Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy
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Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy. / Lyster, Aslak Emil; Hansen, Solvejg Lis; Andersen, Christina Therese; Nielsen, Jens Bo; Westerterp, Klaas; Wouters, Loek; Kiens, Bente; Ritterband-Rosenbaum, Anina.
I: Nutrients, Bind 15, Nr. 24, 5042, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Oral Motor Impairments Contribute to Weight Status of Adults with Severe Cerebral Palsy
AU - Lyster, Aslak Emil
AU - Hansen, Solvejg Lis
AU - Andersen, Christina Therese
AU - Nielsen, Jens Bo
AU - Westerterp, Klaas
AU - Wouters, Loek
AU - Kiens, Bente
AU - Ritterband-Rosenbaum, Anina
N1 - Publisher Copyright: © 2023 by the authors.
PY - 2023
Y1 - 2023
N2 - 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 (p < 0.01), and eating difficulties (p < 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.
AB - 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 (p < 0.01), and eating difficulties (p < 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.
KW - body weight
KW - cerebral palsy
KW - dietary registration
KW - double-labeled water
KW - energy balance
KW - metabolic health status
KW - oral motor impairment
KW - resting metabolic rate
U2 - 10.3390/nu15245042
DO - 10.3390/nu15245042
M3 - Journal article
C2 - 38140301
AN - SCOPUS:85180649524
VL - 15
JO - Nutrients
JF - Nutrients
SN - 2072-6643
IS - 24
M1 - 5042
ER -
ID: 390821656