Burden of Malnutrition among Children and Adolescents with Cerebral Palsy in Arabic-Speaking Countries: A Systematic Review and Meta-Analysis.

Sami Mukhdari Mushta, Israt Jahan, Risad Sultana, Sarah McIntyre, Al-Mamoon Badahdah, Nihad A Almasri, Catherine King, Harunor Rashid, Nadia Badawi, Gulam Khandaker

Journal: Nutrients 2021;13(9):3199

PMID: 34579076

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Abstract

BACKGROUND

We aimed to estimate the burden and underlying risk factors of malnutrition among children and adolescents with cerebral palsy in Arabic-speaking countries.

METHODS

OVID Medline, OVID Embase, CINAHL via EBSCO, Cochrane Library, and SCOPUS databases were searched up to 3 July 2021. Publications were reviewed to identify relevant papers following pre-defined inclusion/exclusion criteria. Two reviewers independently assessed the studies for inclusion. Data extraction was independently completed by two reviewers. Descriptive and pooled analysis has been reported.

RESULTS

From a total of 79 records screened, nine full-text articles were assessed for eligibility, of which seven studies met the inclusion criteria. Study characteristics, anthropometric measurements used, and nutritional outcome reported varied between the studies. The included studies contained data of total 400 participants aged 1-18 years. Overall, (mean: 71.46%, 95% confidence interval: 55.52-85.04) of children with cerebral palsy had at least one form of malnutrition. Severe gross motor function limitation, feeding difficulties, cognitive impairment and inadequate energy intake were the commonly reported underlying risk factors for malnutrition among children with cerebral palsy.

CONCLUSIONS

The burden of malnutrition is high among children with cerebral palsy in Arabic-speaking countries. More research is needed for better understanding of this public health issue in these countries.

Address: Public Health Authority, Riyadh 13354, Saudi Arabia.; The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW 2145, Australia.; CSF Global, Dhaka 1212, Bangladesh.; Asian Institute of Disability and Development, University of South Asia, Dhaka 1213, Bangladesh.; School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4701, Australia.; Cerebral Palsy Alliance, The University of Sydney, Sydney, NSW 2050, Australia.; Department of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 22252, Saudi Arabia.; Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman 11942, Jordan.; Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Westmead, NSW 2145, Australia.; Grace Centre for Newborn Intensive Care, Sydney Children's Hospital Network, Westmead, NSW 2145, Australia.; Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, NSW 2145, Australia.; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia.

DOI: 10.3390/nu13093199

Link outs

Free resources

Full Text Sources:

Medical:

https://medlineplus.gov/cerebralpalsy.html

Miscellaneous:

https://assays.cancer.gov/CPTAC-1496

MeSH Terms: Adolescent, Cerebral Palsy, Child, Child Nutrition Disorders, Global Health, Humans, Language