Eating and Drinking Ability Classification System and malnutrition analysis of children with cerebral palsy

CHEN Jing; TONG Guang-lei

doi:10.11852/zgetbjzz2021-1690

PDF(468 KB)

Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (5) : 544-547. DOI: 10.11852/zgetbjzz2021-1690

Clinical Research

Eating and Drinking Ability Classification System and malnutrition analysis of children with cerebral palsy

CHEN Jing, TONG Guang-lei

Author information +

History +

Abstract

Objective To analyze the correlation between Eating and Drinking Ability Classification System (EDACS) and Gross Motor Function Classification System (GMFCS) by assessing children with cerebral palsy (CP), and to analyze the influence of different grades of EDACS on the malnutrition status of CP children. Methods A total of 81 children with CP who received treatment in the Department of Pediatric Rehabilitation of Anhui Children's Hospital from January to April 2021 were enrolled in this study, and were assessed with EDACS and GMFCS. World Health Organization Child Growth Standards Z scores were used to assess the malnutrition status for each CP child. Kendall tau_b correlation analysis was used to analyze the correlation between EDACS and GMFCS levels. χ²test was used to analyze the influence of EDACS levels on the detection of malnutrition verified with the Z scores. Results In terms of EDACS, there were 37 cases of grade Ⅰ (45.7%), 26 cases of grade Ⅱ(32.1%), 16 cases of grade Ⅲ (19.8%), 2 cases of grade Ⅳ (2.5%) and 0 case of grade Ⅴ (0.0%) . There were only 72 cases who accepted the GMFCS assessment, and 26 cases of grade Ⅰ (36.1%), 17 cases of grade Ⅱ (23.6%), 11 cases of grade Ⅲ (15.3%), 9 cases of grade Ⅳ (12.5%), 9 cases of grade Ⅴ (12.5%). The Kendall tau-b coefficient between EDACS and GMFCS was 0.345 (P<0.01), showing weak positive correlations. There was significant difference on the detection rate of malnutrition between children with and without eating disorders classified by EDACS(χ²=6.359,P＜0.05). Conclusions For CP children, EDACS levels are weakly and positively correlated with GMFCS levels. EDACS level also has influence on malnutrition of CP children. Therefore, EDACS could be considered as a helpful complementary assessment for CP children besides GMFCS, which will be helpful for comprehensive assessment on CP children's growth and nutrition status.

Key words

cerebral palsy / Eating And Drinking Ability Classification System / Gross Motor Function Classification System / WHO child growth standards Z score

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

CHEN Jing, TONG Guang-lei. Eating and Drinking Ability Classification System and malnutrition analysis of children with cerebral palsy[J]. Chinese Journal of Child Health Care. 2022, 30(5): 544-547 https://doi.org/10.11852/zgetbjzz2021-1690

References

[1] Paulson A, Vargus-Adams J. Overview of four functional classification systems commonly used in cerebral palsy[J]. Children (Basel), 2017, 4(4):30.
[2] Burgess A, Boyd R, Ziviani J, et al. Stability of the manual ability classification system in young children with cerebral palsy[J]. Dev Med Child Neurol, 2019, 61(7):798-804.
[3] Sellers D, Mandy A, Pennington L, et al. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy[J]. Dev Med Child Neurol, 2014,56(3):245-251.
[4] Tschirren L, Bauer S, Hanser C, et al. The Eating and Drinking Ability Classification System:concurrent validity and reliability in children with cerebral palsy[J]. Dev Med Child Neurol, 2018, 60(6):611-617.
[5] Hulsta K, Snik DAC, Jongerius PH. Reliability, construct validity and usability of the Eating and Drinking Ability Classification System (EDACS) among Dutch children with Cerebral Palsy[J]. J Pediatric Rehabilitation Medicine:An Interdisciplinary Approach, 2018, 11(2):115-124.
[6] Hyun SE, Yi YG, Shin HI. Reliability and validity of the eating and drinking ability classification system in adults with cerebral palsy[J]. Dysphagia, 2021, 6(3):351-361.
[7] Dan B. Nutrition, brain function, and plasticity in cerebral palsy[J]. Dev Med Child Neurol, 2016, 58(9):890-890.
[8] 李玲,李小玲,李霞,等. 2 ～ 6 岁孤独症、脑瘫儿童体格生长及营养状况分析[J]. 中国妇幼保健, 2016,31(1):95-97.
[9] 董尚胜,刘振寰. 学龄前脑性瘫痪儿童149营养状况调查分析[J]. 中国儿童保健杂志, 2014, 22(5):476-478.
[10] Jesus AO, Stevenson RD. Optimizing nutrition and bone health in children with cerebral palsy[J]. Phys Med Rehabil Clin N Am, 2020, 31(1):25-37.
[11] Verschuren O, Peterson MD. Nutrition and physical activity in people with cerebral palsy:Opposite sides of the same coin[J]. Dev Med Child Neurol, 2016, 58(5):426.
[12] Amarase C, Weerasopone S, Osateerakun P, et al. Serum leptin as a nutritional biomarker in children with cerebral palsy[J]. Tohoku J Exp Med, 2016, 239(2):139-146.
[13] Caselli TB,Lomazi EA, Montenegro MAS, et al. Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy[J]. Arq Gastroenterol, 2017, 54(4):292-296.
[14] 王景刚,贠国俊,刘青,等. 脑瘫儿童的营养评估和干预[J]. 中国康复, 2020,35(4):204-207.
[15] 李晓捷,唐久来,马丙祥,等.脑性瘫痪的定义、诊断标准及临床分型[J].中华实用儿科临床杂志,2014,29(19):1520.
[16] Seclers D,Bryant E,Hunter A,et al.The Eating and Drinking Ability Classification System for Cerebral Palsy:A study of reliability and stability over time[J].J Pediatr Pehabil Med,2019,12(2):123-131.
[17] McDowell B. The gross motor function classification system-expanded and revised[J]. Dev Med Child Neurol, 2008, 50(10):725.
[18] Gross Moter Function Classification System-Expanded & Revised(GMFCS-E & R)[EB/OL].https://canchild.ca/en/resources/42-gross-motor-function-classification-system-expanded-revised-gmfcs-e-r.
[19] Becker P, Carney LN, Corkins MR, et al. Consensus statement of the academy of nutrition and dietetics/American society for parenteral and enteral nutrition:indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition)[J]. Nutr Clin Pract, 2015, 30(1):147-161.
[20] Munro IC, Ford RA,Kennepoh E, et al. Correlation of structural class with no-observed-effect levels:A proposal for establishing a threshold of concern[J]. Food and Chemical Toxicology, 1996, 34(9):829-867.
[21] Kiernan D, Nikolopoulou C, Brady K. Prevalence of overweight and obesity in Irish ambulant children with cerebral palsy[J]. Ir J Med Sci, 2021, 190(1):225-231.
[22] Pascoe J, Thomason P, Graham HK, et al. Body mass index in ambulatory children with cerebral palsy:A cohort study[J]. J Paediatr Child Health, 2016, 52(4):417-421.
[23] Sellers D, Bryant E, Hunter A, et al. The eating and drinking ability classification system for cerebral palsy:A study of reliability and stability over time[J]. J Pediatr Rehabil Med, 2019, 12(2):123-131.
[24] García Ron A, González Toboso RM, Bote Gascón M, et al. Nutritional status and prevalence of dysphagia in cerebral palsy:Usefulness of the Eating and Drinking Ability Classification System scale and correlation with the degree of motor impairment according to the Gross Motor Function Classification System[J]. Neurologia (Engl Ed), 2020, 18:S0213-4853(20)30044-X.
[25] Vials-Labaino CP, Velazquez-Bustamante AE, Vargas-Santiago SI. Usefulness of cerebral palsy curves in Mexican patients:A cross-sectional study[J]. J Child Neurol, 2019, 34(6):332-338.