Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review
Background: Malnutrition is substantially higher among children with cerebral palsy (CP) in low- and middle-income countries (LMICs) when compared with the general population. Access to appropriate interventions is crucial for better management of malnutrition and nutritional outcomes of those child...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/6/1211 |
| _version_ | 1797443970642477056 |
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| author | Israt Jahan Risad Sultana Mohammad Muhit Delwar Akbar Tasneem Karim Mahmudul Hassan Al Imam Manik Chandra Das Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker |
| author_facet | Israt Jahan Risad Sultana Mohammad Muhit Delwar Akbar Tasneem Karim Mahmudul Hassan Al Imam Manik Chandra Das Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker |
| author_sort | Israt Jahan |
| collection | DOAJ |
| description | Background: Malnutrition is substantially higher among children with cerebral palsy (CP) in low- and middle-income countries (LMICs) when compared with the general population. Access to appropriate interventions is crucial for better management of malnutrition and nutritional outcomes of those children. We aimed to review the existing evidence on nutrition interventions for children with CP in LMICs. Methods: Online databases, i.e., PubMed and Scopus, and Google Scholar were searched up to 10 January 2022, to identify peer-reviewed publications/evidence on LMIC focused nutritional management guidelines/interventions. Following title screening and abstract review, full articles that met the inclusion/exclusion criteria were retained for data charting. Information about the study characteristics, nutrition interventions, and their effectiveness were extracted. Descriptive data were reported. Results: Eight articles published between 2008 and 2019 were included with data from a total of <i>n</i> = 252 children with CP (age range: 1 y 0 m–18 y 7 m, 42% female). Five studies followed experimental design; <i>n</i> = 6 were conducted in hospital/clinic/center-based settings. Four studies focused on parental/caregiver training; <i>n</i> = 2 studies had surgical interventions (i.e., gastrostomy) and <i>n</i> = 1 provided neurodevelopmental therapy feeding intervention. Dietary modification as an intervention (or component) was reported in <i>n</i> = 5 studies and had better effect on the nutritional outcomes of children with CP compared to interventions focused on feeding skills or other behavioral modifications. Surgical interventions improved nutritional outcomes in both studies; however, none documented any adverse consequences of the surgical interventions. Conclusion: There is a substantial knowledge gap on nutrition interventions for children with CP in LMICs. This hinders the development of best practice guidelines for the nutritional management of children with CP in those settings. Findings suggest interventions directly related to growth/feeding of children had a better outcome than behavioral interventions. This should be considered in planning of nutrition-focused intervention or comprehensive services for children with CP in LMICs. |
| first_indexed | 2024-03-09T13:04:51Z |
| format | Article |
| id | doaj.art-85102d6d337542e2834f84d704e8a512 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T13:04:51Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-85102d6d337542e2834f84d704e8a5122023-11-30T21:49:33ZengMDPI AGNutrients2072-66432022-03-01146121110.3390/nu14061211Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping ReviewIsrat Jahan0Risad Sultana1Mohammad Muhit2Delwar Akbar3Tasneem Karim4Mahmudul Hassan Al Imam5Manik Chandra Das6Hayley Smithers-Sheedy7Sarah McIntyre8Nadia Badawi9Gulam Khandaker10CSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshSchool of Business and Law, Central Queensland University, Rockhampton, QLD 4701, AustraliaCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCerebral Palsy Alliance, Sydney Medical School, The University of Sydney, Camperdown, NSW 2006, AustraliaCerebral Palsy Alliance, Sydney Medical School, The University of Sydney, Camperdown, NSW 2006, AustraliaCerebral Palsy Alliance, Sydney Medical School, The University of Sydney, Camperdown, NSW 2006, AustraliaSchool of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4701, AustraliaBackground: Malnutrition is substantially higher among children with cerebral palsy (CP) in low- and middle-income countries (LMICs) when compared with the general population. Access to appropriate interventions is crucial for better management of malnutrition and nutritional outcomes of those children. We aimed to review the existing evidence on nutrition interventions for children with CP in LMICs. Methods: Online databases, i.e., PubMed and Scopus, and Google Scholar were searched up to 10 January 2022, to identify peer-reviewed publications/evidence on LMIC focused nutritional management guidelines/interventions. Following title screening and abstract review, full articles that met the inclusion/exclusion criteria were retained for data charting. Information about the study characteristics, nutrition interventions, and their effectiveness were extracted. Descriptive data were reported. Results: Eight articles published between 2008 and 2019 were included with data from a total of <i>n</i> = 252 children with CP (age range: 1 y 0 m–18 y 7 m, 42% female). Five studies followed experimental design; <i>n</i> = 6 were conducted in hospital/clinic/center-based settings. Four studies focused on parental/caregiver training; <i>n</i> = 2 studies had surgical interventions (i.e., gastrostomy) and <i>n</i> = 1 provided neurodevelopmental therapy feeding intervention. Dietary modification as an intervention (or component) was reported in <i>n</i> = 5 studies and had better effect on the nutritional outcomes of children with CP compared to interventions focused on feeding skills or other behavioral modifications. Surgical interventions improved nutritional outcomes in both studies; however, none documented any adverse consequences of the surgical interventions. Conclusion: There is a substantial knowledge gap on nutrition interventions for children with CP in LMICs. This hinders the development of best practice guidelines for the nutritional management of children with CP in those settings. Findings suggest interventions directly related to growth/feeding of children had a better outcome than behavioral interventions. This should be considered in planning of nutrition-focused intervention or comprehensive services for children with CP in LMICs.https://www.mdpi.com/2072-6643/14/6/1211nutritioninterventionchildrencerebral palsydisabilityLMICs |
| spellingShingle | Israt Jahan Risad Sultana Mohammad Muhit Delwar Akbar Tasneem Karim Mahmudul Hassan Al Imam Manik Chandra Das Hayley Smithers-Sheedy Sarah McIntyre Nadia Badawi Gulam Khandaker Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review Nutrients nutrition intervention children cerebral palsy disability LMICs |
| title | Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review |
| title_full | Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review |
| title_fullStr | Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review |
| title_full_unstemmed | Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review |
| title_short | Nutrition Interventions for Children with Cerebral Palsy in Low- and Middle-Income Countries: A Scoping Review |
| title_sort | nutrition interventions for children with cerebral palsy in low and middle income countries a scoping review |
| topic | nutrition intervention children cerebral palsy disability LMICs |
| url | https://www.mdpi.com/2072-6643/14/6/1211 |
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