Preview

Transbaikalian Medical Bulletin

Advanced search

MODERN CONCEPTS OF NUTRITION PROBLEMS OF PALLIATIVE PATIENTS WITH CEREBRAL PALSY

https://doi.org/10.52485/19986173_2025_3_170

Abstract

The problem of nutritional support for children undergoing palliative care is very relevant, since such patients have pronounced health features that significantly affect the ability to receive and absorb the substances necessary for full life. This review is illustrated by two clinical cases that describe the features of the nutritional status in children depending on the chosen tactics regarding nutrition. A child with severe dysphagia, feeding independently, has a severe body weight deficit and an extremely unfavorable prognosis for life. In turn, a patient with the same neurological problems, but receiving nutrition through a gastrostomy, has nutritional status indicators within the normal range. Due to this, the child has a more favorable prognosis for life. We believe that when severe dysphagia is detected, a gastrostomy is the optimal method of feeding in patients with cerebral palsy, as the most effective and safe method of nutritional support.

About the Authors

A. O. Kargina
Chita State Medical Academy
Russian Federation

Kargina A.O., resident of the Pediatric Department of Postgraduate training

39a Gorky St., Chita, 672000



V. A. Shcherbak
Chita State Medical Academy
Russian Federation

Shcherbak V.A., Doctor of Medical Sciences, Professor, Head of the Pediatric Department of Postgraduate training

39a Gorky St., Chita, 672000

Author ID РИНЦ: 497238

Author ID Scopus: 56175430800

Researcher ID WoS K-4626-2017



N. M. Shcherbak
Chita State Medical Academy
Russian Federation

Shcherbak N.M., Candidate of Medical Sciences, Associate Professor, Assistant of th Pediatric Department of Postgraduate training

39a Gorky St., Chita, 672000

Author ID РИНЦ; 635252



T. A. Aksenova
Chita State Medical Academy
Russian Federation

Aksenova T.A., Doctor of Medical Sciences, Associate Professor, Professor of the Department of Propaedeutic of Internal Diseases

39a Gorky St., Chita, 672000

Author ID РИНЦ: 256619

Author ID Scopus: 25224693500

Researcher ID WoS: С-4304-2018



References

1. Ivanova N.A. On the issue of palliative medicine and palliative care in the Russian Federation. Vestnik Saratovskoy gosudarstvennoy yuridicheskoy akademii. – 2019. 5(130). 119-122. in Russian.

2. Razuvaeva Yu.Yu. Ledneva V.S. Palliative care for the children. Journal of Humanities and Natural Sciences. 2022. 7-3(70). 41-44.

3. Lane J.E., Massey E., Noelck M., Green S., Austin J.P. The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy. Hosp Pediatr. 2020 Dec;10(12):1087-1095.

4. Duran I., Martakis K., Rehberg M., Semler O., Schoenau E. Anthropometric measurements to identify undernutrition in children with cerebral palsy. Dev Med Child Neurol. 2019 Oct;61(10):1168-1174.

5. Islamova R.I., Minaeva N.V. Prevalence of malnutrition in children requiring palliative care. Aktual'nye voprosy pediatrii: Materialy mezhregional'noy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem, Perm'. 2024. 77-81. in Russian.

6. Trivić I., Hojsak I. Evaluation and Treatment of Malnutrition and Associated Gastrointestinal Complications in Children with Cerebral Palsy. Pediatr Gastroenterol Hepatol Nutr. 2019 Mar;22(2):122-131.

7. Leonard M., Dain E., Pelc K., Dan B., De Laet C. Nutritional status of neurologically impaired children: Impact on comorbidity. Arch Pediatr. 2020 Feb;27(2):95-103.

8. Mavlyanova Z.F. Nutritional status of children with cerebral palsy. Eksperimental'naya i klinicheskaya gastroenterologiya. 2021. 1(185). 82-88. in Russian.

9. García-Contreras A.A., Vásquez-Garibay E.M., Romero-Velarde E., Ibarra-Gutiérrez A.I., Troyo-Sanromán R., Sandoval-Montes I.E. Intensive nutritional support improves the nutritional status and body composition in severely malnourished children with cerebral palsy. Nutr Hosp. 2019 Apr 1;29(4):38-43.

10. Rebelo F., Mansur I.R., Miglioli T.C., Meio M.D., Junior SCG. Dietary and nutritional interventions in children with cerebral palsy: A systematic literature review. PLoS One. 2022 Jul 22;17(7):27-34.

11. Razuvaeva Yu. Yu., Ledneva V. S., Ul'yanova L. V., Razuvaev O. A. Peculiarities of the structure of gastrointestinal diseases in children in the palliative care department. University Therapeutic Journal. 2023. 5 (S). 148. in Russian.

12. Bell K.L., Benfer K.A., Ware R.S., Patrao T.A., Garvey J.J. Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy. Dev Med Child Neurol. 2019 Oct;61(10):1175-1181.

13. Kamalova A.A. Gastroenterological aspects of management of children with cerebral palsy (literature review). RMZh. 2019. 27(5). 30-35. in Russian.

14. Corsello A., Scatigno L., Govoni A., Zuccotti G., Gottrand F. Gut dysmotility in children with neurological impairment: the nutritional management. Front Neurol. 2023 May 5;14:120-131.

15. Zav'yalova A.N. Nutritional status and feeding problems in children with dysphagia and cerebral palsy in different social conditions. Eksperimental'naya i klinicheskaya gastroenterologiya. 2022. № 2(198). 21-29. in Russian.

16. Mårtensson U., Cederlund M., Jenholt Nolbris M., Mellgren K., Wijk H. Experiences before and after nasogastric and gastrostomy tube insertion with emphasis on mealtimes: a case study of an adolescent with cerebral palsy. Int J Qual Stud Health Well-being. 2021 Dec;16(1):194-201.

17. Backman E., Sjögreen L. Gastrostomy tube insertion in children with developmental or acquired disorders: a register-based study. Dev Med Child Neurol. 2020 Oct;62(10):1191-1197.

18. Luft V.M., Lapitskiy A.V., Sergeeva A.M., Kel'betova B.R. Enteral nutrition in palliative medicine: pharmaconutrient characteristics and possibilities of differentiated use of enteral nutritional mixtures. Pallium: palliativnaya i khospisnaya pomoshch'. 2022. 4(17). 47-53. in Russian.

19. Cai X., Qin Y., Liu C., Xie L., Zhu J. High-calorie, whole protein/peptide nutritional formulations for children with cerebral palsy: a retrospective clinical study. Am J Transl Res. 2024 Jul 15;16(7):3171-3181.

20. Mickiewicz-Góra D., Sznurkowska K., Skonieczna-Żydecka K., Drozd A. Markers of Intestinal Permeability and Inflammation in Enterally Fed Children with Cerebral Palsy. Nutrients. 2024 Jul 27;16(15):2447.


Supplementary files

Review

For citations:


Kargina A.O., Shcherbak V.A., Shcherbak N.M., Aksenova T.A. MODERN CONCEPTS OF NUTRITION PROBLEMS OF PALLIATIVE PATIENTS WITH CEREBRAL PALSY. Transbaikalian Medical Bulletin. 2025;(3):170-182. (In Russ.) https://doi.org/10.52485/19986173_2025_3_170

Views: 12


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1998-6173 (Online)