Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake
© 2015 Mac Keith Press. Aim: To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (OPD), dietary intake, and gross motor function in young children with cerebral palsy (CP). Method: A cross-sectional, population-based cohort study comprising...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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2015
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| Online Access: | http://hdl.handle.net/20.500.11937/28220 |
| _version_ | 1848752477751476224 |
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| author | Benfer, K. Weir, K. Bell, K. Ware, R. Davies, P. Boyd, Roslyn |
| author_facet | Benfer, K. Weir, K. Bell, K. Ware, R. Davies, P. Boyd, Roslyn |
| author_sort | Benfer, K. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2015 Mac Keith Press. Aim: To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (OPD), dietary intake, and gross motor function in young children with cerebral palsy (CP). Method: A cross-sectional, population-based cohort study comprising 99 young children with CP (65 males, 35 females) aged 18 to 36 months (mean age 27mo; Gross Motor Function Classification System [GMFCS] level I, n=45; II, n=13; III, n=14; IV, n=10; V, n=17). CP subtypes were classified as spastic unilateral (n=35), spastic bilateral (n=49), dyskinetic (n=5), and other (n=10), in accordance with the criteria of the Surveillance of Cerebral Palsy in Europe. Habitual dietary intake of food textures, energy, and water were determined from parent-completed 3-day weighed food records. Parent-reported feeding ability of food textures was reported on the Pediatric Evaluation of Disability Inventory and a feeding questionnaire. OPD was classified based on clinical feeding assessment using the Dysphagia Disorders Survey (rated by a certified assessor, KAB) and a subjective Swallowing Safety Recommendation (classified by a paediatric speech pathologist, KAB). Results: Food/fluid textures were modified for 39% of children. Children with poorer gross motor function tended to receive a greater proportion of energy from fluids (GMFCS levels IV-V: ß=0.9, p=0.002) in their diets and fewer chewable foods (level III: ß=-0.7, p=0.03; levels IV-V: ß=-1.8, p<0.001) compared to level I to II participants. Fluids represented a texture for which children frequently had OPD and the texture most frequently identified as unsafe (or recommended for instrumental assessment). Interpretation: These findings indicate that swallowing safety, feeding efficiency, and energy/water intake should be considered when providing feeding recommendations for children with CP. |
| first_indexed | 2025-11-14T08:09:15Z |
| format | Journal Article |
| id | curtin-20.500.11937-28220 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:09:15Z |
| publishDate | 2015 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-282202017-09-13T15:20:55Z Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake Benfer, K. Weir, K. Bell, K. Ware, R. Davies, P. Boyd, Roslyn © 2015 Mac Keith Press. Aim: To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (OPD), dietary intake, and gross motor function in young children with cerebral palsy (CP). Method: A cross-sectional, population-based cohort study comprising 99 young children with CP (65 males, 35 females) aged 18 to 36 months (mean age 27mo; Gross Motor Function Classification System [GMFCS] level I, n=45; II, n=13; III, n=14; IV, n=10; V, n=17). CP subtypes were classified as spastic unilateral (n=35), spastic bilateral (n=49), dyskinetic (n=5), and other (n=10), in accordance with the criteria of the Surveillance of Cerebral Palsy in Europe. Habitual dietary intake of food textures, energy, and water were determined from parent-completed 3-day weighed food records. Parent-reported feeding ability of food textures was reported on the Pediatric Evaluation of Disability Inventory and a feeding questionnaire. OPD was classified based on clinical feeding assessment using the Dysphagia Disorders Survey (rated by a certified assessor, KAB) and a subjective Swallowing Safety Recommendation (classified by a paediatric speech pathologist, KAB). Results: Food/fluid textures were modified for 39% of children. Children with poorer gross motor function tended to receive a greater proportion of energy from fluids (GMFCS levels IV-V: ß=0.9, p=0.002) in their diets and fewer chewable foods (level III: ß=-0.7, p=0.03; levels IV-V: ß=-1.8, p<0.001) compared to level I to II participants. Fluids represented a texture for which children frequently had OPD and the texture most frequently identified as unsafe (or recommended for instrumental assessment). Interpretation: These findings indicate that swallowing safety, feeding efficiency, and energy/water intake should be considered when providing feeding recommendations for children with CP. 2015 Journal Article http://hdl.handle.net/20.500.11937/28220 10.1111/dmcn.12796 unknown |
| spellingShingle | Benfer, K. Weir, K. Bell, K. Ware, R. Davies, P. Boyd, Roslyn Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title | Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title_full | Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title_fullStr | Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title_full_unstemmed | Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title_short | Food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: Relationship to dietary intake |
| title_sort | food and fluid texture consumption in a population-based cohort of preschool children with cerebral palsy: relationship to dietary intake |
| url | http://hdl.handle.net/20.500.11937/28220 |