ФИЗИЧЕСКОЕ РАЗВИТИЕ И ВЫРАЖЕННОСТЬ БЕЛКОВО-ЭНЕРГЕТИЧЕСКОЙ НЕДОСТАТОЧНОСТИ У ДЕТЕЙ С ДЕТСКИМ ЦЕРЕБРАЛЬНЫМ ПАРАЛИЧОМ

Профилактическая и клиническая медицина. 2022. № 1. С. 42–52.

Завьялова А. Н., Новикова В. П., Churakova I., Чуйнышена С. А., Лузанова О. А.

A high degree of disability among children with cerebral palsy is associated with low motor activity.Objective: to assess physical development and the degree of malnutrition in children with cerebral palsy.Materials and Methods: Physical development was assessed in 1420 children according to centile tables depending on motor activity, age and social conditions. Statistical program IBM Stata 12. For binary features, the odds ratio and 95% con dence interval were calculated.Results: In the № 1 group 199 toddlers (1.9-3 g), rst childhood № 2 - 387; second childhood № 3 -397; adolescents № 4 - 302 and youth № 5 - 135 patients. Severe malnutrition was detected among children in groups 4 and 5 (p<0.001). Malnutrition was detected in 67.5% of children from group 1 to 85.2% in group 5. Con dence intervals of the average underweight in each group were calculated for all groups (bootstrap analysis). In the group of patients № 4 and № 5, the percentage of children with severe de ciency and the degree of de ciency increase. Mean % underweight in children № 1 -21.959 [CI-23.649:-20.269], № 2 -24.872 [CI-26.007:-23.737], № 3 -26.097 [CI -72.208:-24.986], № 4 -28.269 [CI -29.505:-27.034], № 5 -31.839 [CI-33.656:-30.021](F-test 19.5 and p-value<0.001).Conclusions: Conclusions: Growth retardation and malnutrition worsening with age. Body weight de ciency was found in all age groups, but in adolescence and youth, the percentage of severe malnutrition is higher. Gender di erences and dependence on social conditions were not revealed.

Keywords: child malnutrition, физическое развитие, GMFCS IV-V, physical development, белково-энергетическая недостаточность, GMFCS IV-V