title: Intensive nutritional support improves the nutritional status and body composition in severely malnourished children with cerebral palsy.
abstract: OBJECTIVE
  To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia.
  
  
  METHODS
  Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used.
  
  
  RESULTS
  During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01). The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%).
  
  
  CONCLUSIONS
  Intensive nutritional support for four weeks had a significant effect on the nutritional status and body composition of severe and moderately malnourished children with cerebral palsy spastic quadriplegia.
authors.affiliation: Instituto de Nutrición Humana. Universidad de Guadalajara.. vasquez.garibay@gmail.com.
authors.forename: Andrea A
authors.initials: AA
authors.lastname: García-Contreras
authors.affiliation: Instituto de Nutrición Humana. Universidad de Guadalajara. Hospital Civil de Guadalajara Dr. Juan I. Menchaca. México.. vasquez.garibay@gmail.com.
authors.forename: Edgar M
authors.initials: EM
authors.lastname: Vásquez-Garibay
authors.affiliation: Instituto de Nutrición Humana. Universidad de Guadalajara. Hospital Civil de Guadalajara Dr. Juan I. Menchaca. México..
authors.forename: Enrique
authors.initials: E
authors.lastname: Romero-Velarde
authors.affiliation: Hospital Civil de Guadalajara Dr. Juan I. Menchaca. México..
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Ibarra-Gutiérrez
authors.affiliation: Instituto de Nutrición Humana. Universidad de Guadalajara..
authors.forename: Rogelio
authors.initials: R
authors.lastname: Troyo-Sanromán
authors.affiliation: Instituto de Nutrición Humana. Universidad de Guadalajara..
authors.forename: Imelda E
authors.initials: IE
authors.lastname: Sandoval-Montes
mesh_terms: D001823:Body Composition; D002547:Cerebral Palsy / Q000150:complications* / Q000628:therapy*; D002648:Child; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications* / Q000628:therapy*; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods*; D011782:Quadriplegia / Q000150:complications