Advances in nutritional screening and assessment in children with cerebral palsy

CHEN Jing, LI Hong, WANG Yuchen, WANG Yishan, SHI Lei, FANG Hui

Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (4) : 449-453.

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (4) : 449-453. DOI: 10.11852/zgetbjzz2024-1375
Review

Advances in nutritional screening and assessment in children with cerebral palsy

  • CHEN Jing, LI Hong, WANG Yuchen, WANG Yishan, SHI Lei, FANG Hui
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Abstract

Children with cerebral palsy (CP) are prone to nutritional problems due to their common oropharyngeal dysfunction and feeding difficulties, as well as too much consumption caused by motor dysfunction.These nutritional issues not only affect disease prognosis but also indirectly impact their quality of life.Solving the nutrition problem of children with CP depends on timely, accurate and comprehensive evaluation on their nutritional status.The process of nutritional status evaluation includes nutritional screening and nutritional assessment, which aim at rapid and sensitive early-time screening of malnutrition, or comprehensive and accurate assessment of nutritional status respectively.Nutritional screening and assessment are closely linked but still differs obviously.The clinical variability of CP and the specificity of the growth and development of CP children make it difficult to standardize their nutritional status evaluation, and this field has become a research hotspot in recent years.This review summarizes current methods and research advances in nutritional screening and evaluation for children with CP, analyzes the strengths, limitations, and interrelationships of different approaches, so as to provide valuable insights for healthcare professionals dedicated to improving the nutritional management of children with CP.

Key words

cerebral palsy / malnutrition / nutritional screening / nutritional assessment

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CHEN Jing, LI Hong, WANG Yuchen, WANG Yishan, SHI Lei, FANG Hui. Advances in nutritional screening and assessment in children with cerebral palsy[J]. Chinese Journal of Child Health Care. 2026, 34(4): 449-453 https://doi.org/10.11852/zgetbjzz2024-1375

References

[1] 中国康复医学会儿童康复专业委员会, 中国残疾人康复协会小儿脑性瘫痪康复专业委员会, 中国医师协会康复医师分会儿童康复专业委员会, 等.中国脑性瘫痪康复指南(2022) 第一章:概论[J].中华实用儿科临床杂志, 2022, 37(12):887-892.
Chinese Association of Rehabilitation Medicine Pediatric Rehabilitation Committee, Chinese Association of Rehabilitation of Disabled Persons Rehabilitation Committee for Cerebral Palsy, Chinese Medical Doctor Association Pediatric Rehabilitation Committee.Chinese rehabilitation guidelines for cerebral palsy (2022) part 1: overview[J].Chin J Appl Clin Pediatr, 2022, 37(12): 887-892.(in Chinese)
[2] Leal-Martinez F, Jimenez Ramirez G, Ibarra A.Nutritional Support System (NSS) as a new therapeutic strategy for cerebral palsy[J].CNS Neurol Disord Drug Targets, 2024, 23(3):271-277.
[3] Jahan I, Muhit M, Al Imam MH, et al.Nutritional status of children with cerebral palsy in Gorkha, Nepal:Findings from the Nepal Cerebral Palsy Register[J].Nutrients, 2021, 13(8):2537.
[4] Sharawat IK, Ramachandran A, Panda PK, et al.Prevalence, severity, and predictors of malnutrition in Indian children with cerebral palsy and their impact on health-related quality of life[J].Eur J Pediatr, 2023, 182(5):2433-2441.
[5] 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), 2023, 38(1):35-40.
[6] 陈婧, 童光磊, 施磊, 等.脑瘫儿童主观全面营养评估方法的临床研究[J].中国儿童保健杂志, 2022, 30(2):212-215.
Chen J, Tong GL, Shi L, et al.Clinical study on Subjective Global Nutritional Assessment method for children with cerebral palsy[J].Chin J Child Health Care, 2022, 30(2):212-215.(in Chinese)
[7] 侯梅, 傅平, 赵建慧, 等.脑瘫患儿口运动与进食和营养问题[J].中华儿科杂志, 2004, 42(10):765-768.
Hou M, Fu P, Zhao JH, et al.Oral motor dysfunction, feeding problems and nutritional status in children with cerebral palsy[J].Chin J Pediatr, 2004, 42(10): 765-768.(in Chinese)
[8] Huysentruyt K, Geeraert F, Allemon H, et al.Nutritional red flags in children with cerebral palsy[J].Clin Nutr, 2020, 39(2):548-553.
[9] Cieri ME, Ruiz Brunner MM, Condinanzi AL, et al.Impact of eating difficulties and gastrointestinal problems on the nutritional status of children and adolescents with cerebral palsy[J].Eur J Clin Nutr, 2025,79(4):365-368.
[10] Wang F, Cai Q, Shi W, et al.A cross-sectional survey of growth and nutritional status in children with cerebral palsy in West China[J].Pediatr Neurol, 2016, 58:90-97.
[11] Zhao Y, Tang H, Peng T, et al.Relationship between nutritional status and severity of cerebral palsy:A multicentre cross-sectional study[J].J Rehabil Med, 2023, 55:jrm00367.
[12] Ruiz Brunner MLM, Cieri ME, Butler C, et al.Development of equations and software for estimating weight in children with cerebral palsy[J].Dev Med Child Neurol, 2021, 63(7):860-865.
[13] Peng T, Zhao Y, Fu C, et al.A study of validity and reliability for Subjective Global Nutritional Assessment in outpatient children with cerebral palsy[J].Nutr Neurosci, 2021, 18:1-7.
[14] 朱登纳, 刘汉友, 陈功勋, 等.改良儿科营养风险筛查工具在脑性瘫痪患儿中的应用[J].中华实用儿科临床杂志, 2023, 38(2):131-135.
Zhu DN, Liu HY, Chen GX, et al.Application of Modified Pediatric Mutritional Risk Screening Tool in children with cerebral palsy[J].Chin J Appl Clin Pediatr, 2023, 38(2):131-135.(in Chinese)
[15] Benfer KA, Weir KA, Ware RS, et al.Parent-reported indicators for detecting feeding and swallowing difficulties and undernutrition in preschool-aged children with cerebral palsy[J].Dev Med Child Neurol, 2017, 59(11):1181-1187.
[16] Johnson A, Gambrah-Sampaney C, Khurana E, et al.Risk factors for malnutrition among children with cerebral palsy in Botswana[J].Pediatr Neurol, 2017, 70:50-55.
[17] Malekiantaghi A, AsnaAshari K, Shabani-Mirzaee H, et al.Evaluation of the risk of malnutrition in hospitalized children by PYMS, STAMP, and STRONGkids tools and comparison with their anthropometric indices:a cross-sectional study[J].BMC Nutr, 2022, 8(1):33.
[18] Seremet Kurklu N, Geyin F, Ceylan L, et al.Comparison of three different nutrition screening tools for pediatric inpatients[J].Nutr Clin Pract, 2022, 37(3):698-704.
[19] Lu L, Mao X, Sheng J, et al.Development and validation of a pediatric nutritional screening score (PNSS) for hospitalized children[J].Asia Pac J Clin Nutr, 2018, 27(1):65-71.
[20] Walker JL, Bell KL, Boyd RN, et al.Validation of a modified three-day weighed food record for measuring energy intake in preschool-aged children with cerebral palsy[J].Clin Nutr, 2013, 32(3):426-431.
[21] 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.
[22] 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, 36(3):351-361.
[23] Sellers D, Pennington L, Bryant E, et al.Mini-EDACS:Development of the Eating and Drinking Ability Classification System for young children with cerebral palsy[J].Dev Med Child Neurol, 2022, 64(7):897-906.
[24] Ruiz Brunner MLM, Cuestas E, von Kries R, et al.Growth patterns in children and adolescents with cerebral palsy from Argentina and Germany[J].Sci Rep, 2023, 13(1):8947.
[25] Oeffinger DJ, Gurka MJ, Kuperminc M, et al.Accuracy of skinfold and bioelectrical impedance assessments of body fat percentage in ambulatory individuals with cerebral palsy[J].Dev Med Child Neurol, 2014, 56(5):475-481.
[26] Sagayama H, Kondo E, Tanabe Y, et al.Comparison of bioelectrical impedance indices for skeletal muscle mass and intracellular water measurements of physically active young men and athletes[J].J Nutr, 2023, 153(9):2543-2551.
[27] Czeck MA, Juckett WT, Roelofs EJ, et al.Total and regional dual X-ray absorptiometry derived four-compartment model[J].Clin Nutr ESPEN, 2023, 55:185-190.
[28] Secker DJ, Jeejeebhoy KN.Subjective global nutritional assessment for children[J].Am J Clin Nutr, 2007, 85:1083-1089.
[29] Bell KL, Benfer KA, Ware RS, et al.The Pediatric Subjective Global Nutrition Assessment classifies more children with cerebral palsy as malnourished compared with anthropometry[J].J Acad Nutr Diet, 2020, 120(11):1893-1901.
[30] 王军, 许文静, 刘碧博, 等.脑瘫儿童营养与免疫因子检测及个体化营养干预效果研究[J].中国儿童保健杂志, 2021, 29(5):484-491.
Wang J, Xu WJ, Liu BB, et al.Detection of nutrition and immune factors in children with cerebral palsy and the effect of individualized nutritional intervention[J].Chin J Child Health Care, 2021, 29(5):484-491.(in Chinese)
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