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Methods to accurately assess body composition and adiposity in this population by using skinfolds, age, sex, and activity level are available but are not widely used. There are limitations in our current method of estimating energy needs in children with CP, who are at higher risk of both obesity and micronutrient deficiencies. There is some evidence of an association between malnutrition, defined as either underweight or obesity, and hospitalization-associated outcomes in children generally, although we lack specific data for CP. The gaps in our current understanding of optimal nutritional status and between current science and practice need to be addressed to improve health outcomes for this vulnerable patient population.<\/jats:p>","DOI":"10.1542\/hpeds.2020-0177","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T14:20:46Z","timestamp":1606832446000},"page":"1087-1095","source":"Crossref","is-referenced-by-count":23,"title":["The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy"],"prefix":"10.1542","volume":"10","author":[{"given":"Byron Alexander","family":"Foster","sequence":"first","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Lane","sequence":"additional","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Massey","sequence":"additional","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Noelck","sequence":"additional","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Green","sequence":"additional","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared P.","family":"Austin","sequence":"additional","affiliation":[{"name":"Doernbecher Children\u2019s Hospital, Oregon Health & Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,12,1]]},"reference":[{"issue":"4","key":"2021120817563047500_B1","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1542\/peds.2009-1658","article-title":"Increasing prevalence of medically complex children in US hospitals","volume":"126","author":"Burns","year":"2010","journal-title":"Pediatrics"},{"issue":"7","key":"2021120817563047500_B2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1542\/hpeds.2016-0179","article-title":"Contributions of children with multiple chronic conditions to pediatric hospitalizations in the United States: a retrospective cohort analysis","volume":"7","author":"Berry","year":"2017","journal-title":"Hosp Pediatr"},{"key":"2021120817563047500_B3","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April 2006. 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