Indexat a

Llicència i ús

Citacions

Cited 24 times in

Altmetrics

Grant support

We would like to thank Sehrs Food Area S.L., Nutricia Danone S.A, Nestle Health Science S.A., Fundacio per a la Recerca en Gastroenterologia (FUREGA), Fundacio el Maresme por Discapacitats, Fundacio Salut del Consorci Sanitari del Maresme, Escola Superior d'Hosteleria de Barcelona (ESHOB), Lifemere (Rose Cup), Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd-isciii), Aigues de Mataro S.A. and the Mataro City Council for their support of the intervention in this school. We would also like to thank the Plan for Research and Innovation in Health (PERIS), Generalitat de Catalunya, which contributed with the intensification grant of Alicia Costa (SLT017/20/000220) and Alberto Martin (SLT008/18/00162; SLT017/10/000219),the CIBERehd-isciii for a Strategic Action on Oropharyngeal Dysphagia (EHD20PI02) and promotion of this project at their annual congress (Link: Experience in patient-centred research CIBEREHD) as a model of research based on patient centricity, and the Territorial Competitiveness Specialization Project (PECT) of Mataro-Maresme (PRE/161/2019) financed by the Government of Catalunya-Generalitat de Catalunya within the framework of the European Regional Developments Funds of Catalonia Operational Programme 2014-2020.

Impacte en els Objectius de Desenvolupament Sostenible (ODS)

Anàlisi d'autories institucional

Compartir

Assessment of Swallowing Disorders, Nutritional and Hydration Status, and Oral Hygiene in Students with Severe Neurological Disabilities Including Cerebral Palsy

Publicat a:Nutrients. 13 (7): 2413- - 2021-07-01 13(7), DOI: 10.3390/nu13072413

Autors: Costa, Alicia; Martin, Alberto; Arreola, Viridiana; Riera, Stephanie A; Pizarro, Ana; Carol, Cristina; Serras, Laia; Clave, Pere

Afiliacions

Resum

Background: Special needs schools (SNS) educate children and young people with major neurological disabilities who are at high risk of oropharyngeal dysphagia (OD) and malnutrition (MN). We aimed to assess the prevalence of OD, MN, dehydration (DH), and oral health (OH) in students at an SNS. Methods: A cross-sectional observational study was conducted at SNS L'Arboc, Catalonia, Spain. We assessed (a) demographics, health status, comorbidities, and gross motor function classification system (GMFCS), (b) swallowing function, oral-motor evaluation, masticatory capacity, and EDACS classification for eating and drinking abilities, (c) nutritional and DH status (anthropometry, bioimpedance and dietary records), and (d) OH (Oral Hygiene Index Simplified). Results: A total of 33 students (mean age 13.3 years; 39.4% level V of GMFCS) were included. Main diagnosis was cerebral palsy at 57.6%. All students presented OD, 90.6% had impaired safety, 68.7% were at levels II-III of EDACS, and 31.3% required PEG; furthermore, 89.3% had chronic MN, 21.4% had acute MN, 70% presented intracellular DH, and 83.9% presented impaired OH. Conclusion: MN, DH, OD, and poor OH are highly prevalent conditions in students with cerebral palsy and other neurological disabilities and must be specifically managed through nutritional and educational strategies. The multidisciplinary team at SNS should include healthcare professionals specifically trained in these conditions.

Paraules clau