (P < 0.001) and increasing age (P < 0.001). Conclusion: A large proportion of Malaysian children with CP have poor nutritional status and linear growth. Nutritional assessment and management at an early age might help this group of children achieve adequate growth.

AB - Objective: To compare the linear growth and nutritional parameters of a group of Malaysian children with cerebral palsy (CP) against a group of controls, and to determine the nutritional, medical and sociodemographic factors associated with poor growth in children with CP. Methodology: The linear growth of 101 children with CP and of their healthy controls matched for age, sex and ethnicity was measured using upper-arm length (UAL). Nutritional parameters of weight, triceps skin-fold thickness and mid-arm circumference were also measured. Total caloric intake was assessed using a 24-h recall of a 3-day food intake and calculated as a percentage of the Recommended Daily Allowance. Multiple regression analysis was used to determine nutritional, medical and sociodemographic factors associated with poor growth (using z-scores of UAL) in children with CP. Results: Compared with the controls, children with CP had significantly lower mean UAL measurements (difference between means -1.1, 95% confidence interval -1.65 to - 0.59), weight (difference between means -6.0, 95% CI -7.66 to -4.34), mid-arm circumference (difference between means -1.3, 95% CI -2.06 to -0.56) and triceps skin-fold thickness (difference between means -2.5, 95% CI -3.5 to -1.43). Factors associated with low z-scores of UAL were a lower percentage of median weight (P < 0.001), tube feeding (P < 0.001) and increasing age (P < 0.001). Conclusion: A large proportion of Malaysian children with CP have poor nutritional status and linear growth. Nutritional assessment and management at an early age might help this group of children achieve adequate growth.

KW - Anthropometry

KW - Cerebral palsy

KW - Nutrition

UR - http://www.scopus.com/inward/record.url?scp=0034886083&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034886083&partnerID=8YFLogxK

U2 - 10.1046/j.1440-1754.2001.00693.x

DO - 10.1046/j.1440-1754.2001.00693.x

M3 - Article

VL - 37

SP - 376

EP - 381

JO - Journal of Paediatrics and Child Health

JF - Journal of Paediatrics and Child Health

SN - 1034-4810

IS - 4

ER -