TY - JOUR
T1 - Nutritional screening of children and adolescents with cerebral palsy
T2 - a scoping review
AU - Sørensen, Sarah J
AU - Brekke, Ghita
AU - Kok, Karin
AU - Sørensen, Jette L
AU - Born, Alfred P
AU - Mølgaard, Christian
AU - Høi-Hansen, Christina E
N1 - © 2021 Mac Keith Press.
PY - 2021/12
Y1 - 2021/12
N2 - AIM: To examine nutritional screening methods for children and adolescents with cerebral palsy.METHOD: A scoping review was performed using established methodologies. In June 2020 we searched PubMed, Embase, CINAHL Complete, and the Cochrane Central Register of Controlled Trials to identify articles on tools/methods for nutritional screening of our target groups.RESULTS: Thirty studies were included, containing various tools/methods used to identify under- and/or overnutrition by weight/height, circumferences, skinfolds, questionnaires, and/or technically advanced or invasive methods. Questionnaires, weight/height, circumferences, and skinfolds were considered feasible based on clinical utility, whereas bioelectrical impedance analysis and blood samples were not.INTERPRETATION: We identified two screening tools for undernutrition that include no physical measurements, but did not find any screening tools for overweight and obesity. Most of the studies recommended one or more methods, indicating that determining nutritional status most likely includes a combination of methods, not all of which may be feasible in clinical practice. What this paper adds No nutritional screening tool using anthropometry or body composition was discovered. Heterogenous methods to identify under- and/or overnutrition are recommended. Preferable methods for nutritional screening include assessment of body composition. A validated nutritional screening tool for identification of overweight is warranted.
AB - AIM: To examine nutritional screening methods for children and adolescents with cerebral palsy.METHOD: A scoping review was performed using established methodologies. In June 2020 we searched PubMed, Embase, CINAHL Complete, and the Cochrane Central Register of Controlled Trials to identify articles on tools/methods for nutritional screening of our target groups.RESULTS: Thirty studies were included, containing various tools/methods used to identify under- and/or overnutrition by weight/height, circumferences, skinfolds, questionnaires, and/or technically advanced or invasive methods. Questionnaires, weight/height, circumferences, and skinfolds were considered feasible based on clinical utility, whereas bioelectrical impedance analysis and blood samples were not.INTERPRETATION: We identified two screening tools for undernutrition that include no physical measurements, but did not find any screening tools for overweight and obesity. Most of the studies recommended one or more methods, indicating that determining nutritional status most likely includes a combination of methods, not all of which may be feasible in clinical practice. What this paper adds No nutritional screening tool using anthropometry or body composition was discovered. Heterogenous methods to identify under- and/or overnutrition are recommended. Preferable methods for nutritional screening include assessment of body composition. A validated nutritional screening tool for identification of overweight is warranted.
KW - Adolescent
KW - Body Weight/physiology
KW - Cerebral Palsy/complications
KW - Child
KW - Humans
KW - Malnutrition/complications
KW - Nutrition Assessment
KW - Nutritional Status
KW - Overweight/complications
KW - Skinfold Thickness
KW - Surveys and Questionnaires
UR - http://www.scopus.com/inward/record.url?scp=85109711284&partnerID=8YFLogxK
U2 - 10.1111/dmcn.14981
DO - 10.1111/dmcn.14981
M3 - Review
C2 - 34247401
SN - 0012-1622
VL - 63
SP - 1374
EP - 1381
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
IS - 12
ER -