Feeding challenges, dietary adaptations, and nutritional support in individuals with cerebral palsy

Abstract

Abstract: Background: Cerebral palsy is a neurodevelopmental disorder that affects movement, muscle tone, and motor skills, often causing feeding difficulties. Individuals with cerebral palsy experience dysphagia, prolonged meal durations, and increased dependency on caregivers for feeding assistance. It is important to understand the relationship between mobility impairments, feeding dependency, and dietary adaptations for optimising nutritional intake and quality of life. Objective: This research aims to analyse the feeding difficulties faced by individuals with cerebral palsy, assess the influence of mobility limitations on feeding dependency, and examine dietary adaptations required to ensure adequate nutrition. Methods: A cross-sectional study, involving 37 participants with cerebral palsy, was conducted using caregiver-reported questionnaires. Variables examined include mobility status, feeding dependency, meal duration, dietary preferences, and feeding methods. Statistical analyses (χ² tests, Mann-Whitney U tests, and Kruskal-Wallis tests) were used to determine the relationship between feeding dependency, nutritional intake, and mobility impairments. Results: The results showed correlation between mobility limitations and feeding dependency (χ² = 42.83, p < 0.001). Participants with greater mobility impairments were more likely to consume blended or liquid diets and experience prolonged meal durations (H = 20.03, p < 0.001). Caregiver support played an important role in feeding adaptation and efficiency. Conclusion: Feeding difficulties in individuals with cerebral palsy are influenced by mobility impairments and dietary adaptations. The study focuses on the need for individualised nutritional plans, assistive feeding tools, and structured meal environments. Multidisciplinary approaches with speech therapists, dietitians, and occupational therapists are important for feeding independence and improving general health outcomes in individuals with cerebral palsy