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The risk, burden, and management of non‐communicable diseases in cerebral palsy: a scoping review
Author(s) -
Ryan Jennifer M,
Allen Elizabeth,
Gormley John,
Hurvitz Edward A,
Peterson Mark D
Publication year - 2018
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13737
Subject(s) - medicine , cinahl , diabetes mellitus , stroke (engine) , population , obesity , cerebral palsy , disease , metabolic syndrome , environmental health , physical therapy , intensive care medicine , psychiatry , endocrinology , mechanical engineering , psychological intervention , engineering
Aim To examine the risk, burden, and management of non‐communicable diseases (NCDs) among people with cerebral palsy (CP). Method Databases (Ovid MEDLINE, Embase Ovid, CINAHL Plus) were systematically searched up to August 2017. Data on the prevalence of risk factors for, and the burden and management of, cardiovascular diseases, diabetes, cancers, and respiratory diseases were extracted. Results Thirty‐six studies that examined the prevalence of risk factors among people with CP were identified. There was inconsistent evidence that people with CP had higher prevalence of metabolic risk factors such as hypertension, hyperlipidaemia, and obesity, but strong evidence that they participated in low levels of physical activity, compared with people without CP. Seven studies reported on the burden of NCDs. Adults with CP had a higher risk of NCDs, including stroke, chronic obstructive pulmonary disease, and other heart conditions, and death due to NCDs, including cancers, chronic obstructive pulmonary disease, stroke, and ischaemic heart disease, compared with the general population. Only one study reported on the management of NCD, specifically the uptake of breast cancer screening among females. Interpretation The burden of NCDs is higher among adults with CP compared with the general population. Further research is required to determine the prevalence of metabolic risk factors and management of NCDs among people with CP. What this paper adds Adults with cerebral palsy (CP) have an increased risk of non‐communicable diseases (NCDs) and increased risk of death because of NCDs. Evidence is inconsistent about the elevated prevalence of metabolic risk factors for NCDs. Evidence is consistent that people with CP participate in reduced physical activity. Only one study reported on management of NCD among people with CP. Available evidence suggests people with CP are less likely to receive preventive medicine.