关键词: 脑性瘫痪, 营养不良, 粗大运动功能分级系统, 多中心研究

Abstract: Objective To investigate the nutritional status of children aged 1 - 5 years with cerebral palsy in Shenzhen, and to determine its influencing factors, in order to provide evidence for clinical nutritional intervention. Methods This multicenter study was performed in ten maternal and child healthcare hospitals from October 2020 to August 2022. A total of 1 094 1- to 5-year-old children with cerebral palsy were involved in the survey. General data of the children were collected, meanwhile body weight, height/body length were measured. Nutritional status was evaluated according to the child growth and development standards issued by WHO. Multivariate Logistic regression analysis was performed to test factors that may affect nutritional status. Results The prevalence of malnutrition among children with cerebral palsy aged 1 - 5 years was 17.91%. GMFCS level, feeding difficulty and parental knowledge level of nutrition were the factors significantly influencing the nutritional status of children with cerebral palsy (P<0.05). Higher GMFCS score and feeding difficulty were the risk factors for malnutrition with cerebral palsy, while parental knowledge level of nutrition was a protective factor. There was no significant difference in the prevalence of malnutrition among children with different clinical classification, constipation or not, same educational background of parents (P >0.05). Conclusions The malnutrition prevalence rate in children with cerebral palsy aged 1 - 5 years appears to be low in Shenzhen, China. GMFCS levels, the severity of feeding difficulties, and parental knowledge level of nutrition are factors that affect the nutrition status of this population.

Key words: cerebral palsy, malnutrition, Gross Motor Function Classfication System, multicenter study