{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:53:54Z","timestamp":1791921234935,"version":"4.3.4"},"reference-count":33,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T00:00:00Z","timestamp":1567728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PG03317"],"award-info":[{"award-number":["PG03317"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0\u201318 years) with CP attending the National Children\u2019s Hospital Hanoi, Vietnam between June\u2013November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged &gt;5 years and\/or having a monthly family income of &lt;50 USD. Underweight and\/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and\/or Gross Motor Functional Classification System (GMFCS) level IV\u2013V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and\/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.<\/jats:p>","DOI":"10.3390\/nu11092132","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T03:14:41Z","timestamp":1567998881000},"page":"2132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Nutritional Status of Children with Cerebral Palsy\u2014Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action"],"prefix":"10.3390","volume":"11","author":[{"given":"Tasneem","family":"Karim","sequence":"first","affiliation":[{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia"},{"name":"CSF Global, Dhaka 1213, Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka 1213, Bangladesh"},{"name":"Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney 2050, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israt","family":"Jahan","sequence":"additional","affiliation":[{"name":"CSF Global, Dhaka 1213, Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka 1213, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Dossetor","sequence":"additional","affiliation":[{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thi Huong","family":"Giang","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, National Children\u2019s Hospital, Hanoi 117200, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thi","family":"Van Anh","sequence":"additional","affiliation":[{"name":"Department of Medical Education and Skills Lab, Hanoi Medical University, Hanoi 116177, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trinh Quang","family":"Dung","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, National Children\u2019s Hospital, Hanoi 117200, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cao Minh","family":"Chau","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Hanoi Medical University (Bach Mai Hospital), Hanoi 116177, Vietnam"},{"name":"Faculty of Health Sciences, Phenikaa University, Hanoi 152308, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen","family":"Van Bang","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Hanoi Medical University, Hanoi 116177, Vietnam"},{"name":"Faculty of Medicine, Hanoi University of Business and Technology, Hanoi 113400, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Badawi","sequence":"additional","affiliation":[{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia"},{"name":"Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney 2050, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulam","family":"Khandaker","sequence":"additional","affiliation":[{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia"},{"name":"CSF Global, Dhaka 1213, Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka 1213, Bangladesh"},{"name":"Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland 4700, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Elliott","sequence":"additional","affiliation":[{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia"},{"name":"The Sydney Children\u2019s Hospitals Network, Westmead, Sydney 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,9,6]]},"reference":[{"key":"ref_1","first-page":"8","article-title":"A report: The definition and classification of cerebral palsy April 2006","volume":"109","author":"Rosenbaum","year":"2007","journal-title":"Dev. Med. Child Neurol. Suppl."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"737","DOI":"10.5455\/ijmsph.2015.15012015192","article-title":"Nutritional status and growth in children with cerebral palsy: A review","volume":"4","author":"Aggarwal","year":"2015","journal-title":"Int. J. Med. Sci. Public Health"},{"key":"ref_3","first-page":"9","article-title":"Feeding Difficulties among Children with Cerebral Palsy: A Review","volume":"1","author":"Aggarwal","year":"2015","journal-title":"Int. J. Health Sci. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1111\/dmcn.12080","article-title":"An update on the prevalence of cerebral palsy: A systematic review and meta-analysis","volume":"55","author":"Oskoui","year":"2013","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_5","unstructured":"ACPR (2018, December 12). Report of the Australian Cerebral Palsy Register, Birth Years 1995\u20132012. Australia. Available online: https:\/\/www.ausacpdm.org.au\/resources\/australian-cerebral-palsy-register\/."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1111\/dmcn.14013","article-title":"Epidemiology of Cerebral Palsy (CP) in Bangladesh: Findings from the first population-based CP register for children in a low-and middle-income country","volume":"61","author":"Khandaker","year":"2019","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1093\/ije\/dyy139","article-title":"Parental socioeconomic status and risk of cerebral palsy in the child: Evidence from two Nordic population-based cohorts","volume":"47","author":"Forthun","year":"2018","journal-title":"Int. J. Epidemiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/dmcn.12821","article-title":"Socio-economic disparities and functional limitations of children with cerebral palsy","volume":"58","author":"Durkin","year":"2016","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_9","unstructured":"UNICEF (2019, January 07). The State of World\u2019s Children. Available online: https:\/\/www.unicef.org\/sowc\/archive\/ENGLISH\/The%20State%20of%20the%20World%27s%20Children%201998.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2247","DOI":"10.1080\/09638288.2018.1461260","article-title":"What makes children with cerebral palsy vulnerable to malnutrition? Findings from the Bangladesh cerebral palsy register (BCPR)","volume":"41","author":"Jahan","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_11","doi-asserted-by":"crossref","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 Neurol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000431330","article-title":"Cerebral palsy in children as a risk factor for malnutrition","volume":"66","author":"Perenc","year":"2015","journal-title":"Ann. Nutr. Metab."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1111\/dmcn.13797","article-title":"Children with cerebral palsy in Ghana: Malnutrition, feeding challenges and caregiver quality of life","volume":"60","author":"Polack","year":"2018","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1111\/apa.13089","article-title":"Malnutrition is common in Ugandan children with cerebral palsy, particularly those over the age of five and those who had neonatal complications","volume":"104","author":"Tumwine","year":"2015","journal-title":"Acta Paediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1016\/j.apmr.2017.04.005","article-title":"Differences in Body Composition According to Gross Motor Function in Children with Cerebral Palsy","volume":"98","author":"Sung","year":"2017","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1111\/dmcn.13681","article-title":"Health-related quality of life of children and adolescents with cerebral palsy in low-and middle-income countries: A systematic review","volume":"60","author":"Power","year":"2018","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Jahan, I., Karim, T., Das, M.C., Muhit, M., Mcintyre, S., Smithers-Sheedy, H., Badawi, N., and Khandaker, G. (2019). Mortality in children with cerebral palsy in rural Bangladesh: A population-based surveillance study. Dev. Med. Child Neurol.","DOI":"10.1111\/dmcn.14256"},{"key":"ref_18","first-page":"31","article-title":"Interventions to prevent respiratory diseases-Nutrition and the developing world","volume":"22","author":"Karim","year":"2017","journal-title":"Paediatr. Respir. Rev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1111\/j.1365-2214.2011.01327.x","article-title":"Feeding difficulties in children with cerebral palsy: Low-cost caregiver training in Dhaka, Bangladesh","volume":"38","author":"Adams","year":"2012","journal-title":"Child Care Health Dev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/dmcn.12170","article-title":"Surgical intervention for feeding and nutrition difficulties in cerebral palsy: A systematic review","volume":"56","author":"Ferluga","year":"2014","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e017742","DOI":"10.1136\/bmjopen-2017-017742","article-title":"Protocol for hospital based-surveillance of cerebral palsy (CP) in Hanoi using the Paediatric Active Enhanced Disease Surveillance mechanism (PAEDS-Vietnam): A study towards developing hospital-based disease surveillance in Vietnam","volume":"7","author":"Khandaker","year":"2017","journal-title":"BMJ Open"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1111\/j.1469-8749.2000.tb00695.x","article-title":"Surveillance of cerebral palsy in Europe: A collaboration of cerebral palsy surveys and registers","volume":"42","author":"Cans","year":"2000","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_23","unstructured":"World Health Organization (1997). WHO Global Database on Child Growth and Malnutrition, World Health Organization. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/63750\/1\/WHO_NUT_97.4.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1001\/archpedi.1995.02170190068012","article-title":"Use of segmental measures to estimate stature in children with cerebral palsy","volume":"149","author":"Stevenson","year":"1995","journal-title":"Arch. Pediatr. Adolesc. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1111\/j.1469-8749.2008.03128.x","article-title":"Nutritional status of children with cerebral palsy in a Brazilian tertiary-care teaching hospital","volume":"50","author":"Caram","year":"2008","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_26","unstructured":"(2019, January 07). World Bank Data. Available online: https:\/\/data.worldbank.org\/indicator\/SH.STA.STNT.ZS?view=chart."},{"key":"ref_27","unstructured":"(2019, January 07). The National Nutrition Strategy for 2011\u20132020, with a Vision Toward 2030. Available online: https:\/\/extranet.who.int\/nutrition\/gina\/sites\/default\/files\/VNM%202011%202.%20National%20Nutrition%20%20Strategy%202011-2020.pdf."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1111\/dmcn.13108","article-title":"Association between gross motor function and nutritional status in children with cerebral palsy: A cross-sectional study from Colombia","volume":"58","year":"2016","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1111\/j.1651-2227.2011.02412.x","article-title":"Feeding problems, growth and nutritional status in children with cerebral palsy","volume":"101","author":"Dahlseng","year":"2012","journal-title":"Acta Paediatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1111\/dmcn.12796","article-title":"Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake","volume":"57","author":"Benfer","year":"2015","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e299","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","year":"2011","journal-title":"Pediatr. Eng. Ed."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1038\/ejcn.2013.225","article-title":"Nutritional management of children with cerebral palsy","volume":"67","author":"Bell","year":"2013","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_33","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","year":"2007","journal-title":"J. Pediatr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/11\/9\/2132\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:17:32Z","timestamp":1760188652000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/11\/9\/2132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,6]]},"references-count":33,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9]]}},"alternative-id":["nu11092132"],"URL":"https:\/\/doi.org\/10.3390\/nu11092132","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,6]]}}}