Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy

Autores
Ruiz Brunner, María de Las Mercedes; Cuestas, Eduardo; Heinen, Florian; Schroeder, Andreas Sebastian
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
To compare growth patterns during infancy, childhood and adolescence in children with unilateral and bilateral cerebral palsy (CP) phenotype and to assess the association with gross motor impairment, dysphagia and gestational age. We retrospectively studied 389 children with CP from a single center population in Munich, Germany. 1536 measurements of height and weight were tabulated and z-scored from 6 to 180 months of age. Generalized linear mixed model were used to examine the association between growth, GMFCS, dysphagia and gestational age by CP phenotype. Children with unilateral CP tend to grow similarly to their typically developed peers. In the main effect model, bilateral CP phenotype was significantly associated with decreased mean z-scores for height (β [95% CI] − 0.953 [− 1.145, − 0.761], p < 0.001), weight (− 0.999 [− 1.176, − 0.807], p < 0.001) and BMI (β [95% CI] − 0.437 [− 0.799, − 0.075]), compared with unilateral CP phenotype. This association remained significant in the interaction models. The height-for-age z-scores, weight-for-age decreased z-scores and BMI-for-age z-scores of children with bilateral CP and GMFCS III–V or dysphagia decreased more significantly than those of children with unilateral CP. Preterm birth was not significantly associated with decreased growth in height, weight and BMI. Reduced growth in children with bilateral CP was strongly associated with moderate to severe impairment in gross motor function (GMFCS III–V) and dysphagia.
Fil: Ruiz Brunner, María de Las Mercedes. Hauner Children’s Hospital; Alemania. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
Fil: Cuestas, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina. Gobierno de la Provincia de Cordoba. Hospital Misericordia Nuevo Siglo; Argentina
Fil: Heinen, Florian. Hauner Children’s Hospital; Alemania
Fil: Schroeder, Andreas Sebastian. Hauner Children’s Hospital; Alemania
Materia
DISABILITY
CEREBRAL PALSY
GROWTH
WEIGHT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/202746
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/202746
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Growth in infants, children and adolescents with unilateral and bilateral cerebral palsyRuiz Brunner, María de Las MercedesCuestas, EduardoHeinen, FlorianSchroeder, Andreas SebastianDISABILITYCEREBRAL PALSYGROWTHWEIGHThttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3To compare growth patterns during infancy, childhood and adolescence in children with unilateral and bilateral cerebral palsy (CP) phenotype and to assess the association with gross motor impairment, dysphagia and gestational age. We retrospectively studied 389 children with CP from a single center population in Munich, Germany. 1536 measurements of height and weight were tabulated and z-scored from 6 to 180 months of age. Generalized linear mixed model were used to examine the association between growth, GMFCS, dysphagia and gestational age by CP phenotype. Children with unilateral CP tend to grow similarly to their typically developed peers. In the main effect model, bilateral CP phenotype was significantly associated with decreased mean z-scores for height (β [95% CI] − 0.953 [− 1.145, − 0.761], p < 0.001), weight (− 0.999 [− 1.176, − 0.807], p < 0.001) and BMI (β [95% CI] − 0.437 [− 0.799, − 0.075]), compared with unilateral CP phenotype. This association remained significant in the interaction models. The height-for-age z-scores, weight-for-age decreased z-scores and BMI-for-age z-scores of children with bilateral CP and GMFCS III–V or dysphagia decreased more significantly than those of children with unilateral CP. Preterm birth was not significantly associated with decreased growth in height, weight and BMI. Reduced growth in children with bilateral CP was strongly associated with moderate to severe impairment in gross motor function (GMFCS III–V) and dysphagia.Fil: Ruiz Brunner, María de Las Mercedes. Hauner Children’s Hospital; Alemania. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; ArgentinaFil: Cuestas, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina. Gobierno de la Provincia de Cordoba. Hospital Misericordia Nuevo Siglo; ArgentinaFil: Heinen, Florian. Hauner Children’s Hospital; AlemaniaFil: Schroeder, Andreas Sebastian. Hauner Children’s Hospital; AlemaniaNature Publishing Group2022-02-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/202746Ruiz Brunner, María de Las Mercedes; Cuestas, Eduardo; Heinen, Florian; Schroeder, Andreas Sebastian; Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy; Nature Publishing Group; Scientific Reports; 12; 1; 3-2-2022; 1-92045-2322CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1038/s41598-022-05267-yinfo:eu-repo/semantics/altIdentifier/url/https://www.nature.com/articles/s41598-022-05267-yinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:56:11Zoai:ri.conicet.gov.ar:11336/202746instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:56:11.697CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
title Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
spellingShingle Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
Ruiz Brunner, María de Las Mercedes
DISABILITY
CEREBRAL PALSY
GROWTH
WEIGHT
title_short Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
title_full Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
title_fullStr Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
title_full_unstemmed Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
title_sort Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy
dc.creator.none.fl_str_mv Ruiz Brunner, María de Las Mercedes
Cuestas, Eduardo
Heinen, Florian
Schroeder, Andreas Sebastian
author Ruiz Brunner, María de Las Mercedes
author_facet Ruiz Brunner, María de Las Mercedes
Cuestas, Eduardo
Heinen, Florian
Schroeder, Andreas Sebastian
author_role author
author2 Cuestas, Eduardo
Heinen, Florian
Schroeder, Andreas Sebastian
author2_role author
author
author
dc.subject.none.fl_str_mv DISABILITY
CEREBRAL PALSY
GROWTH
WEIGHT
topic DISABILITY
CEREBRAL PALSY
GROWTH
WEIGHT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv To compare growth patterns during infancy, childhood and adolescence in children with unilateral and bilateral cerebral palsy (CP) phenotype and to assess the association with gross motor impairment, dysphagia and gestational age. We retrospectively studied 389 children with CP from a single center population in Munich, Germany. 1536 measurements of height and weight were tabulated and z-scored from 6 to 180 months of age. Generalized linear mixed model were used to examine the association between growth, GMFCS, dysphagia and gestational age by CP phenotype. Children with unilateral CP tend to grow similarly to their typically developed peers. In the main effect model, bilateral CP phenotype was significantly associated with decreased mean z-scores for height (β [95% CI] − 0.953 [− 1.145, − 0.761], p < 0.001), weight (− 0.999 [− 1.176, − 0.807], p < 0.001) and BMI (β [95% CI] − 0.437 [− 0.799, − 0.075]), compared with unilateral CP phenotype. This association remained significant in the interaction models. The height-for-age z-scores, weight-for-age decreased z-scores and BMI-for-age z-scores of children with bilateral CP and GMFCS III–V or dysphagia decreased more significantly than those of children with unilateral CP. Preterm birth was not significantly associated with decreased growth in height, weight and BMI. Reduced growth in children with bilateral CP was strongly associated with moderate to severe impairment in gross motor function (GMFCS III–V) and dysphagia.
Fil: Ruiz Brunner, María de Las Mercedes. Hauner Children’s Hospital; Alemania. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
Fil: Cuestas, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina. Gobierno de la Provincia de Cordoba. Hospital Misericordia Nuevo Siglo; Argentina
Fil: Heinen, Florian. Hauner Children’s Hospital; Alemania
Fil: Schroeder, Andreas Sebastian. Hauner Children’s Hospital; Alemania
description To compare growth patterns during infancy, childhood and adolescence in children with unilateral and bilateral cerebral palsy (CP) phenotype and to assess the association with gross motor impairment, dysphagia and gestational age. We retrospectively studied 389 children with CP from a single center population in Munich, Germany. 1536 measurements of height and weight were tabulated and z-scored from 6 to 180 months of age. Generalized linear mixed model were used to examine the association between growth, GMFCS, dysphagia and gestational age by CP phenotype. Children with unilateral CP tend to grow similarly to their typically developed peers. In the main effect model, bilateral CP phenotype was significantly associated with decreased mean z-scores for height (β [95% CI] − 0.953 [− 1.145, − 0.761], p < 0.001), weight (− 0.999 [− 1.176, − 0.807], p < 0.001) and BMI (β [95% CI] − 0.437 [− 0.799, − 0.075]), compared with unilateral CP phenotype. This association remained significant in the interaction models. The height-for-age z-scores, weight-for-age decreased z-scores and BMI-for-age z-scores of children with bilateral CP and GMFCS III–V or dysphagia decreased more significantly than those of children with unilateral CP. Preterm birth was not significantly associated with decreased growth in height, weight and BMI. Reduced growth in children with bilateral CP was strongly associated with moderate to severe impairment in gross motor function (GMFCS III–V) and dysphagia.
publishDate 2022
dc.date.none.fl_str_mv 2022-02-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/202746
Ruiz Brunner, María de Las Mercedes; Cuestas, Eduardo; Heinen, Florian; Schroeder, Andreas Sebastian; Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy; Nature Publishing Group; Scientific Reports; 12; 1; 3-2-2022; 1-9
2045-2322
CONICET Digital
CONICET
url http://hdl.handle.net/11336/202746
identifier_str_mv Ruiz Brunner, María de Las Mercedes; Cuestas, Eduardo; Heinen, Florian; Schroeder, Andreas Sebastian; Growth in infants, children and adolescents with unilateral and bilateral cerebral palsy; Nature Publishing Group; Scientific Reports; 12; 1; 3-2-2022; 1-9
2045-2322
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1038/s41598-022-05267-y
info:eu-repo/semantics/altIdentifier/url/https://www.nature.com/articles/s41598-022-05267-y
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Nature Publishing Group
publisher.none.fl_str_mv Nature Publishing Group
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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