A cluster-randomized control trial targeting parents of pediatric cancer survivors with obesity: Rationale and study protocol of NOURISH-T+

Stern, Marilyn; Gray, Heewon L.; Ruble, Kathy; Lozano, Sandra Soca; Albizu-Jacob, Alexandra; Williams, Jeffrey M.; Godder, Kamar; Fuemmeler, Bernard F.; Mazzeo, Suzanne E.

doi:10.1016/j.cct.2021.106296

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…CCS were reported to consume less fruits and vegetables, more junk food, and bigger portion sizes compared to their peers ( 72 ). Pilot studies focusing on diet/nutrition education and intervention among parents of survivors have yielded encouraging results, demonstrating feasibility and preliminary signs of efficacy in remediating poor dietary habits among CCS and families ( 73 , 76 , 77 ). Though larger randomized clinical trials are needed, the successful implementation and initial findings from these, primarily remote, parent-led initiatives demonstrates their role in modifying patient-specific as well as familial dietary patterns ( 73 , 76 , 77 ).…”

Section: Current Intervention Recommendations and Strategiesmentioning

confidence: 99%

“…Pilot studies focusing on diet/nutrition education and intervention among parents of survivors have yielded encouraging results, demonstrating feasibility and preliminary signs of efficacy in remediating poor dietary habits among CCS and families ( 73 , 76 , 77 ). Though larger randomized clinical trials are needed, the successful implementation and initial findings from these, primarily remote, parent-led initiatives demonstrates their role in modifying patient-specific as well as familial dietary patterns ( 73 , 76 , 77 ). Additionally, these reinforce the utility of structured web-based curriculums, like the HEAL initiative, in providing wide-reaching, dedicated, and cost-effective lifestyle guidance and education to parents of CCS ( 69 ).…”

Section: Current Intervention Recommendations and Strategiesmentioning

confidence: 99%

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Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Feit,

Beals,

Dandekar

et al. 2024

Front. Nutr.

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Over 85% of childhood cancer patients become long-term survivors. Still, cancer and its therapies are associated with a myriad of long-term complications such that childhood cancer survivors (CCS) endure excess disease burden, morbidity, and mortality throughout their lifetimes. Existing literature suggests that CCS maintain poor dietary intake and nutritional status. Thus, as childhood cancer cure rates continue to improve, the role of diet and nutrition in mitigating many of the most common adverse long-term health outcomes among CCS has gained significant interest. Herein we present an in-depth review of existing scientific literature evaluating dietary intake and nutrition status among CCS and its impact on treatment-related health complications; as well as contemporary intervention strategies aimed at overcoming distinctive barriers and improving deleterious lifestyle behaviors in this heterogeneous, at-risk population. Patient-specific, clinical, and systemic factors act as barriers to the timely conduct of comprehensive dietary/nutritional assessments and provision of tailored, risk-based recommendations. This Mini Review discusses the current state of the science, persisting research gaps, and opportunities for advancement of assessment and intervention strategies to address the unique needs of CCS.Search Strategy: We searched PubMed for peer-reviewed articles with the search terms “pediatric cancer,” “pediatric malignancy,” “pediatric oncology,” “childhood cancer,” “survivorship,” “cancer late effects,” “long-term follow-up,” “body mass index,” “nutritional status,” “malnutrition,” “body weight,” “body weight changes,” “body composition,” “obesity,” “overweight “, “Mediterranean diet,” “DASH diet,” “processed foods,” “micronutrients,” “antioxidants,” “vitamin D,” “calcium,” “selenium,” “zinc,” “metabolic syndrome,” “heart disease,” “cardiovascular disease,” “cardiometabolic disease,” “hypertension,” “hyperlipidemia,” “HDL,” “LDL,” and “small dense LDL” from January 1, 1995, to July 21, 2023. We also selected relevant articles from our personal files and from reference lists of identified papers. We prioritized publications after 2013; however, commonly cited and highly regarded (defined by high citation count and journal impact factor) older publications were also included. Randomized controlled trials, observational studies, retrospective studies, meta-analysis, editorials, and review articles were included, whereas conference abstracts and case reports were excluded. We only searched for articles published in English, or those translated into English.

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Section: Current Intervention Recommendations and Strategiesmentioning

confidence: 99%

Section: Current Intervention Recommendations and Strategiesmentioning

confidence: 99%

Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Feit,

Beals,

Dandekar

et al. 2024

Front. Nutr.

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Factors impacting physical activity among post-treatment pediatric cancer survivors with overweight and obesity

Brown,

Sauls,

Almendares

et al. 2024

Eur J Pediatr

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The evolution of nutritional care in children and young people with acute lymphoblastic leukaemia: a narrative review

Lovell,

Gardiner,

Henry

et al. 2024

J Human Nutrition Diet

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BackgroundAcute lymphoblastic leukaemia (ALL) is the most common paediatric malignancy in the world. Advances in treatment protocols have resulted in survival rates of >80% in most high‐income countries (HIC); however, children and young people (CYP) with ALL continue to face significant nutrition‐related challenges during treatment.MethodsThis narrative review outlines the changing landscape of treatment and survivorship for CYP with ALL and the advances in nutrition knowledge that call for changes to clinical nutrition practice.ResultsThe incidence of ALL has remained stable in HIC; however, there have been significant advances in survival over the past 30 years. Overweight and obesity are increasingly prevalent in CYP with ALL at diagnosis, during treatment and in survivorship. Coupled with poor diet quality, high‐energy and saturated fat intakes, altered eating behaviours and inactivity, this necessitates the need for a shift in nutrition intervention. Undernutrition remains a concern for CYP with high‐risk treatment protocols where oral or enteral nutrition support remains a cornerstone of maintaining nutrition status.ConclusionsWith improved treatment protocols and high survival rates, a shift to focusing on diet quality, prevention of excessive weight gain and obesity during treatment and survivorship is necessary.

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A cluster-randomized control trial targeting parents of pediatric cancer survivors with obesity: Rationale and study protocol of NOURISH-T+

Cited by 3 publications

References 51 publications

Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Factors impacting physical activity among post-treatment pediatric cancer survivors with overweight and obesity

The evolution of nutritional care in children and young people with acute lymphoblastic leukaemia: a narrative review

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