Malnutrition at diagnosis of malignancy in childhood: common but mostly missed

Title

Malnutrition at diagnosis of malignancy in childhood: common but mostly missed

Creator

Smith DE; Stevens MC; Booth IW

Identifier

Publisher

European Journal Of Pediatrics

Date

1991

Subject

Child; Female; Humans; Male; Prospective Studies; Chi-Square Distribution; adolescent; Preschool; Non-U.S. Gov't; Research Support; infant; Body Weight; Nutritional Status; Skinfold Thickness; Anthropometry; Arm/anatomy &; Body Height; histology; Neoplasms/complications/diagnosis/metabolism; Nutrition Disorders/complications/diagnosis

Description

A prospective, controlled study of nutritional status in 100 newly diagnosed paediatric oncology patients is reported. Results showed that although patients' height-for-age and weight-for-height were normal, mid-upper arm circumference (MUAC) and triceps skinfold thickness (TSFT) were significantly less than reference and control values. Moreover, 20% of patients had MUAC below the 5th percentile (P less than 0.001) and 23% had TSFT more than 2 SD below the mean (P less than 0.001). The discrepancy between these assessments is attributed to the effect of large tumour masses masking diminished true body weight. Children with intra-abdominal solid tumours had significantly lower MUAC and TSFT than those with either extra-abdominal solid tumours or leukaemia, and were more likely to be malnourished based on arm anthropometric criteria. Of all subjects, 44% were consuming less than 80% of their recommended daily allowance of energy at diagnosis, compared with 0% of controls (P = 0.001).
1991

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Citation

Smith DE; Stevens MC; Booth IW, “Malnutrition at diagnosis of malignancy in childhood: common but mostly missed,” Pediatric Palliative Care Library, accessed February 6, 2023, https://pedpalascnetlibrary.omeka.net/items/show/12315.

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