Meta-Analysis

. 2021 Sep 15;13(9):3199.

doi: 10.3390/nu13093199.

Burden of Malnutrition among Children and Adolescents with Cerebral Palsy in Arabic-Speaking Countries: A Systematic Review and Meta-Analysis

Sami Mukhdari Mushta^{1

2}, Israt Jahan^{3

4

5}, Risad Sultana³, Sarah McIntyre^{2

6}, Al-Mamoon Badahdah⁷, Nihad A Almasri⁸, Catherine King², Harunor Rashid^{2

9}, Nadia Badawi^{6

10}, Gulam Khandaker^{5

11

12}

Affiliations

¹ Public Health Authority, Riyadh 13354, Saudi Arabia.
² The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW 2145, Australia.
³ CSF Global, Dhaka 1212, Bangladesh.
⁴ Asian Institute of Disability and Development, University of South Asia, Dhaka 1213, Bangladesh.
⁵ School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4701, Australia.
⁶ Cerebral Palsy Alliance, The University of Sydney, Sydney, NSW 2050, Australia.
⁷ Department of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
⁸ Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman 11942, Jordan.
⁹ Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Westmead, NSW 2145, Australia.
¹⁰ Grace Centre for Newborn Intensive Care, Sydney Children's Hospital Network, Westmead, NSW 2145, Australia.
¹¹ Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, NSW 2145, Australia.
¹² Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia.

PMID: 34579076
PMCID: PMC8468429
DOI: 10.3390/nu13093199

Meta-Analysis

Burden of Malnutrition among Children and Adolescents with Cerebral Palsy in Arabic-Speaking Countries: A Systematic Review and Meta-Analysis

Sami Mukhdari Mushta et al. Nutrients. 2021.

. 2021 Sep 15;13(9):3199.

doi: 10.3390/nu13093199.

Authors

Affiliations

¹ Public Health Authority, Riyadh 13354, Saudi Arabia.
² The Children's Hospital at Westmead Clinical School, The University of Sydney, Westmead, NSW 2145, Australia.
³ CSF Global, Dhaka 1212, Bangladesh.
⁴ Asian Institute of Disability and Development, University of South Asia, Dhaka 1213, Bangladesh.
⁵ School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4701, Australia.
⁶ Cerebral Palsy Alliance, The University of Sydney, Sydney, NSW 2050, Australia.
⁷ Department of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
⁸ Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman 11942, Jordan.
⁹ Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Westmead, NSW 2145, Australia.
¹⁰ Grace Centre for Newborn Intensive Care, Sydney Children's Hospital Network, Westmead, NSW 2145, Australia.
¹¹ Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, NSW 2145, Australia.
¹² Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia.

PMID: 34579076
PMCID: PMC8468429
DOI: 10.3390/nu13093199

Abstract

Background: We aimed to estimate the burden and underlying risk factors of malnutrition among children and adolescents with cerebral palsy in Arabic-speaking countries.

Methods: OVID Medline, OVID Embase, CINAHL via EBSCO, Cochrane Library, and SCOPUS databases were searched up to 3 July 2021. Publications were reviewed to identify relevant papers following pre-defined inclusion/exclusion criteria. Two reviewers independently assessed the studies for inclusion. Data extraction was independently completed by two reviewers. Descriptive and pooled analysis has been reported.

Results: From a total of 79 records screened, nine full-text articles were assessed for eligibility, of which seven studies met the inclusion criteria. Study characteristics, anthropometric measurements used, and nutritional outcome reported varied between the studies. The included studies contained data of total 400 participants aged 1-18 years. Overall, (mean: 71.46%, 95% confidence interval: 55.52-85.04) of children with cerebral palsy had at least one form of malnutrition. Severe gross motor function limitation, feeding difficulties, cognitive impairment and inadequate energy intake were the commonly reported underlying risk factors for malnutrition among children with cerebral palsy.

Conclusions: The burden of malnutrition is high among children with cerebral palsy in Arabic-speaking countries. More research is needed for better understanding of this public health issue in these countries.

Keywords: Arabic-speaking countries; adolescents; cerebral palsy; children; malnutrition.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
PRISMA flow diagram for a systematic literature review on malnutrition among children and adolescents with CP in ASCs.

**Figure 2**
Presence of at least one form of malnutrition (%).

**Figure 3**
Assessment of publication bias by a funnel plot of the proportion of malnutrition estimates against corresponding standard error.

See this image and copyright information in PMC

References

1. Mushta S.M., Khandaker G., Power R., Badawi N. Cerebral Palsy in the Middle East: Epidemiology, Management, and Quality of Life. In: Laher I., editor. Handbook of Healthcare in the Arab World. Springer; Cham, Switzerland: 2019. - DOI
1. Malnutrition. [(accessed on 23 June 2021)]. Available online: https://www.who.int/news-room/q-a-detail/malnutrition.
1. Kuperminc M., Stevenson R. Growth and nutrition disorders in children with cerebral palsy. Dev. Disabil. Res. Rev. 2008;14:137–146. doi: 10.1002/ddrr.14. - DOI - PMC - PubMed
1. Almuneef A., Almajwal A., Alam I., Abulmeaty M., Bader B., Badr M., Almuammar M., Razak S. Malnutrition is common in children with cerebral palsy in Saudi Arabia—A cross-sectional clinical observational study. BMC Neurol. 2019;19:317. doi: 10.1186/s12883-019-1553-6. - DOI - PMC - PubMed
1. Larson-Nath C., Goday P. Malnutrition in Children with Chronic Disease. Nutr. Clin. Pract. 2019;34:349–358. doi: 10.1002/ncp.10274. - DOI - PubMed

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Burden of Malnutrition among Children and Adolescents with Cerebral Palsy in Arabic-Speaking Countries: A Systematic Review and Meta-Analysis

Affiliations

Burden of Malnutrition among Children and Adolescents with Cerebral Palsy in Arabic-Speaking Countries: A Systematic Review and Meta-Analysis

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous