Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 547992
Title Dose, timing, and source of protein intake of young people with spastic cerebral palsy
Author(s) Anker–van der Wel, Ieke; Smorenburg, Ana R.P.; Roos, Nicole M. de; Verschuren, Olaf
Source Disability & Rehabilitation (2019). - ISSN 0963-8288 - 6 p.
DOI https://doi.org/10.1080/09638288.2018.1558291
Department(s) Nutrition and Disease
Publication type Refereed Article in a scientific journal
Publication year 2019
Keyword(s) Cerebral palsy - children - disability - muscle - nutrition - protein intake
Abstract

Purpose: Since the dose, timing and source of dietary protein intake are important for muscle growth and development, the aim of this study was to examine the dose, timing and source of protein intake of young people with cerebral palsy. Materials and methods: Dietary intake was assessed in 19 children with spastic cerebral palsy (Gross Motor Function Classification System levels I–V; Eating and Drinking Classification System levels I–V; 10 males, 9 females; mean [SD] age 11 years 2 months [3 years 3 months]) using a 3-day food diary. The data were analyzed for three age categories (4–8, 9–13, and 14–17 years). Results: Average 3-day protein intake (62.1 g [27.9 g]) was within the recommended boundaries with a minimum of 1.0 g/kg body weight/day and a maximum of 4.1 g/kg body weight/day. However, dinner was the only mealtime that provided at least 25 g of protein, which is needed for optimal muscle maintenance. The main food groups that contributed to protein intake were ‘milk and milk products’, ‘meat, meat products and poultry’, and ‘bread’. Conclusions: These observations suggest timing of protein intake can be improved with higher intakes during breakfast and lunch to better support skeletal muscle growth and development.IMPLICATIONS FOR REHABILITATION Recent studies have shown that smaller muscles and early atrophy are already present at young age in individuals with cerebral palsy. Besides physical training, adequate protein intake (with optimal dose, timing and source of protein) may be a key factor in the prevention and treatment of loss of muscle mass in children with cerebral palsy. In a relatively small sample this study shows that overall protein intake (dose) was in line with recommendations and also that the source of the protein seemed sufficient to contain all essential amino acids. Improvement of the timing of protein intake throughout the day, with higher intakes during breakfast and lunch, seems important to better support skeletal muscle growth and development.

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