{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:53:54Z","timestamp":1791921234931,"version":"4.3.4"},"reference-count":34,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Anales de Pediatr\u00eda (English Edition)"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.anpede.2025.503803","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T15:15:37Z","timestamp":1740842137000},"page":"503803","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nutritional aspects in patients with cerebral palsy: A multicenter observational study in Spain"],"prefix":"10.1016","volume":"102","author":[{"given":"Ruth","family":"Garc\u00eda-Romero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram\u00f3n","family":"Cancho Candela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Luis Pe\u00f1a Segura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edctor Manuel","family":"Navas-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Jos\u00e9","family":"D\u00edaz Mart\u00edn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xenia Alonso","family":"Curco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gema","family":"Arriola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estibaliz Barredo","family":"Valderrama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1rbara Blanco","family":"Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s Bodas","family":"Pinedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonzalo Galicia","family":"Poblet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ainhoa Garc\u00eda","family":"Ribes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adri\u00e1n Garc\u00eda","family":"Ron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio M\u00e1laga","family":"Dieguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro Rodr\u00edguez","family":"Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar Ruiz","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariela de los","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar Tol\u00edn","family":"Hernani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Tutau","family":"Gomez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Mar\u00eda Vegas","family":"\u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.anpede.2025.503803_bib0005","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April 2006","volume":"109","author":"Rosenbaum","year":"2007","journal-title":"Dev Med Child Neurol Suppl."},{"key":"10.1016\/j.anpede.2025.503803_bib0010","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3389\/fped.2017.00021","article-title":"Cerebral palsy-trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention","volume":"5","author":"Stavsky","year":"2017","journal-title":"Front Pediatr."},{"key":"10.1016\/j.anpede.2025.503803_bib0015","series-title":"Neurodevelopmental Pediatrics: Genetic and Environmental Influences","first-page":"479","article-title":"Cerebral Palsy: Epidemiology","author":"Goldsmith","year":"2023"},{"key":"10.1016\/j.anpede.2025.503803_bib0020","series-title":"Neurodevelopmental Pediatrics: Genetic and Environmental Influences","first-page":"497","article-title":"Diagnosis of Cerebral Palsy","author":"Kim","year":"2023"},{"issue":"13","key":"10.1016\/j.anpede.2025.503803_bib0025","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1001\/jama.296.13.1602","article-title":"Clinical and MRI correlates of cerebral palsy: the European Cerebral Palsy Study","volume":"296","author":"Bax","year":"2006","journal-title":"Jama."},{"issue":"4","key":"10.1016\/j.anpede.2025.503803_bib0030","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1469-8749.1997.tb07414.x","article-title":"Development and reliability of a system to classify gross motor function in children with cerebral palsy","volume":"39","author":"Palisano","year":"1997","journal-title":"Dev Med Child Neurol."},{"issue":"1","key":"10.1016\/j.anpede.2025.503803_bib0035","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.pmr.2019.08.001","article-title":"Optimizing nutrition and bone health in children with cerebral palsy","volume":"31","author":"Jesus","year":"2020","journal-title":"Phys Med Rehabil Clin N Am."},{"issue":"2","key":"10.1016\/j.anpede.2025.503803_bib0040","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/ddrr.14","article-title":"Growth and nutrition disorders in children with cerebral palsy","volume":"14","author":"Kuperminc","year":"2008","journal-title":"Dev Disabil Res Rev."},{"key":"10.1016\/j.anpede.2025.503803_bib0045","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.puhe.2022.01.024","article-title":"Malnutrition and nutritional deficiencies in children with cerebral palsy: a systematic review and meta-analysis","volume":"205","author":"da Silva","year":"2022","journal-title":"Public Health."},{"issue":"5","key":"10.1016\/j.anpede.2025.503803_bib0050","doi-asserted-by":"crossref","DOI":"10.1590\/1982-0216\/20192155519","article-title":"Cerebral palsy: association between nutritional status and occurrence of oropharyngeal dysphagia","volume":"21","author":"Dutra","year":"2019","journal-title":"Rev CEFAC."},{"issue":"8","key":"10.1016\/j.anpede.2025.503803_bib0055","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/j.1469-8749.2008.03047.x","article-title":"Dysphagia in children with severe generalized cerebral palsy and intellectual disability","volume":"50","author":"Calis","year":"2008","journal-title":"Dev Med Child Neurol."},{"issue":"5","key":"10.1016\/j.anpede.2025.503803_bib0060","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1038\/nrgastro.2015.49","article-title":"Dysphagia: current reality and scope of the problem","volume":"12","author":"Clav\u00e9","year":"2015","journal-title":"Nat Rev Gastroenterol Hepatol."},{"issue":"Suppl 2","key":"10.1016\/j.anpede.2025.503803_bib0065","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1038\/ejcn.2013.224","article-title":"Feeding children with cerebral palsy and swallowing difficulties","volume":"67","author":"Arvedson","year":"2013","journal-title":"Eur J Clin Nutr."},{"issue":"Suppl 2","key":"10.1016\/j.anpede.2025.503803_bib0070","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1038\/ejcn.2013.225","article-title":"Nutritional management of children with cerebral palsy","volume":"67","author":"Bell","year":"2013","journal-title":"Eur J Clin Nutr."},{"key":"10.1016\/j.anpede.2025.503803_bib0075","article-title":"Nutritional interventions in children and adolescents with cerebral palsy: systematic review","volume":"42","author":"Silva","year":"2023","journal-title":"Rev Paul Pediatr."},{"issue":"2","key":"10.1016\/j.anpede.2025.503803_bib0080","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/MPG.0000000000001646","article-title":"European Society for Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for the Evaluation and Treatment of Gastrointestinal and Nutritional Complications in Children With Neurological Impairment","volume":"65","author":"Romano","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr."},{"issue":"1","key":"10.1016\/j.anpede.2025.503803_bib0085","first-page":"35","article-title":"Nutritional status and prevalence of dysphagia in cerebral palsy: usefulness of the Eating and Drinking Ability Classification System scale and correlation with the degree of motor impairment according to the Gross Motor Function Classification System","volume":"38","author":"Garc\u00eda Ron","year":"2023","journal-title":"Neurologia (Engl Ed)"},{"issue":"7","key":"10.1016\/j.anpede.2025.503803_bib0090","doi-asserted-by":"crossref","DOI":"10.3390\/nu13072413","article-title":"Assessment of swallowing disorders, nutritional and hydration status, and oral hygiene in students with severe neurological disabilities including cerebral palsy","volume":"13","author":"Costa","year":"2021","journal-title":"Nutrients."},{"issue":"5826","key":"10.1016\/j.anpede.2025.503803_bib0095","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1136\/bmj.3.5826.566","article-title":"Classification and definition of protein-calorie malnutrition","volume":"3","author":"Waterlow","year":"1972","journal-title":"Br Med J."},{"issue":"3","key":"10.1016\/j.anpede.2025.503803_bib0100","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/dmcn.12352","article-title":"Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy","volume":"56","author":"Sellers","year":"2014","journal-title":"Dev Med Child Neurol."},{"key":"10.1016\/j.anpede.2025.503803_bib0105","first-page":"148","article-title":"La par\u00e1lisis cerebral desde la atenci\u00f3n primaria","volume":"40","author":"Fern\u00e1ndez-Jaen","year":"2002","journal-title":"Med Integral."},{"issue":"3","key":"10.1016\/j.anpede.2025.503803_bib0110","doi-asserted-by":"crossref","first-page":"193.e1","DOI":"10.1016\/j.anpedi.2010.10.005","article-title":"[Spanish growth studies: the current situation, their effectiveness and recommendations for their use]","volume":"74","author":"S\u00e1nchez Gonz\u00e1lez","year":"2011","journal-title":"An Pediatr (Barc)."},{"issue":"12","key":"10.1016\/j.anpede.2025.503803_bib0115","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1111\/dmcn.14667","article-title":"Nutritional status of children with cerebral palsy attending rehabilitation centers","volume":"62","author":"Ruiz Brunner","year":"2020","journal-title":"Dev Med Child Neurol."},{"issue":"7","key":"10.1016\/j.anpede.2025.503803_bib0120","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1111\/dmcn.14857","article-title":"Development of equations and software for estimating weight in children with cerebral palsy","volume":"63","author":"Ruiz Brunner","year":"2021","journal-title":"Dev Med Child Neurol."},{"issue":"4","key":"10.1016\/j.anpede.2025.503803_bib0125","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.clnu.2009.10.009","article-title":"Anthropometry and body composition analysis in children with cerebral palsy","volume":"29","author":"Tomoum","year":"2010","journal-title":"Clin Nutr."},{"issue":"11","key":"10.1016\/j.anpede.2025.503803_bib0130","doi-asserted-by":"crossref","DOI":"10.3390\/nu13113676","article-title":"Epidemiology of malnutrition among children with cerebral palsy in low- and middle-income countries: findings from the global LMIC CP register","volume":"13","author":"Jahan","year":"2021","journal-title":"Nutrients."},{"issue":"11","key":"10.1016\/j.anpede.2025.503803_bib0135","doi-asserted-by":"crossref","first-page":"5047","DOI":"10.1007\/s00431-023-05177-9","article-title":"Low skeletal muscle mass and liver fibrosis in children with cerebral palsy","volume":"182","author":"Naume","year":"2023","journal-title":"Eur J Pediatr."},{"issue":"4","key":"10.1016\/j.anpede.2025.503803_bib0140","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.anpedi.2019.06.003","article-title":"[Nutritional status of a population with moderate-severe cerebral palsy: beyond the weight]","volume":"92","author":"Mart\u00ednez de Zabarte Fern\u00e1ndez","year":"2020","journal-title":"An Pediatr (Engl Ed)"},{"issue":"2","key":"10.1016\/j.anpede.2025.503803_bib0145","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.arcped.2019.11.003","article-title":"Nutritional status of neurologically impaired children: impact on comorbidity","volume":"27","author":"Leonard","year":"2020","journal-title":"Arch Pediatr."},{"issue":"3","key":"10.1016\/j.anpede.2025.503803_bib0150","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1590\/s0004-2803.201700000-32","article-title":"Assessment of nutritional status of children and adolescents with Spastic Quadriplegic Cerebral Palsy","volume":"54","author":"Caselli","year":"2017","journal-title":"Arq Gastroenterol."},{"issue":"11","key":"10.1016\/j.anpede.2025.503803_bib0155","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1016\/j.jand.2020.04.012","article-title":"The pediatric subjective global nutrition assessment classifies more children with cerebral palsy as malnourished compared with anthropometry","volume":"120","author":"Bell","year":"2020","journal-title":"J Acad Nutr Diet."},{"issue":"6","key":"10.1016\/j.anpede.2025.503803_bib0160","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1080\/09637486.2017.1289502","article-title":"Nutritional assessment and intervention in children with cerebral palsy: a practical approach","volume":"68","author":"Scarpato","year":"2017","journal-title":"Int J Food Sci Nutr."},{"issue":"2","key":"10.1016\/j.anpede.2025.503803_bib0165","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.clnu.2019.02.040","article-title":"Nutritional red flags in children with cerebral palsy","volume":"39","author":"Huysentruyt","year":"2020","journal-title":"Clin Nutr."},{"key":"10.1016\/j.anpede.2025.503803_bib0170","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.clnesp.2018.05.002","article-title":"A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy","volume":"26","author":"Aydin","year":"2018","journal-title":"Clin Nutr ESPEN."}],"container-title":["Anales de Pediatr\u00eda (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2341287925000535?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2341287925000535?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T15:20:34Z","timestamp":1762615234000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2341287925000535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S2341287925000535"],"URL":"https:\/\/doi.org\/10.1016\/j.anpede.2025.503803","relation":{},"ISSN":["2341-2879"],"issn-type":[{"value":"2341-2879","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nutritional aspects in patients with cerebral palsy: A multicenter observational study in Spain","name":"articletitle","label":"Article Title"},{"value":"Anales de Pediatr\u00eda (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.anpede.2025.503803","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.anpedi.2025.503803","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}],"article-number":"503803"}}