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Ahuja B, Klassen AF, Satz R, Malhotra N, Tsangaris E, Ventresca M, Fayed N. A review of patient-reported outcomes for children and adolescents with obesity. Qual Life Res 2013; 23:759-70. [PMID: 23801295 DOI: 10.1007/s11136-013-0459-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2013] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Obesity is a chronic condition that can impact the physical, emotional, mental and social elements that encompass a child's life. The objectives of this study were to identify which generic and obesity-specific patient-reported outcome (PRO) instruments are used in obesity literature, as well as review their conceptual approach, health and health-related content, ethical content and psychometric properties. METHOD PubMed, CINAHL, EMBASE and PsycINFO were searched from the inception of each database to May 2012 to identify all studies using multi-dimensional PRO instruments with children who are overweight or obese. The most common generic and all obesity-specific instruments were analyzed according to the study objectives. RESULTS From 4,226 articles identified by our search, 70 articles used 6 generic and 4 obesity-specific PRO instruments. While the most commonly used PRO instrument was the generic PedsQL 4.0 (used in 53 studies), many health domains were found in the obesity-specific instruments that are not measured by the PedsQL 4.0. Summary of the development and psychometric properties of the generic and obesity PROs identified that no one instrument meets all the guideline criteria for instrument development and validation, e.g., only one instrument included qualitative input from children with obesity in the content development phase. DISCUSSION This comprehensive review provides information to aid in selecting multi-dimensional PRO instruments in children with obesity according to various aspects of content as well as psychometric properties. The conceptual analysis shows that the reviewed PRO instruments contain inconsistencies in their conceptual approaches. Also, certain relevant health domains to children and youth with obesity were not included in the most commonly used generic instrument. The obesity-specific instruments require further validation before they can be used in intervention studies.
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Affiliation(s)
- Bani Ahuja
- Collage Pediatric Therapy, 1100 Central Pkwy W, Mississauga, ON, L5C 4E5, Canada,
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Gangil A, Patwari AK, Aneja S, Ahuja B, Anand VK. Feeding problems in children with cerebral palsy. Indian Pediatr 2001; 38:839-46. [PMID: 11520994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
OBJECTIVE To determine the magnitude and extent of feeding problems in children with cerebral palsy (CP) and to evaluate the effectiveness of nutritional interventions. DESIGN Prospective hospital based interventional study. METHOD Children with cerebral palsy of either sex were enrolled randomly and their parents were interviewed for their perception about feeding problems, nutritional status and for their views about the expected outcome of feeding problems. Each case was assessed for feeding problems based on Gisel and Patrick feeding skill score; for nutritional status by measurement of weight, skinfold thickness (at biceps, triceps, suprailiac and subscapular), mid arm circumference and caloric intake; neurologically for type and severity of cerebral palsy and for developmental age by Gasell s developmental scale. Equal number of age and sex matched controls were included for comparison of nutritional status and developmental quotient. Various rehabilitation procedures were applied and their response was observed in the followup ranging from 3-10 months. RESULTS One hundred children (76 boys and 24 girls) with cerebral palsy of mean age 2.5 years (range 1 to 9 years) and mean developmental age of 7.6 months (range 1 to 36 months) were included in the study. Oral motor dysfunction (OMD) was found in all cases and in each category. Spastic quadriplegic cerebral palsy (SQCP) and hypotonic patients had significantly poor feeding skill score (p < 0.001). Mean duration of feeding session was 31.5 minutes (range 10-60 minutes). Main food of children with cerebral palsy consisted of liquid and semisolid diet. Children with poor OMD were unable to take solid food. Cases with seizures had significantly more feeding problems than those without seizures (p < 0.001). Parental awareness about feeding problems of their children was significantly low and they overestimated the nutritional status of their children. Anthropometric indicators were significantly lower than controls (p < 0.001). Spastic quadreparesis, hypotonia and poor feeding skill score had negative effect on nutritional status. Thirty per cent parents of cerebral palsy patients were pessimistic about the possibility of any improvement in feeding problems. After nutritional rehabilitation, good improvement was seen in feeding problems, OMD and nutritional status. CONCLUSION Nutritional status of children with cerebral palsy is poor due to summation of several factors. Therefore, they should be thoroughly assessed for feeding problems and nutritional status in order to start timely nutritional rehabilitation which can significantly improve their nutritional status and quality of life.
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Affiliation(s)
- A Gangil
- Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Kalawati Saran Children s Hospital and Lady Hardinge Medical College, New Delhi 110 001, India
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Donat F, Bevan DR, Baumgarten RK, Brown JL, Gyasi HK, Naguib M, Adu-Gyamfi, Woodey R, Morris R, Graham G, Torda R, Hudson RJ, Thomson IR, Cannon JE, Friesen RM, Meatherall RC, Chung F, Evans D, Stock J, Sutherland AD, Coombs R, Saunders R, Savage S, Jensen L, Murphy C, Murkin JM, Farrar JK, Tweed WA, Guiraudon G, McKenzie FN, Tarn S, Chung F, Campbell JM, Harder KF, Fay J, Shelley ES, Plourde G, Hardy JF, MacDonald AI, Carle H, Vincent D, Legatt D, Doyle DJ, McCulloch P, Milne B, Newman B, Lam AM, Cuillerier DJ, Martin R, Léna P, Lamarche Y, Black R, Crawford D, Froese AB, Butler P, Brown SC, Lam AM, Manninen PH, Knill RL, Famewo CE, Naguib M, Fleming J, Walker A, Lambert T, Lah F, Giles WR, Trudinger BJ, Ahuja B, Strunin L, Chovaz PM, Sandier AN, Selby DG, Ilsley AH, Plummer J, Runciman W, Cousins M, Ravussin P, Archer D, Meyer E, Abou-Madi M, Trop D, Manninen P, Ferguson G, Blume W, Cunningham AJ, O’Higgins N, McNicholas W, Doolan LA, Williams KA, Barker RA, Moffitt EA, Imrie DD, Cousins CL, Sullivan JA, Kinley CE, Murphy DA, Moffitt EA, McIntyre AJ, Glenn JJ, Imrie DD, Cousins CL, Kinley CE, Sullivan JA, Murphy DA, James PD, Volgyesi GA, Burrows F, Johnson G, Loomis C, Milne B, Cervenko F, Brunet D, Fyman PN, Goodman K, Hartung J, Aaron D, Ergin A, Kowalski SE, Downs A, Lye C, Oppenheimer L, Kozody R, Duke PC, Wade JG, Kozody R, Parrott J, Duke PC, Wade JG, Kozody R, Duke PC, Wade JG, Kozody R, Parrott J, Duke PC, Wade JG, Michoud MC, Amyot R, St-Jean S, Chapleau D, Couture J, Badgwell JM, Heavner JE, Cockings E, Cooper MW, Maloney LL, Coombs DW, Yeager MP, Vanier M, Vikis-Freiberg V, Couture J, Weston GA, Roth SH, James PD, Volgyesi GA, Burrows F, Wolf GL, Capuano C, Hartung J, Selb DG, Ilsley A, Runciman W, Mather L, Moote CA, Knill RL, Clement JL, Sutherland T, Davies JM, Stock J, Harpin RP, Wright DJ, Hanna M, Williams RT, Sutherland T, Bradley JP, Marsland A, Salkfield I, Hardy JF, Girouard G, Charest J, Brown MJ, Dollery CT, Desjardins R, Gelb AW, Shokunbi T, Floyd P, Mervart M, Peerless SJ, Prideaux PR, Crankshaw DP, Morgan DJ. Abstracts. Can J Anaesth 1985. [DOI: 10.1007/bf03009449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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