Abstract
Nutrition assessment of children is based upon careful evaluation of several parameters that, taken together, provide an indication of their nutritional health. These parameters include clinical (physical examination, anthropometry), dietary (present nutrient intake, historical data), and biochemical (nutrient stores, functional tests) measures. Often, children with special needs also require an assessment of feeding skills, as their delayed or abnormal development may affect food intake. Of these measures, anthropometry, or the measurement of growth and body composition in the child, is the most objective indicator of that child’s nutritional status. Decreased nutrient intake, due to feeding problems or poor diet, will ultimately be reflected in poor growth and/or decreased fat and muscle mass. Overnutrition, due to overeating and/or decreased physical activity, ultimately is reflected in increased fat stores.
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References
Appleton, M.D., Haab, W., Carey, P. J., Castellino, F.J., Sehon, J.M., & Miraglia, R.J. (1964). Role of vitamin A in gammaglobulin biosynthesis and uric acid metabolism of mongoloids. American Journal of Mental Deficiency, 69, 324.
Auld, R.M., Pommer, A.M., Houch, J.C., & Burke, F.G. (1959). Vitamin A absorption in mongoloid children: a preliminary report. American Journal of Mental Deficiency, 63, 1010.
Barden, H.S. (1977). Vitamin A and carotene values of institutionalized mentally retarded subjects with and without Down’s syndrome. Journal of Mental Deficiency Research, 21, 63.
Baselon, M., Paine, R.S., Cowie, V.A., Hunt, P., Houck, J.C., & Mahanand, D. (1976). Reversal of hypotonia in infants with Down’s syndrome by administration of 5-hydroxytryptophan. Lancet, 1, 1130.
Beal, V.A. (1961). Dietary intake of individuals followed through infancy and childhood. American Journal of Public Health, 51, 1107.
Benda, C.E. (1969). Down’s syndrome: Mongolism and its management New York: Grune & Stratton.
Benda, C.E., & Mann, G.V. (1955). The serum cholesterol and lipoprotein levels in children. Journal of Pediatrics, 46, 49.
Bennett, F.C., McClelland, S., Kriesgsmann, E.A., Andrus, L.B., & Sells, C.J. (1983). Vitamin and mineral supplementation in Down’s syndrome. Pediatrics, 72 (5), 707–713.
Bjorksten, B., Back, O., Gustavson, K.H., Hallmans, B., HaggLof, B., & Tarnvik, A., (1980). Zinc and immune function in Down’s syndrome. Acta Paediatrics Scan, 69, 183–187.
Bumbalo, T.S. (1964). Negative results: Treatment of Down syndrome with the “U” series. Journal of the American Medical Association, 187, 361.
Burgio, G.R., Ugazio, A., Nespoli, L., & Maccario, R. (1983). Down syndrome: A model of immunodeficiency. Birth Defects (original article Series), 19 (3), 325–327.
Calvert, S.D., Vivian, V.M., & Calvert, G.P. (1976). Dietary adequacy, feeding practices and eating behavior of children with Down’s syndrome. Journal of the American Diet Association, 69, 152.
Chanowitz, J. et al. (1983). Thyroid and vitamin-mineral supplement fail to improve IQ of mentally retarded adults. American Journal of Mental Deficiency, 90, 217.
Chumlea, W.C., & Cronk, C.E. (1981). Overweight among children with Trisomy 21. Journal of Mental Deficiency Research, 25, 275–80.
Coleman, M. (Ed.). (1973). Serotonin in Down’s syndrome New York: Elsevier Publishers.
Costello, C., & Webber, A. (1976). White cell function in Down syndrome. Clinical Genetics, 9, 603–605.
Cronk, C.E. (1978). Growth of children with Down’s syndrome: Birth to age three years. Pediatrics, 61, 564.
Cronk, C.E., & Chumlea, W.C. (1985). Is obesity a problem in Trisomy 21? Trisomy 21 (1), 19–26.
Cronk, C.E., Crocker, A.C., Pueschel, S.M., Shea, A.M., Zackai, E., Pickens, G., & Reed, R.B. (1988). Growth charts for children with Down syndrome: 1 month to 18 years of age. Pediatrics, 81, 102.
Cronk, C.E., & Pueschel, S.M. (1984). Anthropometric studies. In S.M. Pueschel (Ed.). The young child with Down syndrome (pp. 105–141). New York: Human Science Press.
Cullen, S.M., Cronk, G.E., Pueschel, S.M., Schnell, R.R., & Reed, R.B. (1981). Social development and feeding milestones of young Down syndrome children. American Journal of Mental Deficiency, 85, 410–415.
Culley, W.J., Goyal, K., Jolly, D.H., & Mertz, E.T. (1965). Caloric intake of children with Down’s syndrome (Mongolism). Journal of Pediatrics, 66, 772–775.
Cutress, T.W., Mickelson, K.N.P., & Brown, R.H. (1976). Vitamin A absorption and periodontal disease in Trisomy G. Journal of Mental Deficiency Research, 21, 63.
Ellis, N.R., & Tomporowski, P.D. (1983). Vitamin-mineral supplements and intelligence of institutionalized mentally retarded adults. American Journal of Mental Deficiency, 88, 211–214.
Ellman, G., Schaefer, W.P., & Silverstein, L. (1984). Vitamin-mineral supplement fails to improve IQ of mentally retarded young adults. American Journal of Mental Deficiency, 88, Vol. 88, No. 6, 688–691.
Ershow, A.G. (1986). Growth in black and white children with Down syndrome. American Journal of Mental Deficiency, 90, 507–512.
Fomon, S. (1977). Nutrition disorders of children—Prevention, screening, and followup DHEW (HSA), 77J-5104.
Frisancho, A.R. (1974). Triceps skinfold and upper arm assessment of nutritional status. American Journal of Clinical Nutrition, 27, 1077.
Frisancho, A. R. (1981). New norms of upper limb fat and muscle areas for assessment of nutrition status. American Journal of Clinical Nutrition, 34, 2540.
Geltz, R., & Geltz, E. (1984). The food processor Salem, ESHA.
Gofman, J.W., DeLalla, O.F., Johnson, G., Kovich, E.L., Low, E., Piluso, D.L., Tandy, R.K.L., & Upham, R. (1962). Chemical elements of the blood of man. II: The levels of 66 chemical elements of Down’s disease (Mongolism). University of California Radiation Lab, 10211, 69.
Giffith, A.W., & Behrman, J. (1965). Dark adaptation in Mongols. Journal of Mental Deficiency Research, 9, 164.
Harrell, R.F., Capp, R.H., Davis, D.K., Peerless, J., & Ravitz, L.R. (1981). Can nutritional supplements help mentally retarded children? An exploratory study. Proceedings of the National Academy of Sciences, 78 574.
Hoshi, H., Ashizowa, K., & Ikeda, Y. (1979). Secular trend in growth in infants with Down’s syndrome. Human Biology, 51, 289–297.
Jaswal, S., & Jaswal, U.S. (1981). An anthropometric study of body size in Down syndrome. Indian Journal of Pediatrics, 48, 81.
Jelliffe, D.B. (1966). The assessment of the nutritional status of the community Geneva, Switzerland: World Health Organization (Monograph 53).
Johnson, C.L., Fulwood, R., Abraham, S., et al. (1981). Statistics Series II, No. 219.
Khan, A.J., Evans, H.E., Glass, L., Shin, Y.H., & Almonte, D. (1975). Defective neutrophil Chemotaxis in patients with Down syndrome. Journal of Pediatrics, 87, 87–89.
Levin, S., Nir, E., & Mogilner, B.M. (1975). T-system immune deficiency in Down’s syndrome. Pediatrics, 56, 123–126.
Matin, M.A., Sylvester, P.E., Edwards, D., & Dickerson, J.W.T. (1981). Vitamin zinc status in Down syndrome. Journal of Mental Deficiency Research, 25, 121–126.
Milunsky, A., Hackley, B.M., & Halsted, J.A. (1970). Plasma erythrocyte and leucocyte zinc levels in Down’s syndrome. Journal of Mental Deficiency Research, 14, 99.
Nellhaus, G. (1968). Composite international and interracial graphs. Pediatrics, 41, 106.
Ogg, H.L. (1975). Oral pharyngeal development and evaluation. Physical Therapy, 55, 3.
Palmer, S. (1978a). Down’s syndrome. In S. Palmer & S. Ekvall (Eds.), Pediatric nutrition in developmental disorders. Springfield, II: Ches, C. Thomas.
Palmer, S. (1978b). Influence of vitamin A nutriture on the immune response: Findings in children with Down’s syndrome. International Journal of Vitamin Nutrition Research, 48, 189.
Partington, M.W., MacDonald, M.R.A., & Tu, J.B. (1971). 5-hydroxytryptophan in Down’s syndrome. Dev Med Child Neurology, 13, 362.
Pipes, P.L., & Holm, V.A. (1980). Feeding children with Down’s syndrome. Journal of American Dietetic Association, 77, 277–281.
Pozsonyi, J., Gibson, D., & Zarfas, D.E. (1971). Growth deviations in handicapped children. Clinical Pediatrics, 6, 501.
Pozsonyi, J., & Lobb, H. (1967). Growth in mentally retarded children. Journal of Pediatrics, 71, 865.
Pueschel, S.M. (1984). The study population. In S.M. Pueschel (Ed.). The young child with Down syndrome (pp. 39–58). New York: Human Science Press.
Pueschel, S.M., & Pezzullo, J.C. (1985). Thyroid dysfunction in Down syndrome. American Journal Diseases of Children, 139, 636–639.
Pueschel, S.M., Reed, R.B., Cronk, C.E., & Goldstein, B.I. (1980). 5-hydroxytryptophan and pyridoxine: Their effect in young children with Down’s syndrome. American Journal of Diseases of Children, 134 (9), 838–844.
Rarick, G.L., & Seefeldt, V. (1974). Observations from longitudinal data on growth in stature and sitting height of children with Down’s syndrome. Journal of Mental Deficiency Research, 18, 63.
Sharav, T., Collins, R.M., & Baab, P.J. (1988). Growth studies in infants and children with Down’s Syndrome and elevated levels of thyrotropin. American Journal of Diseases of Children, 142, 1302.
Smith, C.F., Spiker, D., Peterson, C.P., Cicchetti, D., & Justine, P. (1984). Use of megadoses of vitamins with minerals in Down syndrome. Journal of Pediatrics, 105 (2), 228–234.
Sobel, A.E., Strazzula, N., Sherman, B.S., Elkan, B., Morgenstern, S.W., Narius, N., & Kerisel, A. (1958). Vitamin A absorption and other blood composition studies in mongolism. American Journal of Mental Deficiency, 62, 324.
Stedman, D.J., & Eichorn, D.H. (1964). Comparison of the growth and development of institutionalized and home-reared mongoloids during infancy and early childhood. American Journal of Mental Deficiency, 69, 391.
Tu, J.B., & Zellweger, H. (1965). Blood serotonin deficiency in Down’s syndrome. Lancet, 2(415), 715–716.
Turkel, H. (1975). Medical amelioration of Down syndrome incorporating the orthomolecular approach. Journal of Orthomolecul Psych, 4, 102.
Walker, G.M. (1955). Nutrition in mentally deficient children. Journal of American Dietetic Association, 31, 495.
Weathers, C. (1983). Effects of nutritional supplementation on IQ and certain other variables associated with Down syndrome. American Journal of Mental Deficiency, 88, 214–217.
Weise, P., Koch, R., Shaw, K.N.F., & Rosenfeld, M.J. (1974). The use of 5-HTP in the treatment of Down’s syndrome. Pediatrics, 54, 165.
White, D., & Kaplitz, S.E. (1964). Treatment of Down syndrome with a vitaminmineral hormonal preparation. International Copenhagen Congress: Scientific study of mental retardation, 7, 224.
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Baer, M.T., Waldron, J., Gumm, H., Van Dyke, D.C., Chang, H. (1990). Nutrition Assessment of the Child with Down Syndrome. In: Van Dyke, D.C., Lang, D.J., Heide, F., van Duyne, S., Soucek, M.J. (eds) Clinical Perspectives in the Management of Down Syndrome. Disorders of Human Learning, Behavior, and Communication. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9644-4_9
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DOI: https://doi.org/10.1007/978-1-4613-9644-4_9
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