{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:01:03Z","timestamp":1790946063763,"version":"4.1.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003996","name":"Kunming Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003996","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The overall nutritional status of children with cerebral palsy in China is not optimistic. Although some current studies have focused on the nutritional status of children with cerebral palsy or the compliance of their family members, there are relatively few studies that conduct a systematic analysis by combining the two. This study conducts an investigatory analysis of the nutritional status of children with cerebral palsy and the compliance of their family members, aiming to provide a basis for strengthening the nutritional management of children with cerebral palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross-sectional study investigated the nutritional status of 58 children with cerebral palsy treated at the Rehabilitation Department of Kunming Children's Hospital (January 2023\u2013December 2024), alongside their families' compliance with nutritional management. Data collection included anthropometric measurements (weight, height, head circumference, triceps and subscapular skinfold thickness, mid\u2013upper arm circumference), biochemical indicators (serum albumin, total protein, and 25-hydroxyvitamin D), family questionnaire survey and the SGNA. The rank - sum test for two - sample comparison was employed to compare the serum total protein and albumin levels between the control group and the diseased group. The weighted kappa was utilized to analyze the consistency of the nutritional grades between SGNA and ASPEN\n                      <jats:italic>Z<\/jats:italic>\n                      -score.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      1. Malnutrition prevalence was strikingly high at 50.00%, with all median growth\n                      <jats:italic>Z<\/jats:italic>\n                      -scores falling below normal reference levels. 2. Dysphagia affected nearly half of the children (48.72%). 3. The SGNA demonstrated strong concordance with the WHO malnutrition grading system (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.741; 95% CI: 0.623\u20130.859;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01). 4. Biochemical deficits included markedly lower serum albumin and total protein compared to controls (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). 5. Parental perceptions varied: 52.63% believed cerebral palsy is linked to malnutrition, while 47.36% did not; only 35% perceived their child as malnourished vs. 65% who did not. Merely 12.28% of parents reported regular nutritional assessments for their children.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Children with cerebral palsy exhibit a high prevalence of malnutrition, yet family compliance with nutritional management is suboptimal. Future interventions should focus on strengthening parental health education and streamlining nutritional assessment processes to improve management outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1788864","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:35:07Z","timestamp":1783920907000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of nutrition status and family compliance in children with cerebral palsy"],"prefix":"10.3389","volume":"14","author":[{"given":"Xuemei","family":"He","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueyan","family":"He","sequence":"additional","affiliation":[{"name":"Women's Psychiatric Department, Second People's Hospital of Pu \u2018er, Pu \u2018er","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuyue","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuanlan","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical Unicersity, Kunming","place":["Yunnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1111\/dmcn.16274","article-title":"Proposed updated description of cerebral palsy","volume":"67","author":"Dan","year":"2025","journal-title":"Dev Med Child Neurol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.dhjo.2019.01.005","article-title":"Prevalence of cerebral palsy, intellectual disability, hearing loss, and blindness, national health interview survey, 2009\u20132016","volume":"12","author":"McGuire","year":"2019","journal-title":"Disabil Health J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"5","DOI":"10.12114\/j.issn.1007-9572.2021.00.072","article-title":"Meta-analysis of the prevalence of cerebral palsy in children aged 0\u20136 years in China [J]","volume":"24","author":"Feng","year":"2021","journal-title":"Chin Gen Pract"},{"key":"B4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.3906\/sag-1803-79","article-title":"High rates of malnutrition and epilepsy: two common comorbidities in children with cerebral palsy[J]","volume":"49","author":"Ayd\u0131n","year":"2019","journal-title":"Turk J Med Sci"},{"key":"B5","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.arcped.2019.11.003","article-title":"Nutritional status of neurologically impaired children: impact on comorbidity[J]","volume":"27","author":"Leonard","year":"2020","journal-title":"Arch Pediatr"},{"key":"B6","doi-asserted-by":"publisher","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"},{"key":"B7","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1111\/j.1469-8749.2008.03104.x","article-title":"The gross motor function classification system\u2014expanded and revised[J]","volume":"50","author":"McDowell","year":"2008","journal-title":"Dev Med Child Neurol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1111\/dmcn.13751","article-title":"The eating and drinking ability classification system: concurrent validity and reliability in children with cerebral palsy","author":"Tschirren","year":"2018","journal-title":"Dev Med Child Neuro"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/1028415X.2021.1990463","article-title":"A study of validity and reliability for subjective global nutritional assessment in outpatient children with cerebral palsy[J]","volume":"24","author":"Peng","year":"2021","journal-title":"Nutr Neurosci"},{"key":"B10","volume-title":"Pediatric Physical Therapy [M]. Sun Yat-sen University Press.2016), 312","author":"Kaishou","year":""},{"key":"B11","doi-asserted-by":"publisher","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"},{"key":"B12","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1177\/0884533614557642","article-title":"Consensus statement of the academy of nutrition and dietetics\/American society for parenteral and enteral nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition)","volume":"30","author":"Becker","year":"2015","journal-title":"Nutr Clin Pract"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1432","DOI":"10.1111\/dmcn.14329","article-title":"Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy","volume":"61","author":"Reyes","year":"2019","journal-title":"Dev Med Child Neurol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/scd.12436","article-title":"Oral health and nutritional status of children with cerebral palsy in northeastern peninsular Malaysia","volume":"40","author":"Ahmad","year":"2019","journal-title":"Spec Care Dent"},{"key":"B15","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1111\/scd.12436","article-title":"Nutritional status in cerebral palsy:a cross-sectional comparative survey of children in kano, Nigeria","volume":"25","author":"Adamu","year":"2018","journal-title":"Niger Postgrad Med J"},{"key":"B16","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1111\/dmcn.13098","article-title":"Growth during infancy and early childhood in children with cerebral palsy: a population-based study","volume":"58","author":"Strand","year":"2016","journal-title":"Dev Med Child Neuro"},{"key":"B17","doi-asserted-by":"publisher","first-page":"9400","DOI":"10.3390\/nu7115469","article-title":"Dietary intakes and nutritional issues in neurologically impaired children","volume":"7","author":"Penagini","year":"2015","journal-title":"Nutrients"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.3390\/nu7115469","article-title":"Nutrition status and intervention effects of children with cerebral palsy","volume":"20","author":"Meirui","year":"2014","journal-title":"Chin Rehabil Theory Pract"},{"key":"B19","doi-asserted-by":"publisher","first-page":"31","DOI":"10.3969\/j.issn.1006-9771.2014.12.013","article-title":"Cross-sectional study on nutritional status and quality of life of children with cerebral palsy","volume":"9","author":"Jun","year":"2018","journal-title":"Matern Child Health J"},{"key":"B20","first-page":"1150","article-title":"Analysis of feeding function grading system and malnutrition in children with cerebral palsy","volume":"30","author":"Jing","year":"2022","journal-title":"Chin J Child Health Care"},{"key":"B21","doi-asserted-by":"publisher","first-page":"160","DOI":"10.3969\/j.issn.1003-515X.2003.03.002","article-title":"Early diagnosis and intervention treatment of cerebral palsy","volume":"18","author":"Xiulan","year":"2003","journal-title":"J Pract Pediatr Clin"},{"key":"B22","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1007\/s11657-022-01109-6","article-title":"The relationship between vitamin D deficiency, body composition, and physical\/cognitive functions","volume":"17","author":"Do\u011fan","year":"2022","journal-title":"Arch Osteoporos"},{"key":"B23","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s11657-022-01109-6","article-title":"Prevalence of vitamin D deficiency and associated risk factors in cerebral palsy a study in north-west of Iran","volume":"12","author":"Toopchizadeh","year":"2018","journal-title":"Iran J Child Neurol"},{"key":"B24","doi-asserted-by":"publisher","first-page":"887","DOI":"10.3760\/cma.j.cn101070-20220505-00500","article-title":"China\u2019s guide to rehabilitation of cerebral palsy chapter: introduction","volume":"37","author":"Xiaojie","year":"2022","journal-title":"Chin J Pract Pediatr Clin"},{"key":"B25","doi-asserted-by":"publisher","first-page":"887","DOI":"10.3760\/cma.j.cn101070-20220505-00500","article-title":"Chinese Guidelines for rehabilitation of cerebral palsy","volume":"37","author":"Li","year":"2022","journal-title":"Chin J Appl Clin Pediatr"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1788864\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:35:13Z","timestamp":1783920913000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1788864\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":25,"alternative-id":["10.3389\/fped.2026.1788864"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1788864","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"article-number":"1788864"}}