The Bone Mineral Density and Vitamin D Status in Children With Moderate to Severe Cerebral Palsy in Kenyatta National Hospital and St Theresa Mission Hospital

Abstract

Background Cerebral palsy is a common disorder among children with disabilities globally. The local burden is estimated to be 1 in every 300 children. Children with Gross Motor Classification System (GMFCS) III-V are usually immobile and are at high risk of developing low Bone Mineral Density (BMD) and low vitamin D levels. This leads to reduced bone strength and an increase in fracture risk. The life expectancy of children has improved due to advancements in medical care. It is therefore expected that there will be a rise in fracture incidence. There is scarce literature on bone quality in children with cerebral palsy in Kenya. Interventions such as timely supplementation of vitamin D has been found to reduce incidence of fractures. It is therefore important to have an updated baseline data on the level of Vitamin D and BMD in children with moderate to severe cerebral palsy in Kenya.