Adult Diseases in Children

As society becomes more evolutionary, some diseases which are typically thought to be only in adults are moving into the pediatric world. Many individuals do not realize that children can have what is typically considered adult issues. Prebirth, infants and children can have a stroke in the brain or spinal cord which is not normally known except in families that experience this condition. In pediatrics, this is typically from vascular or clotting issues, not so much from atherosclerosis. Also, neurological issues such as multiple sclerosis and Parkinson Disease are rare but can occur in the pediatric population.

Paralysis can contribute to some secondary conditions in children such as type II diabetes, heart disease and hypertension, and pediatric onset liver disease.

Type 2 diabetes develops over time from increased weight and inactivity. It usually is thought of as occurring in adults however, children with paralysis can develop type 2 diabetes because of lack of mobility with accompanying weight gain. Medication is used to treat type 2 diabetes. Type 1 diabetes is typically developed in early childhood due to autoimmune issues. These children require insulin treatment.

type 2 diabetes

To prevent type 2 diabetes in children with paralysis, encourage healthy eating. Consult with a dietitian to find the right eating plan for your child. Younger children have more adult supervision with their food choices. Teaching healthy eating is important. As children age into the teen years, there are more temptations and options so a foundation in healthy eating is important. If your child uses tube feedings or supplements, the dietitian can assist to make sure they are not receiving too many calories for their mobility level.

Movement is critical to the body with paralysis. The big muscles in the thighs are critical to metabolism. Be sure to encourage movement in all parts of the body for your child. Have them move their bodies or if they are unable to move their legs with their hands and arms, provide movement to your child several times a day. Be sure to include all body parts, especially to those big leg muscles.

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Pediatric hypertension and heart disease can be caused by hyperlipidemia and insulin resistance (type 2 diabetes). Immobility, extra weight, and poor eating habits can create a setting for cardiac issues in children as well as extra weight.

Monitoring blood pressure to know your child’s normal is important for both issues with high and low blood pressure. Using the tips listed above for establishing a healthy diet plan and exercise routine is essential for heart health. Weight loss plans and prevention can be achieved over time but be sure to consult a nutritionist to ensure nutrients are met. Dietary tips can be found here.

Stop smoking including ecigs as your child should not be exposed to any secondhand smoke. Even if you smoke outside, your child can be exposed to smoke in your clothes and hair. Teens should be taught to avoid smoking or other inhaling substances. \

Pediatric onset liver disease most often occurs due to genetic issues. Liver disease is generally not affected by paralysis but secondary complications such as type 2 diabetes can lead to liver issues. Be sure your child has routine blood tests which includes assessment of liver function. Have your child wash their hands and wash your hands thoroughly when providing care to avoid infection. 

Providing examples of healthy habits and encouraging your child to do the same is a great start to a healthy adulthood.

About the Author - Nurse Linda

Linda Schultz, Ph.D., CRRN is a leader, teacher, and provider of rehabilitation nursing for over 30 years. In fact, Nurse Linda worked closely with Christopher Reeve on his recovery and has been advocating for the Reeve Foundation ever since.

Nurse Linda

The opinions expressed in these blogs are the author's own and do not necessarily reflect the views of the Christopher & Dana Reeve Foundation.

The National Paralysis Resource Center website is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $10,000,000 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, ACL/HHS, or the U.S. Government.