Assessment of Colonic Motility and Nutrients Intake in Adult with Cerebral Palsy.

, Park, Eun Sook; , Park, Chang Il; , Cho, Sung Rae; , Na, Sang il; , Kwark, Eun Hee; , Noh, Kyung Nam

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):192-197.

Park, Eun Sook , Park, Chang Il , Cho, Sung Rae , Na, Sang il , Kwark, Eun Hee , Noh, Kyung Nam

¹Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. loup@mdhouse.com
²Department of Rehabilitation Psychology, Rehabilitation Hospital, Yonsei University, Korea.
³Dietetic Department, Severance Hospital, Yonsei University, Korea.

뇌성마비 성인의 대장운동 기능 및 영양섭취 상태 평가

박은숙, 박창일, 조성래, 나상일, 곽은희¹, 노경남²

연세대학교 의과대학 재활의학교실 및 재활의학연구소, ¹연세대학교 재활병원 재활심리실, ²연세대학교 세브란스병원 영양과

Abstract

Objective
To evaluate the colonic motility and nutrients intake in adults with cerebral palsy (CP) and to compare the results with those of normal adults.

Method
Thirty-nine adults with CP were participated. They took the radioopaque markers for 3 successive days. Then, abdominal X-ray was taken on the fourth day. The total and segmental colon transits were estimated by the simplified assessment of a single-film technique by Metcalf et al. The amounts of nutrients intake for 3 days were recorded and nutritional factors were analyzed by ESHA^Ⱂ Food Processor. Then, daily intakes of the nutrients were compared with Recommended Dietary Allowance of Korean Nutrition Society.

Results
Colon transit time were more than 2 times delayed in adults with CP as compared with those of normal controls. Colon transit time was significantly prolonged in non- functional ambulators (p＜0.05). Colon transit time tended to be delayed in subjects with spastic type, but not related with the degree of cognitive function. On the evaluation of daily nutrients intake, several nutritional factors were inadequate in adults with CP.

Conclusion
Adults with CP had the problems in colonic motility and nutritional intake. Also, delayed colon transit time was significantly related with poor mobility, and possibly related with spasticity. (J Korean Acad Rehab Med 2003; 27: 192-197)

Key Words: Cerebral palsy, Colonic motility, Colon transit time, Nutrients intake