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Abstract

A survey of 200 patients ranging in age from 5-21 yr was undertaken in 3 facilities in central Pennsylvania: state- (100), county- (13), and privately-operated (66), together with 21 children being cared for at home. Their diagnoses included chromosomal, metabolic, and anatomic abnormalities, and other encephalopathies. The following nutritional problems were identified: 1) inadequate nutrient intake due to feeding technique, swallowing difficulties, or regurgitation; 2) obesity and low activity level; 3) constipation; 4) nutrient-drug interactions and allergies; and 5) inadequate standards with which to compare growth and adequacy of nutrient intake. The nutritional problems encountered in these pediatric patients with neuromotor disorders warrant management by a physician-nutritionist team skilled in nutritional assessment and techniques of providing nutritional support.

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References

1. Nelson RP , Crocker AC : The medical care of mentally retarded persons in public residential facilities. New Engl J Med 299:1039–1044, 1978.

2. Pryor HB , Thelander HE : Growth deviations in handicapped children. Clin Pediatr 6:501–512, 1967.

3. Bailit HL , Whelan MA : Some factors related to size and intelligence in an institutionalized mentally retarded population. J Pediatr 71: 897–909, 1967.

4. Culley WJ , Jolly DH , Mertz ET : Heights and weights of mentally retarded children. Am J Ment Def 68:203–210, 1963.

5. Guy R : The growth of physically handicapped children with emphasis on appetite and activity. Pub Health 92:145–154, 1978.

6. Cronk CE : Growth of children with Down's Syndrome: birth to age 3 years. Pediatrics 61:564–568, 1978.

7. Ekvall SW : Assessment of nutritional status. IN Pediatric Nutrition in Developmental Disorders, S Palmer , SW Ekvall (eds), Springfield, Ill, Charles C Thomas, 1978, p 505

8. Palmer S : Nutrition and developmental disorders: an overview. IN Pediatric Nutrition in Developmental Disorders, S Palmer , SW Ekvall (eds), Springfield, Ill, Charles C Thomas, 1978, p 21

9. Gouge AL , Ekvall SW : Diets of handicapped children: Physical, psychological, and socioeconomic correlations. Am J Ment Def 80: 149–157, 1975.

10.

10. Stuart HC : The Children's Medical Center, Boston-Anthropometric Chart. Department of Maternal and Child Health, Children's Medical Center, Boston, Massachusetts.

11.

11. Hamill PV , Drizd TA , Johnson CL, et al : NCHS growth charts, 1976. Vital and Health Statistics–Series II. Health Resources Administration, DHEW, Rockville, Maryland, 1976.

12.

12. National Academy of Sciences, National Research Council, Food and Nutrition Board: Recommended Daily Allowances, Ed 9, Washington, DC, 1979

13.

13. Lifshitz F , Maclaren NK : Vitamin D-dependent rickets in institutionalized mentally retarded children receiving long-term anticonvulsant therapy. I. A survey of 288 patients. J Pediatr 83:612–620, 1973.

14.

14. Roche AF : Growth assessment of handicapped children. Ross Lab Diet Curr 6:25–30, 1979.

15.

15. Chait LS , Kessler E : An anti-drooling operation in cerebral palsy. S Afr Med J 56:676–678, 1979.

Survey of Nutritional Problems Encountered in Children with Neuromotor Disorders

Abstract

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