Serebral palsi ve beslenme: kaba motor fonksiyonun yeme davranışına etkileri

Öz

Amaç: Serebral palsi (SP), beyin hasarı nedeniyle gelişen ve genellikle çocukluk çağında görülen bir hareket bozukluğudur. SP'li bireylerde sık görülen beslenme sorunları, sağlık ve yaşam kalitesini olumsuz etkileyemektedir. Bu çalışmanın amacı serebral palsili çocuklarda kaba motor fonksiyonların yeme davranışı ve beslenme durumu üzerindeki etkilerini araştırmayı amaçlamaktı. Yöntem: Bu çalışma, bir rehabilitasyon merkezinde SP tanısı konmuş 50 çocukla yapılan kesitsel bir çalışmadır. Katılımcılara sosyo-demografik bilgiler, Çocukların Yeme Davranışı Envanteri (CEBI), Kaba Motor Fonksiyon Sınıflandırma Sistemi (GMFCS) ve Pediatrik Fonksiyonel Bağımsızlık Ölçeği (WeeFIM) uygulandı. Beslenme durumları 24 saatlik gıda tüketim kayıtları kullanılarak ölçüldü ve antropometrik ölçümler ile kas gücü değerlendirildi. Verilerin analizinde bağımsız t-testi, Mann-Whitney-U testi, Pearson ve Spearman korelasyonları ve çoklu regresyon analizleri kullanıldı. Bulgular: Katılımcıların yaş ortalaması 8,32±3,60 yıl, %52'si erkek ve %48'i kadındır. SP'li çocukların enerji ihtiyaçlarının %70,61'ini ve lif ihtiyaçlarının %53,17'sini karşıladıkları tespit edildi. GMFCS seviyesi arttıkça, WeeFIM (p<0,001) ve CEBI-beceri (p<0,001) azaldığı ve yetersiz beslenmenin arttığı (p=0,015) tespit edildi. Ayrıca, sağ ve sol kuadriseps, sağ ve sol biseps ve sağ ve sol triseps kas gücü ile CEBI-beceri arasında anlamlı pozitif korelasyon bulundu (p<0,05). Sonuç: Bu sonuçlar, SP'li çocuklarda yetersiz ve dengesiz beslenmenin yaygın olduğunu göstermektedir. SP’li çocuklarda uygun bir beslenme stratejisi, motor fonksiyonları ve genel sağlığı olumlu yönde etkileyebilir.

Anahtar Kelimeler

• Serebral palsi
• Beslenme durumu
• Fonksiyonel durum
• Yeme.

Cerebral palsy and nutrition: effects of gross motor function on eating behaviour

Öz

Purpose: Cerebral palsy (CP) is a movement disorder that develops due to brain damage and is usually seen in childhood. Common feeding problems in individuals with CP can negatively affect health and quality of life. This study aims to investigate the effects of gross motor function on eating behaviour and nutritional status in children with CP. Methods: This study is a cross-sectional study conducted with 50 children diagnosed with CP at a rehabilitation centre. Participants were administered socio-demographic information, The Children’s Eating Behavior Inventory (CEBI), the Gross Motor Function Classification System (GMFCS), and the Paediatric Functional Independence Measure (WeeFIM); their nutritional status was measured using 24-hour food consumption records, and anthropometric measurements and muscle strength were assessed. Independent t-test, Mann-Whitney-U test, Pearson and Spearman correlations, and multiple regression analyses were used in the analysis of the data. Results: The average age of the participants was 8.32±3.60 years, 52% were male and 48% were female. It was found that children with CP met 70.61% of their energy requirements and 53.17% of their fibre requirements. As the GMFCS level increased, WeeFIM (p<0.001) and CEBI-skill (p<0.001) decreased and underweight increased (p=0.015). In addition, a significant positive correlation was found between right and left quadriceps, right and left biceps, and right and left triceps muscle strength and CEBI-skill (p<0.05). Conclusion: These findings demonstrate an increase in GMFCS and malnutrition in children with CP. A proper feeding strategy can positively influence motor function and general health.

Anahtar Kelimeler

• Cerebral palsy
• Nutritional status
• Functional status
• Eating.

Kaynakça

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