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Longitudinal Growth, Diet, and Physical Activity in Young Children With Cerebral Palsy

Overview of attention for article published in Pediatrics, September 2016
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Title
Longitudinal Growth, Diet, and Physical Activity in Young Children With Cerebral Palsy
Published in
Pediatrics, September 2016
DOI 10.1542/peds.2016-1321
Pubmed ID
Authors

Stina Oftedal, Peter S.W. Davies, Roslyn N. Boyd, Richard D. Stevenson, Robert S. Ware, Piyapa Keawutan, Katherine A. Benfer, Kristie L. Bell

Abstract

To describe the longitudinal relationship between height-for-age z score (HZ), growth velocity z score, energy intake, habitual physical activity (HPA), and sedentary time across Gross Motor Function Classification System (GMFCS) levels I to V in preschoolers with cerebral palsy (CP). Children with CP (n = 175 [109 (62.2%) boys]; mean recruitment age 2 years, 10 months [SD 11 months]; GMFCS I = 83 [47.2%], II = 21 [11.9%], III = 28 [15.9%], IV = 19 [10.8%], V = 25 [14.2%]) were assessed 440 times between the age of 18 months and 5 years. Height/length ratio was measured or estimated via knee height. Population-based standards were used to calculate HZ and growth velocity z-score by age and sex categories. Feeding method (oral or tube) and gestational age at birth (GA) were collected from parents. Three-day ActiGraph and food diary data were used to measure HPA/sedentary time ratio and energy intake, respectively. Oropharyngeal dysphagia was rated with the Dysphagia Disorder Survey (part 2, Pediatric). Analysis was undertaken with mixed-effects regression models. For GMFCS level I, height and growth velocity did not differ from population-level growth standards. Children in levels II to V were significantly shorter, and those in levels III to V grew significantly more slowly than those in level I. There was a significant positive association between HZ and GA at all GMFCS levels. Energy intake, HPA, sedentary time, Dysphagia Disorder Survey score, and feeding method were not significantly associated with either height or growth velocity once GMFCS level was accounted for. Functional status and GA should be considered when assessing the growth of a child with CP. Research into interventions aimed at increasing active movement in GMFCS levels III to V and their efficacy in improving growth and health outcomes is warranted.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 183 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 183 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 43 23%
Researcher 20 11%
Student > Ph. D. Student 13 7%
Student > Bachelor 13 7%
Student > Doctoral Student 11 6%
Other 33 18%
Unknown 50 27%
Readers by discipline Count As %
Nursing and Health Professions 51 28%
Medicine and Dentistry 41 22%
Sports and Recreations 5 3%
Agricultural and Biological Sciences 4 2%
Social Sciences 4 2%
Other 22 12%
Unknown 56 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 October 2016.
All research outputs
#17,816,222
of 22,888,307 outputs
Outputs from Pediatrics
#14,596
of 16,644 outputs
Outputs of similar age
#242,002
of 334,966 outputs
Outputs of similar age from Pediatrics
#173
of 185 outputs
Altmetric has tracked 22,888,307 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 16,644 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 46.8. This one is in the 10th percentile – i.e., 10% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 334,966 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 185 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.