Support in finding nutritional solutions for children with Cerebral Palsy

Every child with Cerebral Palsy (CP) has different nutritional needs. Nutricia offers a range of tailor-made nutritional solutions to serve all these different needs in line with ESPGHAN guidelines.

Use the interactive tool below to find out the most appropriate nutritional solution taking into account:

  1. The feeding time and the child’s ability to swallow
  2. The nutritional adequacy
  3. Child’s ability to tolerate

To access the full overview of the nutritional solutions for children with CP, please download the pdf HERE.

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SAFE SWALLOW AND/OR A LONG FEEDING TIME

Does your patient have swallowing difficulties and/or a long feeding time?

YES
NO
  • ESPGHAN3 recommends considering use of enteral feeding if total oral feeding time exceeds 3 hours per day
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ADEQUATE NUTRITIONAL INTAKE

Does your patient have adequate nutritional intake?

YES
NO
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CHALLENGES WITH FOOD TEXTURE

Does your patient have challenges with food texture?

YES
NO
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No nutritional intervention is needed

Continue screening for
feeding/swallowing issues and undernutrition with:

Feeding Nutrition Screening Tool (FNST)
www.feedingnutritionscreeningtool.com

FNST: first scientifically validated online screening tool that can
assess risk of malnutrition and guide you towards a specialist if necessary

  • ESPGHAN3 recommends regular monitoring of growth and nutritional status in children with NI (especially in those with oral pharyngeal disfunction)
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ISSUES WITH TOLERANCE

Does your patient have signs or
symptoms of gastrointestinal feeding intolerance?

YES
NO
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TUBE FEED RANGE WITH WHOLE PROTEIN

Nutrini
(1-6 years, 8-20kg in body weight)
Nutrinimax/Tentrinimax
(7-12 years, 21-45kg in body weight)
Energy density1
Low energy needs
0.75 kcal/mL
Standard energy needs
1.0 kcal/mL
High energy needs
1.5 kcal/mL
Standard energy needs
1.0 kcal/mL
High energy needs
1.5 kcal/mL
Fibre-free
Nutrini
Nutrini Energy
Nutrinimax/Tentrini
Nutrinimax/Tentrini
Energy
Fibre
Nutrini
Low Energy
Multi Fibre
Nutrini
Multi Fibre
Nutrini Energy
Multi Fibre
Nutrinimax/
Tentrini
Multi Fibre
Nutrinimax/
Tentrini Energy
Multi Fibre
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Note: every product has a unique composition (color code) that is in line with
the corresponding ESPGHAN recommendations which you can see below. ↓

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TUBE FEED RANGE WITH EXTENSIVELY HYDROLYZED PROTEIN

Nutrini Peptisorb Range
(1-12 years, 8-45kg in body weight)
Energy density1
Standard energy needs
1.0 kcal/mL
High energy needs
1.5 kcal/mL
Extensively
hydrolized
protein
Nutrini Peptisorb
Nutrini Peptisorb Energy
  • ESPGHAN3 recommends using a trial of whey-based formula in cases of gastroesophageal reflux, gagging and retching in children with NI
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ORAL NUTRITIONAL SUPPLEMENTS (ONS)

Fortini/Nutrinidrink (1+ years, >8kg in body weight)

Energy density1
Standard energy needs
1.0kcal/mL
High energy needs
1.5kcal/mL - 2.4kcal/mL
Fibre-free
Fortini/Nutrinidrink
1.5kcal/mL
Fortini/Nutrinidrink
Powder 1.5kcal/mL
Fibre
Fortini/Nutridrink
Multi fibre
1.0kcal/mL
Fortini/Nutridrink
Multi fibre
1.5kcal/mL
Fortini/Nutridrink
Compact
Multi fibre
2.4kcal/mL
Fortini/Nutridrink
Smoothie
Multi fibre
1.5kcal/mL
Fortini/Nutridrink
Creamy Fruit
1.5kcal/mL
Texture/
Thickness
Liquid
Liquid
Compact Liquid
Smoothie
Spoonable
IDDSI2 (room
temperature)
0
0
1
2
3
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Do you need a thicker ONS? YES
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NEED FOR A THICKER ONS

Use the thicker products
of the Fortini range

Top up Fortini range
with Nutilis

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NUTILIS RANGE (3+ YEARS)

Consider adding Nutilis range as instant thickeners for
your child’s food and drinks. They are designed to maintain
the normal appearance of fluids, while they can be used to
modify the texture of various food and fluids.

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Important notice: All the products shown in this algorithm are Foods for Special Medical Purposes (FSMP) and must be taken under special medical supervision

  • ESPGHAN3 recommends using standard (1.0 kcal/mL) polymeric age-appropriate formula including fiber for children with NI (Neurological Impairment) older than 1 year
  • ESPGHAN3 recommends using a high-energy density formula (1.5 kcal/mL) containing fiber in cases of poor volume tolerance in children with NI, provided hydration is carefully monitored
  • ESPGHAN3 recommends using a low-fat, low-calorie, high-fiber, and micronutrient replete formula for the maintenance of enteral tube feeding after nutritional rehabilitation in immobile children with NI
  • ESPGHAN3 recommends using a trial of whey-based formula in cases of gastroesophageal reflux, gagging and retching in children with NI
  • ESPGHAN3 recommends considering use of enteral feeding if total oral feeding time exceeds 3 hours per day
  • ESPGHAN3 recommends regular monitoring of growth and nutritional status in children with NI (especially in those with oral pharyngeal disfunction)

  1. Braegger, Christian et al. "Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition." Journal of paediatric gastroenterology and nutrition 51.1 (2010): 110-122.
  2. IDDSI is a global standard with terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia. For more info: IDDSI - IDDSI Framework
  3. Romano, Claudio, et al. "European Society for Paediatric Gastroenterology, Hepatology and Nutrition guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with neurological impairment." Journal of pediatric gastroenterology and nutrition 65.2 (2017): 242-264.

News article FNST launch

Nutricia launched the Feeding and Nutrition Screening Tool (FNST): the first scientifically validated online screening tool for children with cerebral palsy.

Find out more

Pediatric Disease Related Malnutrition

Optimal growth and development are essential for long-term health. Children may face growth challenges due to their medical condition.

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Are you a healthcare professional or (carer of) a diagnosed patient?

The product information for this area of specialization is intended for healthcare professionals or (carers of) diagnosed patients only, as these products are for use under healthcare professional supervision.

Please click ‘Yes’ if you are a healthcare professional or (carer of) a diagnosed patient, or ‘No’ to be taken to a full list of our products.

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The information on this page is intended for healthcare professionals only.

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