Eating Patterns of Children with Cerebral Palsy by Table Utensil-Handling Skills

식사도구 사용능력에 따른 뇌성마비아동의 식생활

  • Kim, Jan-Di (Dept. of Nutrition Science & Food Management, Ewha Womans University) ;
  • Bae, Yun-Kyung (Dept. of Nutrition Science & Food Management, Ewha Womans University) ;
  • Cho, Mi-Sook (Dept. of Nutrition Science & Food Management, Ewha Womans University)
  • 김잔듸 (이화여자대학교 건강과학대학 식품영양학과) ;
  • 배윤경 (이화여자대학교 건강과학대학 식품영양학과) ;
  • 조미숙 (이화여자대학교 건강과학대학 식품영양학과)
  • Received : 2009.02.10
  • Accepted : 2009.04.21
  • Published : 2009.05.02

Abstract

The purpose of this study was to investigate the eating patterns of children with cerebral palsy having motor disturbances as well as stiffness. The food habits, nutritional status, and snack intakes of 1 to 7 year-old children with cerebral palsy were examined. The subjects were grouped into three categories according to their table-utensil handling skills: superior, normal, and inferior. The children in the superior group were significantly taller and heavier compared to children in the other two groups. The %EARs of folic acid and total calorie intake were insufficient in all three groups; however, their %EARs of other nutrients were fully sufficient. When comparing the children's intake frequencies and preferences for snacks, the superior group showed a greater likelihood to consume various kinds of snacks than the inferior group. And the inferior group disliked more kinds of snacks than the other two groups. It was also shown that the inferior group had a significantly higher tendency for problems in chewing and swallowing. These results indicate that the development of table utensil-handling skills is very important for the food intake and growth of children with cerebral palsy, and the better their table utensil-handling skills the greater their physical development. Thus, considering their preference and intake frequency, it seems necessary that children in the inferior group be provided a greater variety of snacks and foods to receive more calories.

Keywords

References

  1. 구본권 (2007): 지체장애아동교육 치료교육접근(2판). 시그마프레스. 서울
  2. 박창일 (2004): 국내외 뇌성마비 발생률 및 치료. 소아발달장애 심포지엄
  3. 대한영양사협회, 삼성서울병원 (1999): 사진으로 보는 음식의 눈 대중량. 서울
  4. 전헌선, 오세철, 박재국, 한경임, 노선옥, 박순길 (2006): 중복 . 지체부자유아 치료교육. 대구대 출판부
  5. 정재권, 오명화 (2007): 뇌성마비아 작업치료의 이해와 실제. 시그마프레스. 서울
  6. 홍창의 (1999): 소아과학. 대한교과서(주). 서울
  7. Ahn SY (2003): Comparison of food habits, food behaviors and food preferences in disabled children and non-disabled children. Master degree thesis. Graduate School of Kangnung University. pp.30-31
  8. Bobath K (1980): A neurological basis for the treatment of cerebral palsy. 2nd ed. William Heinemann medical books Ltd. London
  9. Carruth BR, Ziegler PJ, Gordon A, Hendricks K (2004): Developmental milestones and self-feeding behaviors in infants and toddlers. J Am Diet Assoc 104(1 suppl 1):51S-56S
  10. Fung EB, Lisa Samson-Fang, Stallings VA, Conaway M, Liptak G, Henderson RC, Worley G, O'donnell M, Calvert R, Rosenbaum P, Chumlea W, Stevenson RD (2002): Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc 102(3):361-373 https://doi.org/10.1016/S0002-8223(02)90084-2
  11. Gisel EG, Patrick J (1988): Identification of children with cerebral palsy unable to maintain a normal nutritional state. Lancet 6:283-286 https://doi.org/10.1016/S0140-6736(02)93353-2
  12. Han TR, Bang MS, Chung SG, Shin HI, Jeon JY (2001): The pattern of malnutrition in cerebral palsy and relating factors. J Korean Acad Rehab Med 25(1):18-25
  13. Kim JD (2008): The influence of table utensils handling skill of children with cerebral palsy on physical growth and dietary habits. Master degree thesis. Graduate School of Ewha Womans University. pp.35-36
  14. Kim YJ, Han YS, Jung SJ, Lee YN, Lee SI, Choi HM (2006): Characteristics of infants' temperaments and eating behaviors, mothers' eating behaviors and feeding practices in poor eating infants. Korean J Comm Nutr 11(4):449-458
  15. Kirk SA, Gallagher JJ (1989): Educating exceptional children (6th ed.). Hougt on Miffin Company
  16. Ko KA (2004): A study on the dietary habits and food preference of disabled and non-Disabled preschoolers. Master degree thesis. Graduate School of Education Woosuk University. pp.33-35
  17. Korea centers for disease control and prevention (2007): Korean national growth charts
  18. Lee JM, Park HJ, Park SM (2003): A survey on eating behaviors of preschool children for development snack. Korean J Food Culture 18(2):151-159
  19. Noh JR (2007): Assessment of functional level and nutritional status of person with cerebral palsy in rehabilitation facilities. Master degree thesis. Graduate School of Medical Science Yonsei University. pp.6-11
  20. Northstone K, Rogers I, Emmett P (2002): Drinks consumed by 18-month-old children: are current recommendations being followed- Eur J Clin Nutr 56(3):236-244 https://doi.org/10.1038/sj.ejcn.1601313
  21. Paliasno R, Rosenbaum P, Walter S, Russell D, Wook E, Galuppi B (1997): Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med & Child Neurol 39(4):214-223
  22. Park ES, Park CI, Cho SR, Na SI, Kwark EH, Noh KN (2003): Assessment of colonic motility and nutrients intake in adult with cerebral palsy. J Korean Acad Rehab Med 27(2):192-197
  23. Patrick J, Gisel EG (1990): Nutrition for the feeding impaired child. J Neuro Rehabilitation 4:115-119
  24. Peter B. Sullivan, Lewis Rosenbloom (2004): Feeding the disabled child. Eul Yoo Mun Wha Sa
  25. Rim KH (1992): A study on the management of the snacking system in early childhood educational institutions and homes. Master degree thesis. Sookmyung University
  26. Samson-Fang L, Stevenson RD (1998): Linear growth velocity in children with cerebral palsy. Dev Med Child Neurol 40(10):689-692 https://doi.org/10.1111/j.1469-8749.1998.tb12329.x
  27. Samson-Fang L, Fung E, Stallings VA, et al (2002): Relationship of nutritional status to health and social participation in children with cerebral palsy. J Pediatr 141(5):637-643 https://doi.org/10.1067/mpd.2002.129888
  28. Song NY (1998): A study on characteristics of eating habit of developmentally disabled children. Master degree thesis. Graduate School of Education Woosuk University
  29. Stallings VA, Charney EB, Davies JC, Cronk CE (1993): Nutrition related growth failure of children with quadriplegic cerebral palsy. Dev Med Child Neurol 35(2):126-138 https://doi.org/10.1111/j.1469-8749.1993.tb11614.x
  30. Stanley F, Blair E, Alberman E (2000): Cerebral palsies. Mac Keith Press. London
  31. Sullivan PB (1997): Gastrointestinal problems in the neurologically impaired child. Bailliere's Clinical Gastroenterology 11(3):529-546 https://doi.org/10.1016/S0950-3528(97)90030-0
  32. The Korean Nutrition Society (2005): Dietary reference intakes for Koreans. Seoul
  33. Yeargin-Allsop M, Braun KVN, Doernberg NS, Benedict RE, Kirby RS, Durkin MS (2008): Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a Multisite Collaboration. Pediatrics 121(3):547-554 https://doi.org/10.1542/peds.2007-1270