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    Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake

    Access Status
    Open access via publisher
    Authors
    Benfer, K.
    Weir, K.
    Bell, K.
    Ware, R.
    Davies, P.
    Boyd, Roslyn
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Benfer, K. and Weir, K. and Bell, K. and Ware, R. and Davies, P. and Boyd, R. 2015. Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake. Developmental Medicine and Child Neurology. 57 (11): pp. 1056-1063.
    Source Title
    Developmental Medicine and Child Neurology
    DOI
    10.1111/dmcn.12796
    ISSN
    0012-1622
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/28220
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Mac Keith Press. Aim: To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (OPD), dietary intake, and gross motor function in young children with cerebral palsy (CP). Method: A cross-sectional, population-based cohort study comprising 99 young children with CP (65 males, 35 females) aged 18 to 36 months (mean age 27mo; Gross Motor Function Classification System [GMFCS] level I, n=45; II, n=13; III, n=14; IV, n=10; V, n=17). CP subtypes were classified as spastic unilateral (n=35), spastic bilateral (n=49), dyskinetic (n=5), and other (n=10), in accordance with the criteria of the Surveillance of Cerebral Palsy in Europe. Habitual dietary intake of food textures, energy, and water were determined from parent-completed 3-day weighed food records. Parent-reported feeding ability of food textures was reported on the Pediatric Evaluation of Disability Inventory and a feeding questionnaire. OPD was classified based on clinical feeding assessment using the Dysphagia Disorders Survey (rated by a certified assessor, KAB) and a subjective Swallowing Safety Recommendation (classified by a paediatric speech pathologist, KAB). Results: Food/fluid textures were modified for 39% of children. Children with poorer gross motor function tended to receive a greater proportion of energy from fluids (GMFCS levels IV-V: ß=0.9, p=0.002) in their diets and fewer chewable foods (level III: ß=-0.7, p=0.03; levels IV-V: ß=-1.8, p<0.001) compared to level I to II participants. Fluids represented a texture for which children frequently had OPD and the texture most frequently identified as unsafe (or recommended for instrumental assessment). Interpretation: These findings indicate that swallowing safety, feeding efficiency, and energy/water intake should be considered when providing feeding recommendations for children with CP.

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