The Investigation of the Relationship between Nutritional Behaviors and Nutrition Levels of Spastic Quadriparetic Cerebral Palsy Children

Yıl 2018, Cilt: 5 Sayı: 3, 281 - 287, 14.10.2018

Seda Ayaz Taş Tamer Çankaya

https://doi.org/10.17681/hsp.336157

Öz

Objectives: To investigate the relationship between feeding
behavior and nutritional status of children with spastic quadriparetic cerebral
palsy. Materials
and Methods: 56 children between the ages of 2 to 15 years with
spastic quadriparetic cerebral palsy participated in the study. The ages,
heights, body weights, body mass indexes, birth weights and gestational ages of
the children were recorded. Their feeding behavior was examined by using
Behavioral Pediatrics Feeding Assessment Scale. Their gross motor function
levels was designated based on the Gross Motor Function Classification System.
Their nutritional status were estimated by using age for body mass indexes
percentile curves. Results: Three groups were formed
out of 56 children based on the Gross Motor Function Classification System,
namely 10 children at level 3 (17.9%), 12 at level 4 (21.4%) and 34 at level 5
(60.7%). There was a significant difference found between inadequate nutrition,
normal nutrition, overweight and obese groups according to total frequency
score (p<0,0001) and total problem score (p=0,0005) of feeding behavior in
these children. Moreover, there was a significant difference found between
Gross Motor Function Classification System level 3, level 4, level 5 according
to total frequency score (p=0,004). Conclusion: Along with many studies on behavior problems in children
with cerebral palsy, there is little evidence on the feeding behavior of these
children. In our study, we found that worsening of the gross motor function
level of children with quadriparetic cerebral palsy increased feeding behavior
problems and stressed on the family/caregiver in accordance with the
literature. It was also observed that the feeding behavior of the children also
affected the nutritional levels. Feeding behavior was worsened and increased
stress of parents as Gross Motor Function Classification System levels
increased. Besides, feeding behavior affected nutritional status. Feeding
behavior of spastic quadriparetic cerebral palsy created stress on parents and
affected their nutritional status.

Anahtar Kelimeler

Feeding behavior, Nutritional status, Gross motor function level, Oral motor disfunction, Serebral palsy.

Spastik Kuadriparetik Serebral Palsili Çocuklarin Beslenme Davranişlari İle Beslenme Düzeyleri Arasindaki İlişkinin Araştırılması

Öz

Amaç: Spastik Kuadriparetik Serebral Palsi’li çocuklarda
beslenme davranışlarının araştırılıp, bunların beslenme düzeyleri ve kaba motor
fonksiyon seviyesiyle ilişkisinin belirlenmesidir. Gereç ve Yöntemler: Çalışmaya Spastik Kuadriparetik Serebral
Palsi’li, 2-15 yaş aralığında 56 çocuk dahil edildi. Çocukların yaş, boy
uzunluğu, vücut ağırlığı, vücut kütle indeksi (VKİ) ile doğum kilosu ve
gestasyonel yaşları kaydedildi. Bireylerin beslenme davranışını değerlendirmek
üzere Davranışsal Pediatrik Beslenme Değerlendirme Skalası uygulandı. Kaba
motor fonksiyon seviyeleri, Kaba Motor Fonksiyon Sınıflandırma Sistemi’ne göre
belirlendi. Beslenme düzeyleri ise; yaşa göre vücut kütle indeksi persentil
eğrileri kullanılarak saptandı. Bulgular:
Kaba motor fonksiyon seviyesine göre, 56 çocuktan 10’u seviye 3 (%17.9), 12’si
seviye 4 (%21.4) ve 34’ü seviye 5’ti (%60.7). Yetersiz beslenme, normal
beslenme, kilolu ve obez grupları arasında, beslenme davranışları ile ilgili
olarak toplam sıklık skoru (p<0,0001) ve toplam problem skoru (p=0,0005)
değerleri açısından anlamlı fark bulundu. Kaba motor fonksiyon seviyesine göre
seviye 3, seviye 4 ve seviye 5 grupları arasında toplam sıklık skoru açısından
anlamlı fark bulundu (p=0,004). Sonuç:
Serebral Palsi’li çocuklarda davranış problemlerini inceleyen birçok çalışma
olmakla birlikte bu çocukların beslenme davranışları üzerine oldukça az kanıt
vardır. Çalışmamızda literatürle uyumlu olarak, Kuadriparetik Serebral Palsi’li
çocukların kaba motor fonksiyon seviyesinin kötüleşmesinin beslenme davranış
problemlerini artırdığı ve bu durumun bakım veren üzerinde stres oluşturduğu
bulundu. Ayrıca çocukların beslenme davranışlarının beslenme düzeylerini de
etkilediği görüldü. Yani sağlıklı bir büyüme gelişmenin temeli olan beslenme
düzeyi, beslenme davranışı kötü olan bireylerde olumsuz etkilenebilmektedir.

Anahtar Kelimeler

Beslenme davranışı, Beslenme düzeyi, Kaba motor fonksiyon seviyesi, Oral motor disfonksiyon, Serebral palsi

Kaynakça

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