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Is Chewing Performance Related to Dietary Intake in Children with Cerebral Palsy?

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Abstract

To examine the relationship between chewing performance and dietary intakes in children with Cerebral Palsy (CP). Forty children with CP aged between 2 and 6 years were included. The Karaduman Chewing Performance Scale (KCPS) and the Mastication Observation and Evaluation (T-MOE) instruments were used to evaluate chewing performance. Daily dietary intakes were measured from a 24-h food record with digital photographs including the amount and textures of all foods consumed during the meal. Chewing function was impaired in 70% of children. There was a negative low-to-moderate correlation between KCPS scores and daily protein intake (r = −0.32, p = 0.04), but not with energy and other macronutrients. The percentage of daily dietary intakes from ‘liquid-blenderized’ foods were positively correlated with KCPS, and negatively correlated with T-MOE scores (p < 0.001). There was a significant negative association between the percentage of daily dietary intakes from ‘easy to chew & regular solid’ foods and KCPS scores, and a significant positive association was found with T-MOE scores. In conclusion, the amount of daily protein intake decreased, and daily intake ratios of energy and macronutrients from liquid-blenderized foods increased as chewing performance decreased in children with CP. Timely diagnosis and treatment of chewing dysfunction can serve as a useful treatment option to ensure adequate dietary intake in children with CP, and also to decrease the burden of their parents and improve their quality of life.

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Authors and Affiliations

  1. Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey

    Fatih Özder & Selen Serel Arslan

  2. Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

    Fatma Ilgaz

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  1. Fatih Özder
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  2. Fatma Ilgaz
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  3. Selen Serel Arslan
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Correspondence to Selen Serel Arslan.

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Özder, F., Ilgaz, F. & Serel Arslan, S. Is Chewing Performance Related to Dietary Intake in Children with Cerebral Palsy?. Dysphagia 39, 299–309 (2024). https://doi.org/10.1007/s00455-023-10612-y

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  • DOI: https://doi.org/10.1007/s00455-023-10612-y

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