{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:54:20Z","timestamp":1791921260495,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010814","name":"Stiftelsen f\u00f6r Bist\u00e5nd \u00e5t R\u00f6relsehindrade i Sk\u00e5ne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010814","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the prevalence of eating and drinking difficulties as classified with the Eating and Drinking Ability Classification System (EDACS) in a large population\u2010based cohort of children with cerebral palsy (CP) at all levels of motor function, and how EDACS classifications relate to undernutrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional study based on data from the Swedish CP follow\u2010up programme of children aged 19\u2009years and younger. EDACS ratings were compared to z\u2010scores for weight for age and height for age, calculated using standard references. Regression models were used to estimate how height for age was affected by EDACS levels when controlling for gross motor function and CP subtype.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 2280 children with CP (945 females, 1335 males), median age 10\u2009years 2\u2009months. Almost a third (30.6%) had safety concerns during mealtimes (EDACS levels III\u2013V). Most children (57.5%) could eat and drink independently, 20.2% required assistance, and 22.4% were totally dependent. One in five had undernutrition (19.9%) and there was an association between EDACS level and nutrition (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Height for age decreased from EDACS level II and also when controlling for gross motor function and CP subtype.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Almost one in three children with CP have dysphagia. Growth is affected in children with CP already from EDACS level II.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.70113","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T19:09:18Z","timestamp":1765393758000},"page":"959-966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Eating and drinking abilities and nutritional status in children with cerebral palsy: A population\u2010based study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8553-7397","authenticated-orcid":false,"given":"Anna","family":"Nyman","sequence":"first","affiliation":[{"name":"Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology\u2014CLINTEC Karolinska Institutet  Stockholm Sweden"},{"name":"Habilitation &amp; Health, Region Stockholm  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"McAllister","sequence":"additional","affiliation":[{"name":"Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology\u2014CLINTEC Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8373-1017","authenticated-orcid":false,"given":"Elisabet","family":"Rodby\u2010Bousquet","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Orthopaedics Lund University  Lund Sweden"},{"name":"Centre for Clinical Research Uppsala University\u2014Region V\u00e4stmanland  V\u00e4ster\u00e5s Sweden"},{"name":"Department of Women\u2019s and Children\u2019s Health, Neuropaediatrics Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15346"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03089.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15196"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3093"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21576"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2012.04218.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12718"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2011.04027.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-019-03360-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.00167.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2801"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15964"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(02)90084-2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03047.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2010.03765.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14316"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12313"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12352"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13403"},{"key":"e_1_2_7_21_1","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":"Garcia Ron A","year":"2023","journal-title":"Neurologia (Engl Ed)"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.5812\/ijp-144602"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.2340\/jrm.v55.4395"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.16262"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1161843"},{"key":"e_1_2_7_26_1","first-page":"1","article-title":"Inter\u2010 and intrarater reliability of the Eating and Drinking Ability Classification System in Sweden","author":"Sjostrand E","year":"2024","journal-title":"Disabil. 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