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Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action

Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia
CSF Global, Dhaka 1213, Bangladesh
Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka 1213, Bangladesh
Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney 2050, Australia
Rehabilitation Department, National Children’s Hospital, Hanoi 117200, Vietnam
Department of Medical Education and Skills Lab, Hanoi Medical University, Hanoi 116177, Vietnam
Rehabilitation Department, Hanoi Medical University (Bach Mai Hospital), Hanoi 116177, Vietnam
Faculty of Health Sciences, Phenikaa University, Hanoi 152308, Vietnam
Department of Paediatrics, Hanoi Medical University, Hanoi 116177, Vietnam
Faculty of Medicine, Hanoi University of Business and Technology, Hanoi 113400, Vietnam
Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland 4700, Australia
The Sydney Children’s Hospitals Network, Westmead, Sydney 2145, Australia
Author to whom correspondence should be addressed.
Nutrients 2019, 11(9), 2132;
Received: 28 June 2019 / Revised: 29 August 2019 / Accepted: 29 August 2019 / Published: 6 September 2019
(This article belongs to the Special Issue Cerebral Palsy and Nutrition—A Global Perspective)
Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children. View Full-Text
Keywords: cerebral palsy; hospital-based surveillance; malnutrition; Vietnam; children cerebral palsy; hospital-based surveillance; malnutrition; Vietnam; children
MDPI and ACS Style

Karim, T.; Jahan, I.; Dossetor, R.; Giang, N.T.H.; Van Anh, N.T.; Dung, T.Q.; Chau, C.M.; Van Bang, N.; Badawi, N.; Khandaker, G.; Elliott, E. Nutritional Status of Children with Cerebral Palsy—Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action. Nutrients 2019, 11, 2132.

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