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ARTICLE 8:

Nutritional interventions in children and adolescents with cerebral palsy:

systematic review

AUTHOR: Silva DCG Et Al.

SOURCE: Rev Paul Pediatr. 2024;42:E2022107

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2026 - Article 8: Nutritional Interventions in CP (Silva et al., 2024)

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1 / 15

What was the main objective of Silva et al.’s systematic review?

a. To compare pharmacological interventions in CP

b. To evaluate motor therapy outcomes only

c. To identify suitable and effective nutritional interventions for children/adolescents with CP

d. To assess parent satisfaction with feeding programs

2 / 15

Which reporting guideline did this systematic review follow?

a. CONSORT

b. STROBE

c. PRISMA

d. AMSTAR

3 / 15

How many studies were finally included in the review?

a. 10

b. 12

c. 15

d. 20

4 / 15

The review included participants aged 0–18 years with a diagnosis of CP.

a. True

b. False

5 / 15

How many total participants across included studies?

a. 328

b. 512

c. 658

d. 842

6 / 15

What was the most common CP type studied?

a. Spastic CP

b. Ataxic CP

c. Dyskinetic CP

d. Mixed types

7 / 15

What did most studies report regarding nutritional status in CP children compared to typically developing peers?

a. Better nutritional status due to higher energy expenditure

b. Worse nutritional status, with a higher risk of malnutrition

c. Similar nutritional status when adjusted for age and sex

d. Improved nutritional status only in children receiving enteral feeding

e. No consistent differences in nutritional status across studies

8 / 15

What kind of supplementation showed benefits?

a. Hypercaloric & hyperprotein formulas

b. Herbal supplements

c. Homeopathy

d. None

9 / 15

Which classification system was often used to assess motor function in these studies?

a. GMFCS

b. MACS

c. PEDI

d. Bayley Scales

10 / 15

Which issue was most directly linked to impaired nutritional intake?

a. Vision problems

b. Oro-motor dysfunction

c. Sleep disturbances

d. Behavioral issues

11 / 15

Food texture modification (purees, semi-solids) was found to help improve nutritional intake.

a. True

b. False

12 / 15

According to Sullivan et al., what was the approximate energy intake achieved by G-tube-fed patients compared to oral-fed?

a. 40% vs 20%

b. 57% vs 69%

c. 69% vs 57%

d. 90% vs 80%

13 / 15

Which tool was used for assessing bias in randomized clinical trials?

a. ROBIS

b. Newcastle-Ottawa scale

c. RoB 2 (Cochrane tool)

d. QUADAS-2

14 / 15

Which outcome improved with homemade functional food shakes in Mexico (Leal-Martínez et al.)?

a. Gross motor function

b. Sleep quality

c. IQ scores

d. Visual perception

15 / 15

What was the main conclusion of the review?

a. Nutrition is irrelevant in CP

b. Supplementation, enteral feeding, and texture modification improve nutritional outcomes in CP

c. CP children should avoid supplementation

d. Parents should be solely responsible for feeding plans

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