Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy
Adults with severe cerebral palsy (CP) are susceptible to malnutrition and metabolic disorders due to limited daily physical activity and challenges related to eating. We hypothesized that the condition of being underweight arises from inadequate energy intake due to difficulties in eating, rather t...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/24/5042 |
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| author | Aslak Emil Lyster Solvejg Lis Hansen Christina Therese Andersen Jens Bo Nielsen Klaas Westerterp Loek Wouters Bente Kiens Anina Ritterband-Rosenbaum |
| author_facet | Aslak Emil Lyster Solvejg Lis Hansen Christina Therese Andersen Jens Bo Nielsen Klaas Westerterp Loek Wouters Bente Kiens Anina Ritterband-Rosenbaum |
| author_sort | Aslak Emil Lyster |
| collection | DOAJ |
| description | Adults with severe cerebral palsy (CP) are susceptible to malnutrition and metabolic disorders due to limited daily physical activity and challenges related to eating. We hypothesized that the condition of being underweight arises from inadequate energy intake due to difficulties in eating, rather than heightened total energy expenditure or an elevated resting metabolic rate. The present study encompassed 17 adults with severe CP (classified as GMFSC III–V). Energy intake, utilization, and expenditure were gauged via thorough dietary recordings and double-labeled water (DLW) analyses. Resting metabolic rates were assessed through indirect calorimetry, and metabolic health was investigated via blood samples. Oral motor function, eating assessment during meals, and weight fluctuations throughout the experimental period were also evaluated. We found significant correlations between weight, oral impairments (<i>p</i> < 0.01), and eating difficulties (<i>p</i> < 0.05). While total energy expenditure and daily consumption were similar between underweight (UW) and overweight (OW) individuals, significant variability in both expenditure and intake was evident within the UW group. Particularly, those with lower BMIs experienced heightened mealtime impairments and complications. Our present findings indicate that eating difficulties are the central concern for UW status in this population. |
| first_indexed | 2024-03-08T20:27:44Z |
| format | Article |
| id | doaj.art-2751e25799fb4c6099f62a17d6ba5061 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-08T20:27:44Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-2751e25799fb4c6099f62a17d6ba50612023-12-22T14:29:55ZengMDPI AGNutrients2072-66432023-12-011524504210.3390/nu15245042Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral PalsyAslak Emil Lyster0Solvejg Lis Hansen1Christina Therese Andersen2Jens Bo Nielsen3Klaas Westerterp4Loek Wouters5Bente Kiens6Anina Ritterband-Rosenbaum7The August Krogh Section for Molecular Physiology, Department of Nutrition, Exercise and Sports, University of Copenhagen, Universitetsparken 13, 2100 Copenhagen, DenmarkElsass Foundation, Holmegaardsvej 28, 2920 Charlottelund, DenmarkElsass Foundation, Holmegaardsvej 28, 2920 Charlottelund, DenmarkElsass Foundation, Holmegaardsvej 28, 2920 Charlottelund, DenmarkDepartment of Nutrition and Movement Sciences, The Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsDepartment of Nutrition and Movement Sciences, The Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsThe August Krogh Section for Molecular Physiology, Department of Nutrition, Exercise and Sports, University of Copenhagen, Universitetsparken 13, 2100 Copenhagen, DenmarkElsass Foundation, Holmegaardsvej 28, 2920 Charlottelund, DenmarkAdults with severe cerebral palsy (CP) are susceptible to malnutrition and metabolic disorders due to limited daily physical activity and challenges related to eating. We hypothesized that the condition of being underweight arises from inadequate energy intake due to difficulties in eating, rather than heightened total energy expenditure or an elevated resting metabolic rate. The present study encompassed 17 adults with severe CP (classified as GMFSC III–V). Energy intake, utilization, and expenditure were gauged via thorough dietary recordings and double-labeled water (DLW) analyses. Resting metabolic rates were assessed through indirect calorimetry, and metabolic health was investigated via blood samples. Oral motor function, eating assessment during meals, and weight fluctuations throughout the experimental period were also evaluated. We found significant correlations between weight, oral impairments (<i>p</i> < 0.01), and eating difficulties (<i>p</i> < 0.05). While total energy expenditure and daily consumption were similar between underweight (UW) and overweight (OW) individuals, significant variability in both expenditure and intake was evident within the UW group. Particularly, those with lower BMIs experienced heightened mealtime impairments and complications. Our present findings indicate that eating difficulties are the central concern for UW status in this population.https://www.mdpi.com/2072-6643/15/24/5042body weightdietary registrationcerebral palsyoral motor impairmentmetabolic health statusdouble-labeled water |
| spellingShingle | Aslak Emil Lyster Solvejg Lis Hansen Christina Therese Andersen Jens Bo Nielsen Klaas Westerterp Loek Wouters Bente Kiens Anina Ritterband-Rosenbaum Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy Nutrients body weight dietary registration cerebral palsy oral motor impairment metabolic health status double-labeled water |
| title | Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy |
| title_full | Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy |
| title_fullStr | Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy |
| title_full_unstemmed | Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy |
| title_short | Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy |
| title_sort | oral motor impairments contribute to weight status of adults with severe cerebral palsy |
| topic | body weight dietary registration cerebral palsy oral motor impairment metabolic health status double-labeled water |
| url | https://www.mdpi.com/2072-6643/15/24/5042 |
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