Beyin felçli çocuklarda vücut kitle indeksi, işlevsel düzey ve sağlıkla ilgili yaşam kalitesi arasındaki ilişkinin incelenmesi

Amaç: Bu çalışmanın amacı, beyin felçli (BF) çocuklarda vücut kitle indeksi (VKİ) ile işlevsel düzey ve sağlıkla ilgili yaşam kalitesi arasın- daki ilişkinin incelenmesidir. Gereç ve Yöntemler: Çalışmaya 2-18 yaş arası 278 BFli çocuk alın- mıştır. Çocukların sosyo-demografik özellikleri kaydedilmiş, işlevsel bağımsızlık düzeyleri WeeFIM ile, sağlıkla ilgili yaşam kalitesi çocuk sağlığı anketi anne-baba formu PF-50 ile değerlendirilmiştir. Bu ça- lışma için gerekli etik kurul izni Abant İzzet Baysal Üniversitesi Tıp Fakültesi Etik Kurulundan alınmıştır (No: 2008/100-77). Bulgular: Vücut kitle indeksine göre sınıflandırıldığında çocukların %26,3ü normal kilolu, %5,4ü aşırı kilolu, %11,5i şişman, %56,8i düşük kilolu idi. Düşük kilolu oranı orta ve şiddetli etkilenimli BFli çocuklarda daha fazla iken (sırasıyla, %52,7, %53,8), şişmanlık oranı hafif etkilenimli yürüyebilen çocuklarda daha yüksek oranlardaydı (%7,1). Normal kilolu, aşırı kilolu, şişman ve düşük kilolu beyin felç- li çocuklarda toplam WeeFIM skoru, yaşam kalitesinin fiziksel işlev, fiziksel sağlık nedeniyle rol/sosyal kısıtlamalar değişkenleri arasın- da anlamlı bir fark bulunmuştur (p

Examination of the relation between body mass index, functional level and health-related quality of life in children with cerebral palsy

Aim: The aim of this study was to examine the relation between body mass index (BMI) and functional level and health-related quality of life in children with cerebral palsy (CP). Material and Methods: Two hundred seventy-eight children with CP aged between 2 and 18 years were included in the study. The sociodemographic properties of the children were recorded. Their functional independence levels were assessed with WeeFIM and their health-related quality of life levels were assessed with the Child Health Questionnaire-Parent Form (PF-50). Approval was obtained from the ethics committee of Abant İzzet Baysal University Medical Faculty for this study (Number: 2008/100-77). Results: When classified by body mass index, 26.3% of the children had a normal body weight, 5.4% were overweight, 11.5% were obese and 56.8% had a low body weight. The rate of low body weight was higher in children with moderate and severe CP (52.7% and 53.8%, respectively), while the rate of obesity was higher in children with mild CP who could walk (7.1%). A significant difference was found in children with CP with a normal body weight, overweight children with CP, obese children with CP and children with CP with a low body weight in terms of the total WeeFIM score and the variables of quality of life including physical functionality and role/social limita- tions because of physical health (p

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Dahlseng MO, Finbraten AK, Julliusson PB, Skranes J, Ander- sen G, Vik T. Feding problems, growth and nutritional status in children with cerebral palsy. Acta Paediatrica 2012; 101: 92-8. [CrossRef]
Arrowsmith F, Allen J, Gaskin K, Somerville H, Clarke S, OLoughlin E. The effect of gastrostomy tube feeding on body protein and bone mineralization in children with quadriplegic cerebral palsy. Dev Med Child Neurol 2010; 52: 1043-7. [CrossRef]
Tüzün EH, Güven DK, Eker L, Elbasan B, Bülbül SF. Nutritional status of children with cerebral palsy in Turkey. Disabil Rehabil 2013; 35: 413-7. [CrossRef]
Tomounm HY, Badawy NB, Hassan NE, Alian KM. Anthropo- metry and body composition analysis in children with cerebral palsy. Clin Nutr 2010; 29: 477-81. [CrossRef]
Rogozinski BM, Davids JR, Davis RB, et al. Prevelance of obesity in ambulatory children with cerebral palsy. J Bone Joint Surg Am 2007; 89: 2421-6. [CrossRef]
Arrowsmith FE, Allen JR, Gaskin KJ, et al. Reduced body protein in children with spastic quadriplegic cerebral palsy. Am J Clin Nutr 2006; 83: 613-8.
Stevenson RD, Caraway M, Chumlea WC, et al. Growth and he- alth in children with moderate-to-severe cerebral palsy. Pediat- rics 2006; 118: 1010-8. [CrossRef]
Stallings VA, Cronk CE, Zemel BS, Charney EB. Body compositi- on in children with spastic quadriplegic cerebral palsy. J Pediatr 1995; 126: 833-9. [CrossRef]
van den Berg-Emons HJ, Saris WH, de Barbanson DC, Wester- terp KR, Huson A, van Baak MA. Daily physical activity of school children with spastic diplegia and of healthy control subjects. J Pediatr 1995; 127: 578-84. [CrossRef]
Samson-Fang L, Fung E, Stallings VA, et al. Relationship of nut- ritional status to health and societal participation in children with cerebral palsy. J Pediatr 2002; 141: 637-43. [CrossRef]
Liptak GS, ODonnell M, Conaway M, et al. Health status of children with moderate to severe cerebral palsy. Dev Med Child Neurol 2001; 43: 364-70. [CrossRef]
Reilly S. Feeding problems in children with cerebral palsy. Mini symposium. Current pediatrics 1993; 3: 109-13.
Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galup- pi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997; 39: 214-3. [CrossRef]
Aybay C, Erkin G, Elhan AH, Sirzai H, Ozel S. ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil 2007; 86: 176-82. [CrossRef]
Ozdoğan H, Ruperto N, Kasapcopur O. The Turkish version of the Childhood Health Assessment Questionnaire (CHAQ) and Child Health Questionnaire (CHQ). Clin Exp Rheumatol 2001; 19: 158-62.
Hurvitz EA, Green LB, Hornyak JE, Khurana SR, Koch LG. Body mass index measures in children with cerebral palsy related to gross motor function classification. Am J Phys Med Rehabil 2008; 87: 395-403. [CrossRef]
Park ES, Chang WH, Park JH, Yoo JK, Kim SM, Rha DW. Child- hood obesity in ambulatory children and adolescents with spastic cerebral palsy in Korea. Neuropediatrics 2011; 42: 60-6. [CrossRef]
Rimmer JH, Yamaki K, Davis BM, Wang E, Vogel LC. Obesity and overweight prevelance among adolescents with disabilities. Prev Chronic Dis 2011; 8: 1-6.
US Department of Health and Human Services. National Cen- ter for Health Statistics. Third National Health and Nutrition Examination Survey, 1988-1994, NHANES III Examination Data File (CD-Rom Series 11, Nos. 1 and 2A). 1998, Hyattsville, MD: Centers for Disease Control and Prevention.
Taylor ED, Theim KR, Mirch MC, et al. Orthopedic complicati- ons of overweight in children and adolescents. Pediatrics 2006; 117: 2167-74. [CrossRef]
Dufek JS, Currie RL, Gouws PL, et al. Effects of overweight and obesity on walking characteristics in adolescents. Hum Mov Sci 2012; 31: 897-906. [CrossRef]