Article

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.
CI - (c) 2018 The Authors. Developmental Medicine & Child Neurology published by John
Wiley & Sons Ltd on behalf of Mac KeithPress.

Langue : ANGLAIS