Nutritional status among pediatric cancer patients: A comparison between hematological malignancies and solid tumors

Tah, Pei Chien; Shanita, S. Nik; Poh, Bee Koon

doi:10.1111/j.1744-6155.2012.00341.x

Cited by 22 publications

(25 citation statements)

References 30 publications

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“…Considering that approximately 50% of the patients had Stage III or IV disease and that the cutoff for malnourishment was designated as higher than traditional values of BMI (<18.5) and TSF/MAMC (<5%), DLBCL patients may be less likely to have nutritional deficiency than patients with solid cancers. This is consistent with the results of a previous study that demonstrated a more frequent occurrence of malnutrition in solid cancers than hematologic malignancies (19).…”

Section: Discussionsupporting

confidence: 93%

Effect of Nutritional Status on Survival Outcome of Diffuse Large B-Cell Lymphoma Patients Treated with Rituximab-CHOP

Park

Han

Cho

et al. 2014

Nutrition and Cancer

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The impact of pretreatment nutritional status on the treatment outcome of non-Hodgkin lymphoma has never been explored. Among the 953 patients who were registered in a prospective cohort at Samsung Medical Center., we analyzed 262 patients who had been treated with Ruximab-cyclophosphamide, doxorubicin, vincristine, and prednisone for newly diagnosed diffuse large B-cell lymphoma (DLBCL) and for whom data were available regarding pretreatment nutritional status. Nutritional status at diagnosis was assessed by triceps skin fold (TSF), mid-arm muscle circumference (MAMC), body mass index (BMI), serum albumin, prealbumin, and transferrin. For patients aged 60 yr and older, poor performance and higher tumor burden were associated with malnourishment represented by albumin <3.5 g/dL, prealbumin < 17 g/dL, and transferrin <170 mg/L. Lower BMI (<20), serum albumin, prealbumin, and transferrin were identified as risk factors for febrile neutropenia in univariate analysis, but not in multivariate analysis. In the univariate analysis for OS, all nutritional parameters except MAMC showed a significant association with survival. However, BMI was the only parameter that was independently prognostic for OS in the multivariate analysis (P = 0.031; hazards ratio = 3.32). Nutritional insufficiency encountered in DLBCL patients might influence the occurrence of treatment-related toxicity and poor survival outcome of patients.

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Section: Discussionsupporting

confidence: 93%

Effect of Nutritional Status on Survival Outcome of Diffuse Large B-Cell Lymphoma Patients Treated with Rituximab-CHOP

Park

Han

Cho

et al. 2014

Nutrition and Cancer

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“…The results obtained by Tah et al . [ 21 ] suggested that the loss of appetite (89.2%), vomiting (81.1%), and nausea (54.1%) were the most frequent problems of children diagnosed with a solid tumor. In addition, Hedén et al .…”

Section: Discussionmentioning

confidence: 99%

Assessment of Nutritional Problems in Pediatric Patients with Cancer and the Information Needs of Their Parents: A Parental Perspective

Arpaci

Törüner

Altay

2018

Asia-Pacific Journal of Oncology Nursing

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Objective:The majority of problems and symptoms occur in the gastrointestinal system in children with cancer. Parents have difficulty in coping with the nutritional problems and changing routines of children and need support in this respect. This study aimed to assess the nutritional problems of children with cancer and the information needs of their parents.Methods:This descriptive study was performed among children with cancer aged 3–18 years and their parents (n = 69). The data were collected through a data collection form developed by the researchers based on the literature.Results:The most prominent nutritional problems experienced by children were loss of appetite (85.5%), nausea (84.1%), vomiting (81.2%), fatigue (79.7%), and mucositis (66.7%). According to the parents, the factors causing these nutritional problems in children were physiological factors (100%) and the foods given to children in the hospital (65.2%). The parents mostly needed information about food–drug interactions (58.0%), food–disease interactions (52.2%), foods that children with neutropenia should avoid or should eat (neutropenic diet) (46.4%), and frequency of nutritional intake (36.2%).Conclusions:This study has shown that most children experience at least one nutritional problem, and the parents need comprehensive and regular information about nutrition. Pediatric oncology nurses have a significant responsibility in the evaluation, education, and monitoring of these children.

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“…When treating these patients, the challenge faced by the dietitian is to prevent further deterioration of nutritional status and to attempt to reverse any deterioration in nutritional status that may have already occurred. Children with solid tumours in particular are often in need of nutritional interventions as they practice food restrictions more often and may experience significantly worse eating problems including nausea, vomiting and loss of appetite …”

Section: Discussionmentioning

confidence: 99%

“…A growing body of research has emphasised the importance of including arm anthropometry measurements, specifically mid‐upper arm circumference (MUAC) and triceps skinfold thickness (TSFT), as part of the classification criteria as these measurements are independent of tumour size . Utilisation of biochemistry (namely albumin) and anthropometry measurements in combination has been shown to improve the sensitivity of classification of nutritional status …”

Section: Introductionmentioning

confidence: 99%

Nutritional status of children with Wilms’ tumour on admission to a South African hospital and its influence on outcome

Lifson

Hadley

Wiles

et al. 2016

Pediatr Blood Cancer

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Nutritional status among pediatric cancer patients: A comparison between hematological malignancies and solid tumors

Abstract: Adequate dietary intake is important for pediatric cancer patients, but nurses need to pay more attention to the diets of patients with solid tumors as compared with those with hematological malignancies.

Cited by 22 publications

References 30 publications

Effect of Nutritional Status on Survival Outcome of Diffuse Large B-Cell Lymphoma Patients Treated with Rituximab-CHOP

Effect of Nutritional Status on Survival Outcome of Diffuse Large B-Cell Lymphoma Patients Treated with Rituximab-CHOP

Assessment of Nutritional Problems in Pediatric Patients with Cancer and the Information Needs of Their Parents: A Parental Perspective

Nutritional status of children with Wilms’ tumour on admission to a South African hospital and its influence on outcome

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