Nutritional Risk Screening in Children with Cerebral Palsy
Introduction: Validated and practical tools for nutritional risk screening are essential for the early recognition of children who would benefit from a complete nutritional assessment and subsequent nutritional interventions. In this regard, this study aimed to apply different nutritional risk scre...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Portuguesa de Pediatria
2023-03-01
|
| Series: | Portuguese Journal of Pediatrics |
| Online Access: | https://ojs.pjp.spp.pt/article/view/26253 |
| _version_ | 1797854382306361344 |
|---|---|
| author | Inês Curvelo Mendes Rita Carvalho Inês Asseiceira Armando Mendes Sandra Morgado Raquel Amaral Isabel Sousa Joana Sousa |
| author_facet | Inês Curvelo Mendes Rita Carvalho Inês Asseiceira Armando Mendes Sandra Morgado Raquel Amaral Isabel Sousa Joana Sousa |
| author_sort | Inês Curvelo Mendes |
| collection | DOAJ |
| description |
Introduction: Validated and practical tools for nutritional risk screening are essential for the early recognition of children who would benefit from a complete nutritional assessment and subsequent nutritional interventions. In this regard, this study aimed to apply different nutritional risk screening tools for children with cerebral palsy and recognize the most appropriate tool.
Methods: In total, 30 children with cerebral palsy were involved in this cross-sectional study, from two Azores islands (where 60% of the total population live, in the Azores), Portugal. Children were assisted at a level III hospital unit and at the local cerebral palsy association. Clinical, sociodemographic, and anthropometric data were collected, and five nutritional risk screening tools were indirectly applied: screening tool for risk on nutritional status and growth, screening tool developed by Bell, cerebral palsy-malnutrition screening tool, screening tool developed by Bushell, and malnutrition risk score. Moreover, as a comparative method to define the most appropriate tool, two nutritional status classification instruments were applied (developed by World Health Organization and subjective global nutrition assessment).
Results: The screening tool for risk on nutritional status and growth showed high sensitivity and no specificity. Similarly, the screening tool developed by Bushell and cerebral palsy-malnutrition screening tool had high sensitivity and low specificity. The screening tool developed by Bell revealed high specificity and low sensitivity. The malnutrition risk score tool showed high sensitivity (> 87%) and specificity (> 71%) as well as the highest positive and negative predictive values (77.8% and > 83%, respectively) and also a kappa statistic value higher than 0.59.
Conclusion: Based on the results, malnutrition risk score seems to be the most appropriate tool for nutritional risk screening in children with cerebral palsy.
|
| first_indexed | 2024-04-09T20:06:10Z |
| format | Article |
| id | doaj.art-22a5845a9bfe499eabdf4cea82031bfe |
| institution | Directory Open Access Journal |
| issn | 2184-3333 2184-4453 |
| language | English |
| last_indexed | 2024-04-09T20:06:10Z |
| publishDate | 2023-03-01 |
| publisher | Sociedade Portuguesa de Pediatria |
| record_format | Article |
| series | Portuguese Journal of Pediatrics |
| spelling | doaj.art-22a5845a9bfe499eabdf4cea82031bfe2023-04-01T14:40:04ZengSociedade Portuguesa de PediatriaPortuguese Journal of Pediatrics2184-33332184-44532023-03-0154210.25754/pjp.2023.26253Nutritional Risk Screening in Children with Cerebral PalsyInês Curvelo Mendes0Rita Carvalho1Inês Asseiceira2Armando Mendes3Sandra Morgado4Raquel Amaral5Isabel Sousa6Joana Sousa7Nutrition and Dietetics Unit, Endocrinology and Nutrition Service, Hospital Divino Espírito Santo, Ponta Delgada, São Miguel, Azores, PortugalNutrition and Dietetics Unit, Endocrinology and Nutrition Service, Hospital Divino Espírito Santo, Ponta Delgada, São Miguel, Azores, PortugalDietetics and Nutrition Service, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal | Nutrition Laboratory, Faculdade de Medicina, Universidade de Lisboa, Lisbon, PortugalArtificial Intelligence and Computer Science Laboratory, Universidade do Porto, Oporto, Portugal | Faculdade de Ciências e Tecnologia, Universidade dos Açores, São Miguel, Azores, PortugalPhysical Medicine and Rehabilitation Service, Hospital Divino Espírito Santo, Ponta Delgada, São Miguel, Azores, PortugalPediatrics Service, Hospital Divino Espírito Santo, Ponta Delgada, São Miguel, Azores, PortugalEndocrinology and Nutrition Service, Hospital Divino Espírito Santo, Ponta Delgada, São Miguel, Azores, PortugalNutrition Laboratory, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal | Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal Introduction: Validated and practical tools for nutritional risk screening are essential for the early recognition of children who would benefit from a complete nutritional assessment and subsequent nutritional interventions. In this regard, this study aimed to apply different nutritional risk screening tools for children with cerebral palsy and recognize the most appropriate tool. Methods: In total, 30 children with cerebral palsy were involved in this cross-sectional study, from two Azores islands (where 60% of the total population live, in the Azores), Portugal. Children were assisted at a level III hospital unit and at the local cerebral palsy association. Clinical, sociodemographic, and anthropometric data were collected, and five nutritional risk screening tools were indirectly applied: screening tool for risk on nutritional status and growth, screening tool developed by Bell, cerebral palsy-malnutrition screening tool, screening tool developed by Bushell, and malnutrition risk score. Moreover, as a comparative method to define the most appropriate tool, two nutritional status classification instruments were applied (developed by World Health Organization and subjective global nutrition assessment). Results: The screening tool for risk on nutritional status and growth showed high sensitivity and no specificity. Similarly, the screening tool developed by Bushell and cerebral palsy-malnutrition screening tool had high sensitivity and low specificity. The screening tool developed by Bell revealed high specificity and low sensitivity. The malnutrition risk score tool showed high sensitivity (> 87%) and specificity (> 71%) as well as the highest positive and negative predictive values (77.8% and > 83%, respectively) and also a kappa statistic value higher than 0.59. Conclusion: Based on the results, malnutrition risk score seems to be the most appropriate tool for nutritional risk screening in children with cerebral palsy. https://ojs.pjp.spp.pt/article/view/26253 |
| spellingShingle | Inês Curvelo Mendes Rita Carvalho Inês Asseiceira Armando Mendes Sandra Morgado Raquel Amaral Isabel Sousa Joana Sousa Nutritional Risk Screening in Children with Cerebral Palsy Portuguese Journal of Pediatrics |
| title | Nutritional Risk Screening in Children with Cerebral Palsy |
| title_full | Nutritional Risk Screening in Children with Cerebral Palsy |
| title_fullStr | Nutritional Risk Screening in Children with Cerebral Palsy |
| title_full_unstemmed | Nutritional Risk Screening in Children with Cerebral Palsy |
| title_short | Nutritional Risk Screening in Children with Cerebral Palsy |
| title_sort | nutritional risk screening in children with cerebral palsy |
| url | https://ojs.pjp.spp.pt/article/view/26253 |
| work_keys_str_mv | AT inescurvelomendes nutritionalriskscreeninginchildrenwithcerebralpalsy AT ritacarvalho nutritionalriskscreeninginchildrenwithcerebralpalsy AT inesasseiceira nutritionalriskscreeninginchildrenwithcerebralpalsy AT armandomendes nutritionalriskscreeninginchildrenwithcerebralpalsy AT sandramorgado nutritionalriskscreeninginchildrenwithcerebralpalsy AT raquelamaral nutritionalriskscreeninginchildrenwithcerebralpalsy AT isabelsousa nutritionalriskscreeninginchildrenwithcerebralpalsy AT joanasousa nutritionalriskscreeninginchildrenwithcerebralpalsy |