Next Article in Journal
Impact of Nutrition on Cerebral Circulation and Cognition in the Metabolic Syndrome
Previous Article in Journal
A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
Open AccessReview

Dietary Intakes and Nutritional Issues in Neurologically Impaired Children

Pediatric Department, V. Buzzi Children’s Hospital, University of Milan, via Castelvetro 32, 20154 Milan, Italy
*
Author to whom correspondence should be addressed.
Nutrients 2015, 7(11), 9400-9415; https://doi.org/10.3390/nu7115469
Received: 7 September 2015 / Revised: 28 October 2015 / Accepted: 3 November 2015 / Published: 13 November 2015
Neurologically impaired (NI) children are at increased risk of malnutrition due to several nutritional and non-nutritional factors. Among the nutritional factors, insufficient dietary intake as a consequence of feeding difficulties is one of the main issues. Feeding problems are frequently secondary to oropharyngeal dysphagia, which usually correlates with the severity of motor impairment and presents in around 90% of preschool children with cerebral palsy (CP) during the first year of life. Other nutritional factors are represented by excessive nutrient losses, often subsequent to gastroesophageal reflux and altered energy metabolism. Among the non-nutritional factors, the type and severity of neurological impairment, ambulatory status, the degree of cognitive impairment, and use of entiepileptic medication altogether concur to determination of nutritional status. With the present review, the current literature is discussed and a practical approach for nutritional assessment in NI children is proposed. Early identification and intervention of nutritional issues of NI children with a multidisciplinary approach is crucial to improve the overall health and quality of life of these complex children. View Full-Text
Keywords: neurological impairment; children; dietary intake neurological impairment; children; dietary intake
Show Figures

Figure 1

MDPI and ACS Style

Penagini, F.; Mameli, C.; Fabiano, V.; Brunetti, D.; Dilillo, D.; Zuccotti, G.V. Dietary Intakes and Nutritional Issues in Neurologically Impaired Children. Nutrients 2015, 7, 9400-9415.

Show more citation formats Show less citations formats

Article Access Map

1
Only visits after 24 November 2015 are recorded.
Back to TopTop