Risk factors of malnutrition in children with severe motor and intellectual disabilities.

• 資料種別: 博士論文
• タイトル: Risk factors of malnutrition in children with severe motor and intellectual disabilities.
• 著者・編者: Hasegawa, Mari; Tomiwa, Kiyotaka; Higashiyama, Yukie; Kawaguchi, Chiharu; Kin, Hajime; Kubota, Masaru; Shima, Midori; Nogami, Keiji
• 著者標目: Hasegawa, Mari; Tomiwa, Kiyotaka; Higashiyama, Yukie; Kawaguchi, Chiharu; Kin, Hajime; Kubota, Masaru; Shima, Midori; Nogami, Keiji
• 出版事項: Elsevier
• 出版年月日等: 2020-11
• 出版年（W3CDTF）: 2020-11
• 並列タイトル等: 重症心身障害児における低栄養のリスク因子についての検討
• タイトル（掲載誌）: Brain and development
• 巻号年月日等（掲載誌）: 42 10
• 掲載巻: 42
• 掲載号: 10
• 掲載ページ: 738-746
• ISSN（掲載誌）: ISSN : 0387-7604
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-12-24
• 報告番号: 甲第761号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Malnutrition; Cerebral palsy; Body mass index; Associated factors; Respiratory assistance; Enteral formula; Energy requirement; Micronutrients
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: Children with severe motor and intellectual disabilities (SMID) are at a high risk of malnutrition and often require tube feeding to maintain their nutritional status. However, determining their energy requirements is difficult since inadequate dietary intake, severe neurological impairment, respiratory assistance, and cognitive impairment are all factors that affect malnutrition in SMID. Aim: This study investigated the factors affecting malnutrition and identified problems affecting the nutritional status of children with SMID. Methods: Forty-two children with SMID with oral motor dysfunction who were receiving home medical care at one of four hospitals were enrolled. Their nutritional status was assessed using a 3-day dietary record, anthropometric measurements, and laboratory tests. The clinical findings associated with malnutrition were compared, and a body mass index (BMI) z-score less than -2SD was defined as malnutrition. The relationship between BMI z-score and other potential predictors was also investigated. Results: Thirty-three (79%) children received tube feeding, and 20 (48%) experienced malnutrition. The median age of the malnourished children was older than that of non-malnourished children. Respiratory assistance was significantly correlated with higher BMI z-score, independent of other potential confounders such as nutrition method, muscle tonus, and energy intake. Cholesterol levels were significantly higher in children receiving a standard infant formula beyond 3 years of age than in those who switched to enteral formula before 3 years of age. Conclusions: Malnutrition in children with SMID was mainly associated with age or respiratory condition. Energy requirements should be regularly re-evaluated with considering these factors.; 博士（医学）・甲第761号・令和2年12月24日; Copyright © 2020 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.; identifier:Brain and development Vol.42 No.10 p.738-746 (2020 Nov); identifier:03877604; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3819; identifier:Brain and development, 42(10): 738-746
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1016/j.braindev.2020.06.009
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

目次

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3819/1/01%e7%94%b2761%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3819/2/02%e7%94%b2761%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3819/3/03%e7%94%b2761%e6%9c%ac%e6%96%87.pdf fulltext