{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:01:42Z","timestamp":1789574502859,"version":"build-2803163510"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"abstract":"<jats:p>ABSTRACT BACKGROUND: Due to several factors, such as gastrointestinal\u2019s diseases and difficulty in feeding, children with Spastic Quadriplegic Cerebral Palsy tend to present nutritional deficits. OBJECTIVE: To assess the nutritional status of pediatric patients with Spastic Quadriplegic Cerebral Palsy according to reference curves for this population and with the measures of folds and circumferences, obtained by the upper arm circumference and triceps skin fold. METHODS: The data were obtained from: knee-height, estimated height, weight, upper arm circumference, and triceps skin fold. Values of folds and circumferences were compared with Frisancho, and specific curves for these patients were used as reference. The relationship between the values in the growth curve for healthy children, Z-Score, and comparison with the reference curve were verified by Fisher\u2019s exact test. We adopted the significance level of 5%. RESULTS: We evaluated 54 patients. The mean age was 10.2 years, and 34 were male, 25 fed by gastrostomy and 29, orally. The frequency of low weight by the reference curve was 22.22%. More than half of the patients presented the parameters indicating lean mass below the 5th percentile. The height of all patients was classified as adequate for the age by the reference curve. CONCLUSION: Low weight was found in 22% of patients, and there is a greater tendency to present reduced muscle mass and increased fat mass, showing the need for evaluation and appropriate interventions for patients with Spastic Quadriplegic Cerebral Palsy.<\/jats:p>","DOI":"10.1590\/s0004-2803.201700000-32","type":"journal-article","created":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T21:38:59Z","timestamp":1499377139000},"page":"201-205","source":"Crossref","is-referenced-by-count":30,"title":["ASSESSMENT OF NUTRITIONAL STATUS OF CHILDREN AND ADOLESCENTS WITH SPASTIC QUADRIPLEGIC CEREBRAL PALSY"],"prefix":"10.1590","volume":"54","author":[{"given":"Thaisa Barboza","family":"CASELLI","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizete Aparecida","family":"LOMAZI","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Augusta Santos","family":"MONTENEGRO","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Angela","family":"BELLOMO-BRAND\u00c3O","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2017,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jped.2012.11.008","article-title":"Anthropometric assessment of patients with cerebral palsy: which curves are more appropriate?","volume":"89","author":"Ara\u00fajo LA","year":"2013","journal-title":"J Pediatr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1542\/peds.2010-2801","article-title":"Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts","volume":"128","author":"Brooks J","year":"2011","journal-title":"Pediatrics"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1590\/S1415-52732010000200004","article-title":"Estado nutricional de crian\u00e7as com Paralisia Cerebral","volume":"23","author":"Caram ALA","year":"2010","journal-title":"Rev Nutr"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/0002-8223(94)92540-2","article-title":"Prediction of stature from knee height for black and white adults and children with application to mobility-impared or handicapped persons","volume":"94","author":"Chumlea C","year":"1994","journal-title":"Journal of the American Dietetic Association"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1469-8749.2007.00167.x","article-title":"Growth patterns in a population of children and adolescents with cerebral palsy","volume":"49","author":"Day 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Assoc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.jpeds.2007.02.060","article-title":"Growth and nutritional status in residential center versus home-living children and adolescents with quadriplegic cerebral palsy","volume":"151","author":"Henderson RC","year":"2007","journal-title":"J Pediatr"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1017\/S0012162206000922","article-title":"Gross and fine motor function and accompanying impairment in cerebral palsy","volume":"48","author":"Himmelmann K","year":"2006","journal-title":"Dev Med Child Neurol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/S0002-8223(96)00188-5","article-title":"Pattern of growth in children with cerebral palsy","volume":"96","author":"Krick J","year":"1996","journal-title":"J Am Diet Assoc"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/01.mpg.0000228124.93841.ea","article-title":"Nutrition support for neurologically impaired children: a clinical report of the North American Society for Pediatric Gatroenterology, Hepatology, and Nutrition","volume":"43","author":"Marchand V","year":"2006","journal-title":"J PediatrGastroenterol Nutr"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1111\/j.1469-8749.1993.tb11659.x","article-title":"Videofluoroscopy in the assessment of feeding disorders of children with neurological problems","volume":"35","author":"Morton RE","year":"1993","journal-title":"Develop Med Child Neurol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1055\/s-0040-1705674","article-title":"Crian\u00e7as com paralisia cerebral: como podemos avaliar e manejar seus aspectos nutricionais","volume":"6","author":"Mota MA","year":"2013","journal-title":"International Journal of 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