Gastrostomy feeding in cerebral palsy: enough and no more.

摘要: Aim Gastrostomy feeding children with spastic quadriplegic cerebral palsy (SQCP) improves weight gain but may cause excess deposition of body fat. This study was designed to investigate whether could be achieved without an adverse effect on composition by using a low-energy feed in gastrostomy-fed SQCP.Method Fourteen (seven male; seven female; median age 2y; range 10mo-11y) SQCP were studied, 13 whom classified as Gross Motor Function Classification Score (GMFCS) level V and one GMFCS IV. Children eligible for the if they weighed between 8 30kg diagnosis severe significant difficulties clinical decision had been made insert gastrostomy tube. The used energy concentration 0.75kcal/mL (Nutrini Low Energy Multi Fibre). Assessments performed before insertion (baseline) after 6 months, included composition, growth, nutritional intake, gastrointestinal symptoms.Results There increase (median difference 1.9kg; 95% confidence interval [CI] 0.85-3.03kg; p=0.012), mid-upper arm circumference 1.45cm; CI -0.36cm 3.47cm; p=0.043), lower leg length 1.62cm; 0.44-3.95cm; p=0.012) over months. no fat mass index diff 1.21, -1.15 2.94, p=0.345) or free -1.43, p=0.249). Micronutrient levels remained within reference ranges exception elevated chromium. percentage intake estimated average requirements (kcal) 43% at beginning 48.8% months feed.Interpretation who are fed low-energy, micronutrient-complete, high-fibre continue grow even intakes below 75% requirements. not associated disproportionate rise percentage, majority micronutrient range. © Authors. Journal compilation Mac Keith Press 2010.