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Nutritional support in children with neurodevelopmental disabilities

M Gottrand, Stephanie Van Biervliet UGent, Saskia Vande Velde UGent, F Gottrand and Myriam Van Winckel UGent (2013) ACTA GASTRO-ENTEROLOGICA BELGICA. 76(3). p.329-334
abstract
Feeding difficulties, mainly determined by oral motor problems, are common in patients with severe neurodevelopmental disabilities (NDD). These problems have a negative impact on health and developmental outcome as a consequence of insufficient intake. Research data show that insufficient intake, and not enhanced caloric needs, is the major cause of malnutrition. However, no direct relation between intake and nutritional state has been shown, illustrating the wide variety in caloric needs in this population. Individual caloric needs in patients with NDD show a wide variety, but are generally lower than in normal children. Treatment of these patients is complex as data on adequate daily allowances for this population are not available and standard anthropometric cut-off points to define malnutrition need adaptation. In order to prevent and treat malnutrition in patients with neurodevelopmental problems, careful multidisciplinary follow-up is indicated, aimed at early detection of feeding problems, nutritional deficiencies and growth failure. Oral food intake can be enhanced using adapted food texture and special feeding devices, giving positional support combined with specialized dietary advice on nutrient- and caloric-dense food. When oral feeding is unsafe or inefficient, partial or total enteral nutrition is started through a gastrostomy, with or without concomitant fundoplication. Evidence based criteria guiding this decision are lacking.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (proceedingsPaper)
publication status
published
subject
keyword
gastrostomy, fundoplication., gastro-oesophageal reflux, nutritional support, neurodevelopmental disabilities, PERCUTANEOUS ENDOSCOPIC GASTROSTOMY, NEUROLOGICALLY IMPAIRED CHILDREN, QUADRIPLEGIC CEREBRAL-PALSY, GASTROESOPHAGEAL-REFLUX, INTELLECTUAL DISABILITY, ENTERAL NUTRITION, BODY-COMPOSITION, GROWTH, FUNDOPLICATION, HEALTH
journal title
ACTA GASTRO-ENTEROLOGICA BELGICA
Acta Gastro-Enterol. Belg.
volume
76
issue
3
pages
329 - 334
conference name
Meeting of Bespghan
conference location
Ghent, Belgium
Web of Science type
Article; Proceedings Paper
Web of Science id
000341380900009
JCR category
GASTROENTEROLOGY & HEPATOLOGY
JCR impact factor
0.861 (2013)
JCR rank
68/75 (2013)
JCR quartile
4 (2013)
ISSN
0001-5644
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
4168951
handle
http://hdl.handle.net/1854/LU-4168951
date created
2013-10-22 12:41:59
date last changed
2016-12-19 15:45:14
@article{4168951,
  abstract     = {Feeding difficulties, mainly determined by oral motor problems, are common in patients with severe neurodevelopmental disabilities (NDD). These problems have a negative impact on health and developmental outcome as a consequence of insufficient intake.
Research data show that insufficient intake, and not enhanced caloric needs, is the major cause of malnutrition. However, no direct relation between intake and nutritional state has been shown, illustrating the wide variety in caloric needs in this population. Individual caloric needs in patients with NDD show a wide variety, but are generally lower than in normal children.
Treatment of these patients is complex as data on adequate daily allowances for this population are not available and standard anthropometric cut-off points to define malnutrition need adaptation.
In order to prevent and treat malnutrition in patients with neurodevelopmental problems, careful multidisciplinary follow-up is indicated, aimed at early detection of feeding problems, nutritional deficiencies and growth failure. Oral food intake can be enhanced using adapted food texture and special feeding devices, giving positional support combined with specialized dietary advice on nutrient- and caloric-dense food. When oral feeding is unsafe or inefficient, partial or total enteral nutrition is started through a gastrostomy, with or without concomitant fundoplication. Evidence based criteria guiding this decision are lacking.},
  author       = {Gottrand, M and Van Biervliet, Stephanie and Vande Velde, Saskia and Gottrand, F and Van Winckel, Myriam},
  issn         = {0001-5644},
  journal      = {ACTA GASTRO-ENTEROLOGICA BELGICA},
  keyword      = {gastrostomy,fundoplication.,gastro-oesophageal reflux,nutritional support,neurodevelopmental disabilities,PERCUTANEOUS ENDOSCOPIC GASTROSTOMY,NEUROLOGICALLY IMPAIRED CHILDREN,QUADRIPLEGIC CEREBRAL-PALSY,GASTROESOPHAGEAL-REFLUX,INTELLECTUAL DISABILITY,ENTERAL NUTRITION,BODY-COMPOSITION,GROWTH,FUNDOPLICATION,HEALTH},
  language     = {eng},
  location     = {Ghent, Belgium},
  number       = {3},
  pages        = {329--334},
  title        = {Nutritional support in children with neurodevelopmental disabilities},
  volume       = {76},
  year         = {2013},
}

Chicago
Gottrand, M, Stephanie Van Biervliet, SASKIA VANDE VELDE, F Gottrand, and Myriam Van Winckel. 2013. “Nutritional Support in Children with Neurodevelopmental Disabilities.” Acta Gastro-enterologica Belgica 76 (3): 329–334.
APA
Gottrand, M., Van Biervliet, S., VANDE VELDE, S., Gottrand, F., & Van Winckel, M. (2013). Nutritional support in children with neurodevelopmental disabilities. ACTA GASTRO-ENTEROLOGICA BELGICA, 76(3), 329–334. Presented at the Meeting of Bespghan.
Vancouver
1.
Gottrand M, Van Biervliet S, VANDE VELDE S, Gottrand F, Van Winckel M. Nutritional support in children with neurodevelopmental disabilities. ACTA GASTRO-ENTEROLOGICA BELGICA. 2013;76(3):329–34.
MLA
Gottrand, M, Stephanie Van Biervliet, SASKIA VANDE VELDE, et al. “Nutritional Support in Children with Neurodevelopmental Disabilities.” ACTA GASTRO-ENTEROLOGICA BELGICA 76.3 (2013): 329–334. Print.