Health> Vol.6 No.10, April 2014

Dyslipidaemias and Physical Activity in Children with Cerebral Palsy

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ABSTRACT

Cerebral palsy people present movement difficulty and are liable to develop disorders associated with sedentary lifestyles such as dyslipidaemias and cardiovascular diseases. This study aimed to assess physical activity and the prevalence of lipid abnormalities in 29 children with cerebral palsy who were being treated in two care centers in the state of Guanajuato, Mexico. Physical activity was calculated using a survey. Blood glucose, total cholesterol, HDL-C, LDL-C, and triglycerides were determined. Forty-eight percent had at least one dyslipidaemia. The most frequent lipid abnormalities were hypertriglyceridaemia and low HDL-C. High prevalence of the atherogenic index was found. The physical activity of children was lower than recommended for their age. Sixty-two percent attended rehabilitation sessions, 10% attended sports classes, 14% rehabilitation plus sports and 14% did not engage in intentional physical activity. There is high frequency of lipid disorders in children with cerebral palsy. Greater participation in physical activity should be promoted in children to improve their metabolic status and quality of life, especially those suffering from cerebral palsy.

Cite this paper

Macías-Cervantes, M. , Arriola-Nuñez, M. , Díaz-Cisneros, F. , Rivera-Cisneros, A. , de la Roca-Chiapas, J. and Pérez-Vázquez, V. (2014) Dyslipidaemias and Physical Activity in Children with Cerebral Palsy. Health, 6, 1030-1037. doi: 10.4236/health.2014.610129.

References

[1] Organización Panamericana de la Salud (OPS) y Organización Mundial de la Salud (OMS) (2006) 138a sesión del comité ejecutivo.
www.amro.who.int
[2] Krigger, K.W. (2006) Cerebral Palsy: An Overview. American Family Physician, 73, 91-100.
[3] Hogan, S.E. (2004) Energy Requirements of Children with Cerebral Palsy. Canadian Journal of Dietetic Practice and Research, 65, 124-130.
http://dx.doi.org/10.3148/65.3.2004.124
[4] Hillesund, E., Skranes, J., Trygg, K.U. and Bohmer, T. (2007) Micronutrient Status in Children with Cerebral Palsy. Acta Paediatrica, 96, 1195-1198.
http://dx.doi.org/10.1111/j.1651-2227.2007.00354.x
[5] Rimmer, J.A. and Rowland, J.L. (2008) Physical Activity for Youth with Disabilities: A Critical Need in an Underserved Population. Developmental Neurorehabilitation, 11, 141-148.
http://dx.doi.org/10.1080/17518420701688649
[6] McMurray, R.G., Bangdiwala, S.I., Harrell, J.S. and Amorim, L.D. (2008) Adolescents with Metabolic Syndrome Have a History of Low Aerobic Fitness and Physical Activity Levels. Dynamic Medicine, 7, 5.
http://dx.doi.org/10.1186/1476-5918-7-5
[7] Rogozinski, B.M., Davids, J.R., Davis, R.B., Christopher, L.M., Anderson, J.P., Jameson, G.G. and Blackhurst, D.W. (2007) Prevalence of Obesity in Ambulatory Children with Cerebral Palsy. The Journal of Bone and Joint Surgery, 89, 2421-2426.
http://dx.doi.org/10.2106/JBJS.F.01080
[8] Turk, M.A., Scandale, J., Rosenbaum, P.F. and Weber, R.J. (2001) The Health of Women with Cerebral Palsy. Physical Medicine and Rehabilitation Clinics of North America, 12, 153-168.
[9] Plotkin, H. and Sueiro, R. (2007) Osteoporosis in Children with Neuromuscular Diseases and Inborn Errors of Metabolism. Minerva Pediatrica, 59, 129-135.
[10] Conus, F., Rabasa-Lhoret, R. and Peronnet, F. (2007) Characteristics of Metabolically Obese Normal-Weight (MONW) Subjects. Applied Physiology, Nutrition, and Metabolism, 32, 4-12.
http://dx.doi.org/10.1139/h06-092
[11] Aguilar-Salinas, C.A., Gomez-Perez, F.J., Rull, J., Villalpando, S., Barquera, S. and Rojas, R. (2010) Prevalence of Dyslipidemias in the Mexican National Health and Nutrition Survey 2006. Salud Publica de Mexico, 52, S44-S53.
http://dx.doi.org/10.1590/S0036-36342010000700008
[12] Rodriguez-Moran, M., Salazar-Vazquez, B., Violante, R. and Guerrero-Romero, F. (2004) Metabolic Syndrome among Children and Adolescents Aged 10 - 18 Years. Diabetes Care, 27, 2516-2517.
http://dx.doi.org/10.2337/diacare.27.10.2516
[13] Stevenson, R.D. (1995) Use of Segmental Measures to Estimate Stature in Children with Cerebral Palsy. Archives of Pediatrics & Adolescent Medicine, 149, 658-662.
http://dx.doi.org/10.1001/archpedi.1995.02170190068012
[14] Day, S.M., Strauss, D.J., Vachon, P.J., Rosenbloom, L., Shavelle, R.M. and Wu, Y.W. (2007) Growth Patterns in a Population of Children and Adolescents with Cerebral Palsy. Developmental Medicine and Child Neurology, 49, 167-171.
http://dx.doi.org/10.1111/j.1469-8749.2007.00167.x
[15] Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E. and Galuppi, B. (1997) Development and Reliability of a System to Classify Gross Motor Function in Children with Cerebral Palsy. Developmental Medicine and Child Neurology, 39, 214-223.
http://dx.doi.org/10.1111/j.1469-8749.1997.tb07414.x
[16] van Eck, M., Dallmeijer, A.J., Beckerman, H., van den Hoven, P.A., Voorman, J.M. and Becher, J.G. (2008) Physical Activity Level and Related Factors in Adolescents with Cerebral Palsy. Pediatric Exercise Science, 20, 95-106.
[17] Daniels, S.R., Greer, F.R. and the Committee on Nutrition (2008) Lipid Screening and Cardiovascular Health in childhood. Pediatrics, 122, 198-208.
http://dx.doi.org/10.1542/peds.2008-1349
[18] Raitakari, O.T., Juonala, M., Kahonen, M., Taittonen, L., Laitinen, T., Maki-Torkko, N., Jarvisalo, M.J., Uhari, M., Jokinen, E., Ronnemaa, T., Akerblom, H.K. and Viikari, J.S. (2003) Cardiovascular Risk Factors in Childhood and Carotid Artery Intima-Media Thickness in Adulthood: The Cardiovascular Risk in Young Finns Study. The Journal of the American Medical Association, 290, 2277-2283.
http://dx.doi.org/10.1001/jama.290.17.2277
[19] Marcos-Daccarett, N.J., Nunez-Rocha, G.M., Salinas-Martinez, A.M., Santos-Ayarzagoitia, M. and Decanini-Arcaute, H. (2007) Obesity as Risk Factor for Metabolic Disorder in Mexican Adolescents, 2005. Revista de Salud Publica, 9, 180-193.
http://dx.doi.org/10.1590/S0124-00642007000200003
[20] Uscátegui Peáuela, R.M., álvarez Uribe, M.C., Laguado Salinas, I., Soler Terranova, W., Martinez Maluendas, L., Arias Arteaga, R., Duque Jaramillo, B., Pérez Giraldo, J. and Camacho Pérez, J.A. (2003) Cardiovascular Risk Factors in Children and Teenagers Aged 6-18 Years Old from Medellin (Colombia). Anales de Pediatria, 58, 411-417.
http://dx.doi.org/10.1016/S1695-4033(03)78086-2
[21] Takase, H., Dohi, Y., Toriyama, T., Okado, T., Tanaka, S., Sato, K. and Kimura, G. (2008) Metabolic Disorders Predict Development of Hypertension in Normotensive Japanese Subjects. Hypertension Research, 31, 665-671.
http://dx.doi.org/10.1291/hypres.31.665
[22] Shimano, H., Arai, H., Harada-Shiba, M., Ueshima, H., Ohta, T., Yamashita, S., Gotoda, T., Kiyohara, Y., Hayashi, T., Kobayashi, J., Shimamoto, K., Bujo, H., Ishibashi, S., Shirai, K., Oikawa, S., Saito, Y. and Yamada, N. (2008) Proposed Guidelines for Hypertriglyceridemia in Japan with Non-HDL Cholesterol as the Second Target. Journal of Atherosclerosis and Thrombosis, 15, 116-121.
http://dx.doi.org/10.5551/jat.E560
[23] Muchacka-Bianga, M., Deja, G., Jarosz-Chobot, P., Malecka-Tendera, E., Kalina, M. and Grychtol, M. (2006) Evaluation of Selected Risk Factors of Atherosclerosis in Children with Type 1 Diabetes Mellitus and Hypercholesterolemia. Endokrynologia, 12, 25-30.
[24] Ramirez-Lopez, G., Gonzalez-Villalpando, C., Salmeron, J., Gonzalez-Ortiz, M. and Valles-Sanchez, V. (2006) Triglycerides and High-Density Lipoprotein Cholesterol Are Associated with Insulinemia in Adolescents. Salud Pública de México, 48, 293-299.
http://dx.doi.org/10.1590/S0036-36342006000400003
[25] Langslet, G. and Reikvam, A. (2008) Can Cardiovascular Events Be Prevented by Raising HDL Cholesterol? Tidsskrift for den Norske Laegeforening, 128, 1519-1523.
[26] Kelley, G.A., Kelley, K.S. and Tran, Z.V. (2005) Walking and Non-HDL-C in Adults: A Meta-Analysis of Randomized Controlled Trials. Preventive Cardiology, 8, 102-107.
http://dx.doi.org/10.1111/j.1520-037X.2005.3474.x
[27] Parente, E.B., Guazzelli, I., Ribeiro, M.M., Silva, A.G., Halpern, A. and Villares, S.M. (2006) Obese Children Lipid Profile: Effects of Hypocaloric Diet and Aerobic Physical Exercise. Arquivos Brasileiros de Endocrinologia e Metabologia, 50, 499-504.
http://dx.doi.org/10.1590/S0004-27302006000300013
[28] Sun, M.W., Qian, F.L., Wang, J., Tao, T., Guo, J., Wang, L., Lu, A.Y. and Chen, H. (2008) Low-Intensity Voluntary Running Lowers Blood Pressure with Simultaneous Improvement in Endothelium-Dependent Vasodilatation and Insulin Sensitivity in Aged Spontaneously Hypertensive Rats. Hypertension Research, 31, 543-552.
http://dx.doi.org/10.1291/hypres.31.543
[29] Aguilar-Salinas, C.A. and Gomez-Perez, F.J. (2006) The Acapulco Declaration: A Proposal to Reduce Incidence of Diabetes in Mexico. Revista de Investigacion Clinica, 58, 71-77.
[30] Unnithan, V.B., Katsimanis, G., Evangelinou, C., Kosmas, C., Kandrali, I. and Kellis, E. (2007) Effect of Strength and Aerobic Training in Children with Cerebral Palsy. Medicine and Science in Sports and Exercise, 39, 1902-1909.
http://dx.doi.org/10.1249/mss.0b013e3181453694
[31] Verschuren, O., Ketelaar, M., Gorter, J.W., Helders, P.J., Uiterwaal, C.S. and Takken, T. (2007) Exercise Training Program in Children and Adolescents with Cerebral Palsy: A Randomized Controlled Trial. Archives of Pediatrics & Adolescent Medicine, 161, 1075-1081.
[32] Verschuren, O., Maltais, D.B., Douma-Van Riet, D., Kruitwagen, C. and Ketelaar, M. (2013) Anaerobic Performance in Children with Cerebral Palsy Compared to Children with Typical Development. Pediatric Physical Therapy, 25, 409-413.
http://dx.doi.org/10.1097/PEP.0b013e3182a47022

  
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