A prospective, longitudinal study of growth, nutrition and sedentary behaviour in young children with cerebral palsy

Bell, Kristie L.; Boyd, Roslyn N.; Tweedy, Sean M.; Weir, Kelly A.; Stevenson, Richard D.; Davies, Peter S. W.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p179
Academic Journal
Background: Cerebral palsy is the most common cause of physical disability in childhood, occurring in one in 500 children. It is caused by a static brain lesion in the neonatal period leading to a range of activity limitations. Oral motor and swallowing dysfunction, poor nutritional status and poor growth are reported frequently in young children with cerebral palsy and may impact detrimentally on physical and cognitive development, health care utilisation, participation and quality of life in later childhood. The impact of modifiable factors (dietary intake and physical activity) on growth, nutritional status, and body composition (taking into account motor severity) in this population is poorly understood. This study aims to investigate the relationship between a range of factors - linear growth, body composition, oral motor and feeding dysfunction, dietary intake, and time spent sedentary (adjusting for motor severity) - and health outcomes, health care utilisation, participation and quality of life in young children with cerebral palsy (from corrected age of 18 months to 5 years). Design/Methods: This prospective, longitudinal, population-based study aims to recruit a total of 240 young children with cerebral palsy born in Queensland, Australia between 1st September 2006 and 31st December 2009 (80 from each birth year). Data collection will occur at three time points for each child: 17 - 25 months corrected age, 36 ± 1 months and 60 ± 1 months. Outcomes to be assessed include linear growth, body weight, body composition, dietary intake, oral motor function and feeding ability, time spent sedentary, participation, medical resource use and quality of life. Discussion: This protocol describes a study that will provide the first longitudinal description of the relationship between functional attainment and modifiable lifestyle factors (dietary intake and habitual time spent sedentary) and their impact on the growth, body composition and nutritional status of young children with cerebral palsy across all levels of functional ability.


Related Articles

  • Cerebral Palsy: Early Diagnosis, Intervention and Risk Factors. Naletilić, Mladenka; Tomić, Vajdana; Sabić, Marina; Vlaka, Tonko // Collegium Antropologicum;2009 Supplement 2, Vol. 33, p59 

    Early diagnosis and intervention intensity were suggested to be crucial factor in cerebral palsy (CP) treatment. Herein we observed 347 children diagnosed for CP in Clinical Hospital Mostar, Bosnia and Herzegovina, and studied the relationship between (a) intervention start point and the final...

  • Study protocol: Determinants of participation and quality of life of adolescents with cerebral palsy: a longitudinal study (SPARCLE2). Colver, Allan F.; Dickinson, Heather O. // BMC Public Health;2010, Vol. 10 Issue 1, p280 

    Background: Children and adults with impairments such as cerebral palsy have lower participation in life situations than able-bodied people. Less is known about their subjective perception of their lives, called their quality of life. During adolescence, rapid physical and psychological changes...

  • Dynamic Resources Used in Ambulation by Children With Spastic Hemiplegic Cerebral Palsy: Relationship to Kinematics, Energetics, and Asymmetries. Fonseca, Sérgio T.; Holt, Kenneth G.; Fetters, Linda; Saltzman, Elliot // Physical Therapy;Apr2004, Vol. 84 Issue 4, p344 

    Presents a study that explored how the requirements of the task and the energy-generating and energy-conserving capabilities of children with cerebral palsy relate to kinematic and mechanical energy patterns of walking. Methods; Results; Discussion; Conclusion.

  • 10-metre Shuttle Run Test. Verschuren, Olaf; Takken, Tim // Journal of Physiotherapy (Australian Physiotherapy Association);2010, Vol. 56 Issue 2, p136 

    The article focuses on the 10-metre shuttle run test suited for the children with cerebral palsy and identified by the Gross Motor Function Classification System (GMFCS) at Level I or II. It states that the Level I shuttle test (SRT-I) suitable for children who could walk without limitations...

  • Age at Referral of Children for Initial Diagnosis of Cerebral Palsy and Rehabilitation. Hubermann, Lara; Boychuck, Zachary; Shevell, Michael; Majnemer, Annette // Journal of Child Neurology;Mar2016, Vol. 31 Issue 3, p364 

    Objectives: This study describes current practices in the age at referral for diagnosis of cerebral palsy and factors that influence earlier referral. Study Design: Retrospective chart review (2002-2012). Results: Of 103 children referred for diagnosis, 81 were referred to a neurologist by other...

  • Roles of Reflex Activity and Co-contraction During Assessments of Spasticity of the Knee Flexor and Knee Extensor Muscles in Children With Cerebral Palsy and Different Functional Levels. Peirce, Samuel R.; Barbe, Mary F.; Barr, Ann E.; Shewokis, Patricia A.; Lauer, Richard T. // Physical Therapy;Oct2008, Vol. 88 Issue 10, p1124 

    Background and Purpose. Spasticity is a common impairment in children with cerebral palsy (CP). The purpose of this study was to examine differences in passive resistive torque, reflex activity, coactivation, and reciprocal facilitation during assessments of the spasticity of knee flexor and...

  • Persistence of Cerebral Palsy Diagnosis. Korzeniewski, Steven J.; Feldman, Judith F.; Lorenz, John M.; Pinto-Martin, Jennifer A.; Whitaker, Agnes H.; Paneth, Nigel // Journal of Child Neurology;Mar2016, Vol. 31 Issue 4, p461 

    We examined the stability of nondisabling and disabling cerebral palsy at age 2 in a longitudinally followed tri-county low-birth-weight (<2000 g) birth cohort. A total of 1105 newborns were enrolled, 901 (81.5%) survived to age 2, and 86% (n = 777) were followed up. Of the 113 cerebral palsy...

  • Body composition, diet, and physical activity: a longitudinal cohort study in preschoolers with cerebral palsy. Oftedal, Stina; Davies, Peter S. W.; Boyd, Roslyn N.; Stevenson, Richard D.; Ware, Robert S.; Keawutan, Piyapa; Benfer, Katherine A.; Bell, Kristie L. // American Journal of Clinical Nutrition;2/1/2017, Vol. 105 Issue 2, p369 

    Background: Altered body composition in children with cerebral palsy (CP) could be due to differences in energy intake, habitual physical activity (HPA), and sedentary time. Objective: We investigated the longitudinal relation between the weight-for-age z score (WZ), fat-free mass (FFM),...

  • Buggy-to-wheelchair progression for children with cerebral palsy: Parents' and therapists' opinions. Shahid, Mohammad // International Journal of Therapy & Rehabilitation;Dec2004, Vol. 11 Issue 12, p560 

    Some children with cerebral palsy (CP) are transported in buggies until they master the skills of ambulation. Many never learn to walk and progress from a buggy to a wheelchair as a means of maximizing their independence and improving their motor and functional skills. Therapists and parents...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics