[ Evaluation de l’état nutritionnel des enfants et adolescents souffrants de paralysie cérébrale ]
Volume 19, Issue 2, February 2017, Pages 260–266
Mustapha Mouilly1, Noureddine Faiz2, and Ahmed Omar Touhami Ahami3
1 Equipe de Neurosciences Cliniques, Cognitives et Santé, Laboratoire de Biologie et Santé, Faculté des Sciences, Université Ibn Tofaïl, BP. 133, Kenitra, Morocco
2 Centre de santé communal Kaa asrass, Chefchaoun, Morocco
3 Head Professor, Clinical and Cognitive Neurosciences Unit, Biology and Health Laboratory, Department of Biology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Given that nutrition strongly influences the health and physical handicaps is an aggravating factor of the bad protein-energy nutrition, this study aims to assess the nutritional status of children and adolescents suffering from cerebral palsy. This comparative study was conducted on two samples of 132 children and adolescents aged from 2 to 17 years old including 65 with cerebral palsy and 67 children and adolescents with normal development in the North West of Morocco. Using the classification system of the gross motor function - Expanded and Revised (GMFCS-È & R), Using a dietary survey and socio-demographic and anthropometric data, we were able to gather the following results: 11.1% of patients were classified at GMFCS level I, at level II 8.9%, 8.9% at Level III, 35.6% at IV and 35.6% at level V. Our results also showed that the state emaciation was observed in 39% of children suffering from cerebral palsy against 17.1% of non-pathological (chi-square = 4.40, p = 0.04). And 37.5% of adolescents suffering from cerebral palsy have a state of emaciation against absence in controls (chi-square = 14.30, p <0.001). Growth retardation is observed in pathological children (48.8%) than in normal (2.9%) with (chi-square = 19.91, p <0.001), whereas it did not differ significantly among adolescents (chi-square = 0.04, p = 0.84), a significant difference of underweight was observed in children of both samples (chi-square = 23.43, p <0.001), indicating deterioration in pathological. Our study also revealed the existence of correlations between the GMFCS and Z-scores studied, and significant correlations between Z-scores were established. These results must be considered to avoid the worsening of the nutritional status of children and teenagers suffering from cerebral palsy or corrected. Also some simple laboratory tests (serum albumin, pre albumin, C - reactive protein) will be necessary to assess the endogenous or exogenous aspect of under nutrition.
Author Keywords: Malnutrition, Children, Adolescents, Cerebral Palsy, Nutritional state.
Volume 19, Issue 2, February 2017, Pages 260–266
Mustapha Mouilly1, Noureddine Faiz2, and Ahmed Omar Touhami Ahami3
1 Equipe de Neurosciences Cliniques, Cognitives et Santé, Laboratoire de Biologie et Santé, Faculté des Sciences, Université Ibn Tofaïl, BP. 133, Kenitra, Morocco
2 Centre de santé communal Kaa asrass, Chefchaoun, Morocco
3 Head Professor, Clinical and Cognitive Neurosciences Unit, Biology and Health Laboratory, Department of Biology, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Given that nutrition strongly influences the health and physical handicaps is an aggravating factor of the bad protein-energy nutrition, this study aims to assess the nutritional status of children and adolescents suffering from cerebral palsy. This comparative study was conducted on two samples of 132 children and adolescents aged from 2 to 17 years old including 65 with cerebral palsy and 67 children and adolescents with normal development in the North West of Morocco. Using the classification system of the gross motor function - Expanded and Revised (GMFCS-È & R), Using a dietary survey and socio-demographic and anthropometric data, we were able to gather the following results: 11.1% of patients were classified at GMFCS level I, at level II 8.9%, 8.9% at Level III, 35.6% at IV and 35.6% at level V. Our results also showed that the state emaciation was observed in 39% of children suffering from cerebral palsy against 17.1% of non-pathological (chi-square = 4.40, p = 0.04). And 37.5% of adolescents suffering from cerebral palsy have a state of emaciation against absence in controls (chi-square = 14.30, p <0.001). Growth retardation is observed in pathological children (48.8%) than in normal (2.9%) with (chi-square = 19.91, p <0.001), whereas it did not differ significantly among adolescents (chi-square = 0.04, p = 0.84), a significant difference of underweight was observed in children of both samples (chi-square = 23.43, p <0.001), indicating deterioration in pathological. Our study also revealed the existence of correlations between the GMFCS and Z-scores studied, and significant correlations between Z-scores were established. These results must be considered to avoid the worsening of the nutritional status of children and teenagers suffering from cerebral palsy or corrected. Also some simple laboratory tests (serum albumin, pre albumin, C - reactive protein) will be necessary to assess the endogenous or exogenous aspect of under nutrition.
Author Keywords: Malnutrition, Children, Adolescents, Cerebral Palsy, Nutritional state.
Abstract: (french)
Les différentes Etant donné que la nutrition conditionne fortement l’état de santé et que le handicap physique constitue un facteur aggravant de la mal nutrition protéino-énergétique, notre étude a pour but d’évaluer l’état nutritionnel des enfants et adolescents souffrants de paralysie cérébrale. Cette étude comparative a été menée sur deux échantillons au total de 132 enfants et adolescents âgés de 2 à 17ans dont 65 atteints de paralysie cérébrale et 67enfants et adolescents normaux, au Nord-West du Maroc. En utilisant le système de classification de la fonction motrice globale –Etendu, Revu et Corrigé (GMFCS-E¬ & R), une enquête alimentaire et des données sociodémographiques et anthropométriques, nous avons pu recueillir les résultats suivants : 11,1% des patients étaient classés au niveau I de la GMFCS, 8,9% au niveau II, 8,9% au niveau III, 35,6% au niveau IV et 35,6% au niveau V. Nos résultats ont montré également que l’état de maigreur est observé chez 39% des enfants souffrants de paralysie cérébrale contre 17,1% des non pathologiques (p=0,04). Ainsi 37,5% des adolescents souffrants de paralysie cérébrale ont un état de maigreur contre une absence chez les témoins (p<0,001). Le retard de croissance est plus observé chez les enfants pathologiques (48,8%) que chez les normaux (2,9%) avec (p<0,001) alors qu’il ne diffère pas significativement chez les adolescents (p=0,84), une différence significative de l’insuffisance pondérale a été observée chez les enfants des deux échantillons avec (p<0,001) témoignant sa détérioration chez les pathologiques. Notre étude a mis également en évidence l’existence de corrélations entre le GMFCS et les Z-scores étudiés, ainsi qu'une corrélation significative entre les Z-scores a été établie. Ces éléments doivent être pris en considération pour éviter l’aggravation de l’état nutritionnel chez les enfants et les adolescents souffrants de paralysie cérébrale ou le corrigé. Par ailleurs certains examens biologiques simples (albuminémie, pré albuminémie, c réactive protéine) seront nécessaires pour apprécier l’aspect endogène ou exogène de la dénutrition.
Author Keywords: Malnutrition, Enfants, Adolescents, Paralysie cérébrale, Etat nutritionnel.
How to Cite this Article
Mustapha Mouilly, Noureddine Faiz, and Ahmed Omar Touhami Ahami, “Assessment of nutritional status of children and adolescents suffering from cerebral palsy,” International Journal of Innovation and Applied Studies, vol. 19, no. 2, pp. 260–266, February 2017.
