Nutritional status at diagnosis is related to clinical outcomes in children and adolescents with cancer: A perspective from Central America

Sala, Alessandra; Rossi, Emanuela; Antillón, Federico; Molina, Ana Lucia; Maselli, Tania de; Bonilla, Miguel; Hernández, A. Ansotegui; Ortiz, Roberta; Pacheco, C.; Nieves, Rosa M.; Navarrete, Marta; Barrantes, Max; Pencharz, Paul B.; Valsecchi, Maria Grazia; Barr, Ronald D.

doi:10.1016/j.ejca.2011.06.006

Cited by 175 publications

(248 citation statements)

References 31 publications

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“…Our findings, confirming the contradictory indications provided by BMI (39) for the prediction of nutritional status and health risk, show that it is important to consider these indicators of fatness and muscularity to avoid misinterpretation of weight status when there is particularly strong muscular development. Arm anthropometry has already proved to be a more sensitive indicator than BMI in the case of inadequate nourishment (40) , so much so that MUAC and TSF have been proposed as acceptable 'gold standard' measures of nutritional status (41) . Their independence of ethnicity is another important requirement for their application (42) .…”

Section: Discussionmentioning

confidence: 99%

Weight status, fatness and body image perception of North African immigrant women in Italy

Gualdi‐Russo¹,

Rinaldo²,

Khyatti³

et al. 2016

Public Health Nutr.

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Objective: To investigate the nutritional status of North African (NA) immigrant women in Italy, analysing their body size, adiposity and body image perception in comparison to Italian natives and NA residents. Design: The study utilized a cross-sectional design. Anthropometric traits were directly measured and a few indices were computed as proxy measures of nutritional status and adiposity. Body image perception was assessed using silhouette drawings. ANCOVA, adjusted for age, was used to compare anthropometric traits among different groups of women and the χ 2 test to analyse differences in the prevalence of nutritional status. Setting: Italy and North Africa (Tunisia, Morocco). Subjects: A sample of 433 women aged 18-60 years old: NA immigrants (n 105); Italians (n 100); Tunisians (n 104); Moroccans (n 124). Results: Overweight/obesity prevalence was very high in immigrants (79·8 %). Immigrants had the highest BMI value, the greatest hip circumference and mid upper-arm circumference. Their triceps skinfold thickness was significantly higher than that of Italians, but lower than that of NA residents. Conclusions: NA immigrant women in Italy showed a higher incidence of overweight compared with Italians and NA residents. All groups showed a preference for a thinner body in comparison to their actual bodies and the immigrants are the most dissatisfied. Immigrants remain a high-risk group for obesity. Assessment of their body composition and health risk profile should be improved by using specific anthropometric measures that are easy to collect even in the case of large migration flows.

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Section: Discussionmentioning

confidence: 99%

Weight status, fatness and body image perception of North African immigrant women in Italy

Gualdi‐Russo¹,

Rinaldo²,

Khyatti³

et al. 2016

Public Health Nutr.

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“…Many studies have demonstrated that patients with cancer are malnourished. At time of diagnosis, approximately 75% of all cancer patients are found to be malnourished, and between 20% and 40% of these die due to malnutrition and related complications [9][10][11][12]. Assessment of nutritional status is difficult, however, because there is no "gold standard."…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Enteral Nutrition Support in the Growth of Children Patients with Cancer

Acıpayam¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmanın amacı, kemoterapi alan kanserli çocuklarda antropometrik ve biyokimyasal parametreler aracılığla, enteral beslenme desteğinin büyümede olumlu etkisini araştırmaktır. Gereç ve Yöntem: Yeni tanı almış ve yoğun kemoterapi alan ardışık 43 pediatrik kanserli hasta çalışmaya dahil edildi. Yirmi altı hasta enteral beslenme formülası aldı. Onyedi kontrol hastası enteral beslenme formülası almadı. Antropometrik parametreleri (boy, kilo, vücut kitle indeksi, triseps, subskapular ve suprailiak deri kıvrım kalınlığı), serum albümin, prealbumin, transferrin düzeyleri ve lipid profilleri tanı anında ve 3. ayda ölçüldü. Bulgular: 3 ayın sonunda enteral beslenme alan grupta subskapular ve suprailiak deri kıvrım kalınlıklarında tanı anındaki ölçülerle karşı-laştırıldığımızda belirgin bir artış saptadık (p=0.01 ve p=0.014 sırasıyla). Prealbümin ve albümin değerlerinde enteral beslenme desteğinin 3. ayında artış saptandı (p=0.005 ve p=0.006, sırasıyla). Enteral beslenme alan grubunun % 69.2'inde tedavi sonunda ağırlık persentil artışı görüldü. Üçüncü ayda, albümin ve suprailiak deri kıvrım kalınlıkları değerleri enteral beslenme grubunda, kontrol grubuna göre yüksek idi (p=0.012 ve p=0.017, sırasıyla). Üçüncü ayda kontrol grubunun antropometrik ve biyokimyasal parametrelerinde tanı anı ile karşılaştırıldığında anlamlı bir değişiklik görülmedi. Tartışma: Bu çalış-ma enteral beslenme formülası alan kanserli çocuklarda antropometrik ve biyokimyasal parametrelerde iyileşme göstermektedir. Anahtar KelimelerAntropometrik Parametre; Biyokimyasal Parametre; Enteral Beslenme; Ço-cuk; Kanser Abstract Aim: The purpose of this study was to assess, through anthropometric and biochemical parameters, the positive effect on growth of enteral nutrition support in children with cancer receiving chemotherapy. Material and Method: Forty-three consecutive patients newly diagnosed with pediatric malignant disease and receiving intensive chemotherapy were included. Twentysix patients received an enteral nutrition formula. Seventeen control patients did not receive enteral nutrition formula. Anthropometric parameters (weight, height, body mass index, triceps, subscapular and suprailiac skinfold thickness), serum albumin, prealbumin and transferrin levels and lipid profiles were measured at time of diagnosis and the 3rd month. Results: At the end of 3 months we determined a marked increase in subscapular and suprailiac skin fold thicknesses in the enteral nutrition group compared to at time of diagnosis (p=0.01 and p=0.014, respectively). Prealbumin and albumin values increased considerably after 3 months of enteral nutrition formula support (p=0.005 and p=0.006, respectively). Weight percentile increment was determined (69.2% of patients) in the enteral nutrition group compared to at time of diagnosis. At 3 months, albumin and suprailiac skinfold thicknesses values were higher in the enteral nutrition group as compared to controls (p=0.012 and p=0.017, respectively). There were no significant changes in anthropometric and biochemi...

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“…[11][12][13][14][15] This large variation is because of several factors such as socioeconomic status and educational and cultural background of children's family, beyond the disease itself. 16 In malnourished children a decreased tolerance to chemotherapy is well known.…”

Section: Discussionmentioning

confidence: 99%

Zinc supplementation in children and adolescents with acute leukemia

et al. 2013

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LZZ Consolo, P Melnikov, FZ Cô nsolo, VA Nascimento and JCDV Pontes BACKGROUND/OBJECTIVES: Zinc is known as an essential micronutrient for human health because of its structural and biochemical functions, influencing growth and affecting multiple aspects of the immune system. Zinc has been extensively studied in neoplastic processes but its role in children with leukemia still remains to be elucidated in several aspects. The aim of this study was to evaluate the effects of oral zinc supplementation on weight gain and infectious episodes in children and adolescents with acute leukemia. SUBJECTS/METHODS: This study included 38 patients, and was carried out as a randomized, double-blind, placebo-controlled investigation. The dosage of plasma zinc levels and the evaluation of nutritional status were performed during a period of 60 days. Zinc was supplemented orally, 2 mg/kg/day, in the form of amino acid salt. RESULTS:The results showed that plasma zinc concentrations did not increase significantly with the addition of the micronutrient. However, from a clinical point of view, it has become evident that supplementary zinc exerts a positive effect on nutritional status as positive weight gain. Moreover, the number of infection episodes was significantly reduced, possibly because of the immune stimuli. CONCLUSIONS: In conclusion, zinc supplementation can prevent some of the chemotherapy adverse effects in children with leukemia, improving their quality of life.

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Nutritional status at diagnosis is related to clinical outcomes in children and adolescents with cancer: A perspective from Central America

Cited by 175 publications

References 31 publications

Weight status, fatness and body image perception of North African immigrant women in Italy

Weight status, fatness and body image perception of North African immigrant women in Italy

The Effectiveness of Enteral Nutrition Support in the Growth of Children Patients with Cancer

Zinc supplementation in children and adolescents with acute leukemia

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