Micronutrient intakes in enterally and orally fed children with severe cerebral palsy

Background & aims: This study aims to investigate micronutrient balance in children with Cerebral Palsy (CP), due to a paucity of this literature and their well documented issues with undernutrition. Methods: Twenty-one children aged 4-12 years with marked CP fed orally (O, n = 12) or enterally...

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Main Authors: Schoendorfer, N., Tinggi, U., Sharp, N., Boyd, Roslyn, Vitetta, L., Davies, P.
Format: Journal Article
Published: 2011
Online Access:http://hdl.handle.net/20.500.11937/40705
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author Schoendorfer, N.
Tinggi, U.
Sharp, N.
Boyd, Roslyn
Vitetta, L.
Davies, P.
author_facet Schoendorfer, N.
Tinggi, U.
Sharp, N.
Boyd, Roslyn
Vitetta, L.
Davies, P.
author_sort Schoendorfer, N.
building Curtin Institutional Repository
collection Online Access
description Background & aims: This study aims to investigate micronutrient balance in children with Cerebral Palsy (CP), due to a paucity of this literature and their well documented issues with undernutrition. Methods: Twenty-one children aged 4-12 years with marked CP fed orally (O, n = 12) or enterally (PEG, n = 9) were recruited, including age matched typically developing children (C, n = 16). Parents collected three consecutive days food replica of their child's actual intake and the contents directly analysed. Values were calculated as percentage (%) of Estimated Average Requirement (EAR) or Adequate Intake (AI) where applicable. Results: Micronutrient intakes varied widely. Significant differences were found for Zinc: mean(±SD%) between PEG = 379(153) versus both O = 185(67) and C = 171(54) p < 0.001 and Iron: PEG = 311(93) versus O = 110(54) and C = 179(108), p = 0.001 and Copper: PEG = 162(±70); O = 44(±30); C = 78(±23) p < 0.001. Many O and C consumed insufficient iodine or calcium, including less than AI in potassium and manganese. Sodium intakes in 6/16 C were in excess of upper safety limits and 4/9 PEG consumed excessive Zinc. Conclusions: Micronutrients have the potential to competitively inhibit one another in excess or deficiency through limiting their metabolism. In light of this, further investigations should assess the physiological impact of dietary imbalances, particularly in populations with limitations in their food consumption. © 2011 European Society for Clinical Nutrition and Metabolism.
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spelling curtin-20.500.11937-407052017-09-13T13:41:45Z Micronutrient intakes in enterally and orally fed children with severe cerebral palsy Schoendorfer, N. Tinggi, U. Sharp, N. Boyd, Roslyn Vitetta, L. Davies, P. Background & aims: This study aims to investigate micronutrient balance in children with Cerebral Palsy (CP), due to a paucity of this literature and their well documented issues with undernutrition. Methods: Twenty-one children aged 4-12 years with marked CP fed orally (O, n = 12) or enterally (PEG, n = 9) were recruited, including age matched typically developing children (C, n = 16). Parents collected three consecutive days food replica of their child's actual intake and the contents directly analysed. Values were calculated as percentage (%) of Estimated Average Requirement (EAR) or Adequate Intake (AI) where applicable. Results: Micronutrient intakes varied widely. Significant differences were found for Zinc: mean(±SD%) between PEG = 379(153) versus both O = 185(67) and C = 171(54) p < 0.001 and Iron: PEG = 311(93) versus O = 110(54) and C = 179(108), p = 0.001 and Copper: PEG = 162(±70); O = 44(±30); C = 78(±23) p < 0.001. Many O and C consumed insufficient iodine or calcium, including less than AI in potassium and manganese. Sodium intakes in 6/16 C were in excess of upper safety limits and 4/9 PEG consumed excessive Zinc. Conclusions: Micronutrients have the potential to competitively inhibit one another in excess or deficiency through limiting their metabolism. In light of this, further investigations should assess the physiological impact of dietary imbalances, particularly in populations with limitations in their food consumption. © 2011 European Society for Clinical Nutrition and Metabolism. 2011 Journal Article http://hdl.handle.net/20.500.11937/40705 10.1016/j.eclnm.2011.09.003 restricted
spellingShingle Schoendorfer, N.
Tinggi, U.
Sharp, N.
Boyd, Roslyn
Vitetta, L.
Davies, P.
Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title_full Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title_fullStr Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title_full_unstemmed Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title_short Micronutrient intakes in enterally and orally fed children with severe cerebral palsy
title_sort micronutrient intakes in enterally and orally fed children with severe cerebral palsy
url http://hdl.handle.net/20.500.11937/40705