{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:01:41Z","timestamp":1789574501383,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,3,24]],"date-time":"2012-03-24T00:00:00Z","timestamp":1332547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> To assess the nutrition status of children with CP, applying WHO growth standards, to indentify feeding risk factors and to evaluate their impact on the growth of children with CP.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> In 42 paediatric patients (mean age 8.00\u2003\u00b1\u20034.00\u2003years), anthropometry and food intake records were assessed. <jats:sc>z<\/jats:sc>\u2010scores were calculated using WHO Anthro software. Intake to requirements ratio (I\/R) was calculated, and patients were classified according to their feeding ability (PFA). Overall diet quality was assessed using the Diet Quality Index International (DQI\u2010I).<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Based on WAz, 15 patients (38.1%) were undernourished. No association was found between I\/R ratio and BMI z\u2010score, while PFA and DQI\u2010I displayed a significant correlation to both (p\u2003&lt;\u20030.05). Diet Quality Index International was also correlated with macronutrient distribution (p\u2003&lt;\u20030.05). Patients with CP were undernourished in a considerable proportion. Malnutrition in patients with CP is not associated with the intake of estimated energy requirements. Among the other feeding risk factors studied, PFA and DQI\u2010I represented important parameters associated with malnutrition.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> WHO z\u2010scores represent accurate parameters for the assessment of malnutrition in patients with CP. Together with anthropometry and PFA evaluation, the use of the DQI\u2010I would add prognostic value to both the initial growth assessment and the patients\u2019 growth monitoring.<\/jats:p>","DOI":"10.1111\/j.1651-2227.2012.02641.x","type":"journal-article","created":{"date-parts":[[2012,3,8]],"date-time":"2012-03-08T08:50:05Z","timestamp":1331196605000},"page":"649-654","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Identification of feeding risk factors for impaired nutrition status in paediatric patients with cerebral palsy"],"prefix":"10.1111","volume":"101","author":[{"given":"Thomais","family":"Karagiozoglou\u2010Lampoudi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efstratia","family":"Daskalou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euthymia","family":"Vargiami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Zafeiriou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,24]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.05.019"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1992.tb11449.x"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2002.tb00307.x"},{"key":"e_1_2_8_5_2","first-page":"237","article-title":"Growth patterns in a population of children and adolescents with cerebral palsy","volume":"24","author":"Day SM","year":"2007","journal-title":"Dev Med Child Neurol"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.14"},{"key":"e_1_2_8_7_2","first-page":"1","article-title":"Centers for Disease Control and Prevention (CDC).;Use of World Health Organization and CDC growth charts for children aged 0\u201359\u2003months in the United States","volume":"59","author":"Grummer\u2010Strawn LM","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_8_8_2","first-page":"22","article-title":"Dietary assessment of children with cerebral palsy: case control study in Isparta","volume":"9","author":"Ozturk M","year":"2004","journal-title":"E J Med"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-179"},{"key":"e_1_2_8_10_2","first-page":"477","article-title":"Anthropometry and body composition analysis in children with cerebral palsy","volume":"24","author":"Tomoum HY","year":"2009","journal-title":"Clin Nutr"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2001.tb00185.x"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(98)00088-4"},{"key":"e_1_2_8_13_2","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/01.mpg.0000228124.93841.ea","article-title":"Nutrition support for neurogically impaired children: a clinical report of the North American society for pediatric gastroenterology, hepatology and nutrition","volume":"43","author":"Machard V","year":"2006","journal-title":"J Pediatr Gastroentero Nutr"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.11.3476"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0298"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-10-57"},{"key":"e_1_2_8_17_2","unstructured":"World Health Organization 2007. 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