Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins
Background Arm anthropometry is a better indicator of nutritional status in children with cancer. The value of serum albumin and prealbumin in nutritional assesment is debatable. We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels. Patients an...
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| Veröffentlicht in: | Pediatric blood & cancer 2021-01, Vol.68 (1), p.e28752-n/a |
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| creator | Yaprak, Deniz Sül Yalçın, Bilgehan Pınar, Aslı Akhun Büyükpamukçu, Münevver |
| description | Background
Arm anthropometry is a better indicator of nutritional status in children with cancer. The value of serum albumin and prealbumin in nutritional assesment is debatable. We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels.
Patients and Methods
At diagnosis and following induction therapies, weight, height, body mass index (BMI), mid‐upper arm circumference (MUAC), and triceps skin‐fold thickness (TSFT) were measured; serum albumin and prealbumin levels were determined. Prevalences of malnutrition defined by anthropometric indices were calculated. Correlations of anthropometric indices with each other, with serum albumin/prealbumin levels, and clinicopathological parameters were analyzed.
Results
In 81 patients, median age was 7.5 years (males/females = 50/31), tumors were located mostly in the abdomen, and abdominal tumors were more common under 5 years. Prevalence of malnutrition according to weight for age, BMI, MUAC, TSFT z scores were 14.8%, 23.5%, 27.2%, 21%, respectively. Defined by combined BMI/MUAC/TSFT measurements, 33/81 cases (40.7%) had malnutrition (z scores |
| doi_str_mv | 10.1002/pbc.28752 |
| format | Article |
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Arm anthropometry is a better indicator of nutritional status in children with cancer. The value of serum albumin and prealbumin in nutritional assesment is debatable. We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels.
Patients and Methods
At diagnosis and following induction therapies, weight, height, body mass index (BMI), mid‐upper arm circumference (MUAC), and triceps skin‐fold thickness (TSFT) were measured; serum albumin and prealbumin levels were determined. Prevalences of malnutrition defined by anthropometric indices were calculated. Correlations of anthropometric indices with each other, with serum albumin/prealbumin levels, and clinicopathological parameters were analyzed.
Results
In 81 patients, median age was 7.5 years (males/females = 50/31), tumors were located mostly in the abdomen, and abdominal tumors were more common under 5 years. Prevalence of malnutrition according to weight for age, BMI, MUAC, TSFT z scores were 14.8%, 23.5%, 27.2%, 21%, respectively. Defined by combined BMI/MUAC/TSFT measurements, 33/81 cases (40.7%) had malnutrition (z scores < −1, 23 mild; z scores < −2, 10 moderate). Malnutrition was more prevalent under 5 years (P = .03), also in abdominal tumors (P = .03) and advanced disease (P < .001). Younger age and advanced disease were risk factors for malnutrition. At diagnosis, prevalences of low serum albumin and prealbumin levels were 7.4% and 54%, respectively. Cases with malnutrition had significantly lower survival rates.
Conclusions
Nutritional status is assessed best by MUAC and TSFT measurements. Serum prealbumin levels can be used to identify patients at risk of undernutrition. Presence of malnutrition is a significant poor prognostic factor. All children with cancer should undergo nutritional evaluation and active nutritional support.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.28752</identifier><identifier>PMID: 33034161</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; albumin ; Anthropometry - methods ; Arm - pathology ; arm anthropometry ; Biomarkers - analysis ; Body Mass Index ; cancer ; Child ; Child, Preschool ; children ; Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Male ; malnutrition ; Malnutrition - blood ; Malnutrition - diagnosis ; Malnutrition - etiology ; Neoplasms - complications ; Nutrition Assessment ; Nutritional Status ; prealbumin ; Prognosis</subject><ispartof>Pediatric blood & cancer, 2021-01, Vol.68 (1), p.e28752-n/a</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3252-7b5c0d00e9c9233c122c8ae60cf36f3ca3cf21626d3a95868dab7bb2db7e3cdb3</citedby><cites>FETCH-LOGICAL-c3252-7b5c0d00e9c9233c122c8ae60cf36f3ca3cf21626d3a95868dab7bb2db7e3cdb3</cites><orcidid>0000-0003-2840-0308</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.28752$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.28752$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33034161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yaprak, Deniz Sül</creatorcontrib><creatorcontrib>Yalçın, Bilgehan</creatorcontrib><creatorcontrib>Pınar, Aslı Akhun</creatorcontrib><creatorcontrib>Büyükpamukçu, Münevver</creatorcontrib><title>Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins</title><title>Pediatric blood & cancer</title><addtitle>Pediatr Blood Cancer</addtitle><description>Background
Arm anthropometry is a better indicator of nutritional status in children with cancer. The value of serum albumin and prealbumin in nutritional assesment is debatable. We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels.
Patients and Methods
At diagnosis and following induction therapies, weight, height, body mass index (BMI), mid‐upper arm circumference (MUAC), and triceps skin‐fold thickness (TSFT) were measured; serum albumin and prealbumin levels were determined. Prevalences of malnutrition defined by anthropometric indices were calculated. Correlations of anthropometric indices with each other, with serum albumin/prealbumin levels, and clinicopathological parameters were analyzed.
Results
In 81 patients, median age was 7.5 years (males/females = 50/31), tumors were located mostly in the abdomen, and abdominal tumors were more common under 5 years. Prevalence of malnutrition according to weight for age, BMI, MUAC, TSFT z scores were 14.8%, 23.5%, 27.2%, 21%, respectively. Defined by combined BMI/MUAC/TSFT measurements, 33/81 cases (40.7%) had malnutrition (z scores < −1, 23 mild; z scores < −2, 10 moderate). Malnutrition was more prevalent under 5 years (P = .03), also in abdominal tumors (P = .03) and advanced disease (P < .001). Younger age and advanced disease were risk factors for malnutrition. At diagnosis, prevalences of low serum albumin and prealbumin levels were 7.4% and 54%, respectively. Cases with malnutrition had significantly lower survival rates.
Conclusions
Nutritional status is assessed best by MUAC and TSFT measurements. Serum prealbumin levels can be used to identify patients at risk of undernutrition. Presence of malnutrition is a significant poor prognostic factor. All children with cancer should undergo nutritional evaluation and active nutritional support.</description><subject>Adolescent</subject><subject>albumin</subject><subject>Anthropometry - methods</subject><subject>Arm - pathology</subject><subject>arm anthropometry</subject><subject>Biomarkers - analysis</subject><subject>Body Mass Index</subject><subject>cancer</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>malnutrition</subject><subject>Malnutrition - blood</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - etiology</subject><subject>Neoplasms - complications</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>prealbumin</subject><subject>Prognosis</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOwzAQRS0EoqWw4AeQl7BI60ecB7tS8ZIqgQSsLcdxqFHiBNuh6t_jNqU7VjMjnTkzugBcYjTFCJFZV8gpyVJGjsAYs5hFDOH0-NCjfATOnPsKaIJYdgpGlCIa4wSPwXrunHKuUcbDtoKm91Z73RpRQ-eF7x3UBsqVrkurDFxrv4JSGKnsLXzTn0ZXejdud4VtoDB-ZduubZS3mzCV0CnbN_BHu7ATpJ1tvdLGnYOTStROXezrBHw83L8vnqLly-PzYr6MJCWMRGnBJCoRUrnMCaUSEyIzoRIkK5pUVAoqK4ITkpRU5CxLslIUaVGQskgVlWVBJ-B68IbD371ynjfbV-paGNX2jpM4znOWM0YCejOg0rbOWVXxzupG2A3HiG9z5iFnvss5sFd7bV80qjyQf8EGYDYAa12rzf8m_nq3GJS_Rh2KEw</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Yaprak, Deniz Sül</creator><creator>Yalçın, Bilgehan</creator><creator>Pınar, Aslı Akhun</creator><creator>Büyükpamukçu, Münevver</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2840-0308</orcidid></search><sort><creationdate>202101</creationdate><title>Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins</title><author>Yaprak, Deniz Sül ; Yalçın, Bilgehan ; Pınar, Aslı Akhun ; Büyükpamukçu, Münevver</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3252-7b5c0d00e9c9233c122c8ae60cf36f3ca3cf21626d3a95868dab7bb2db7e3cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>albumin</topic><topic>Anthropometry - methods</topic><topic>Arm - pathology</topic><topic>arm anthropometry</topic><topic>Biomarkers - analysis</topic><topic>Body Mass Index</topic><topic>cancer</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>malnutrition</topic><topic>Malnutrition - blood</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - etiology</topic><topic>Neoplasms - complications</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>prealbumin</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yaprak, Deniz Sül</creatorcontrib><creatorcontrib>Yalçın, Bilgehan</creatorcontrib><creatorcontrib>Pınar, Aslı Akhun</creatorcontrib><creatorcontrib>Büyükpamukçu, Münevver</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yaprak, Deniz Sül</au><au>Yalçın, Bilgehan</au><au>Pınar, Aslı Akhun</au><au>Büyükpamukçu, Münevver</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr Blood Cancer</addtitle><date>2021-01</date><risdate>2021</risdate><volume>68</volume><issue>1</issue><spage>e28752</spage><epage>n/a</epage><pages>e28752-n/a</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
Arm anthropometry is a better indicator of nutritional status in children with cancer. The value of serum albumin and prealbumin in nutritional assesment is debatable. We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels.
Patients and Methods
At diagnosis and following induction therapies, weight, height, body mass index (BMI), mid‐upper arm circumference (MUAC), and triceps skin‐fold thickness (TSFT) were measured; serum albumin and prealbumin levels were determined. Prevalences of malnutrition defined by anthropometric indices were calculated. Correlations of anthropometric indices with each other, with serum albumin/prealbumin levels, and clinicopathological parameters were analyzed.
Results
In 81 patients, median age was 7.5 years (males/females = 50/31), tumors were located mostly in the abdomen, and abdominal tumors were more common under 5 years. Prevalence of malnutrition according to weight for age, BMI, MUAC, TSFT z scores were 14.8%, 23.5%, 27.2%, 21%, respectively. Defined by combined BMI/MUAC/TSFT measurements, 33/81 cases (40.7%) had malnutrition (z scores < −1, 23 mild; z scores < −2, 10 moderate). Malnutrition was more prevalent under 5 years (P = .03), also in abdominal tumors (P = .03) and advanced disease (P < .001). Younger age and advanced disease were risk factors for malnutrition. At diagnosis, prevalences of low serum albumin and prealbumin levels were 7.4% and 54%, respectively. Cases with malnutrition had significantly lower survival rates.
Conclusions
Nutritional status is assessed best by MUAC and TSFT measurements. Serum prealbumin levels can be used to identify patients at risk of undernutrition. Presence of malnutrition is a significant poor prognostic factor. All children with cancer should undergo nutritional evaluation and active nutritional support.</abstract><cop>United States</cop><pmid>33034161</pmid><doi>10.1002/pbc.28752</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2840-0308</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent albumin Anthropometry - methods Arm - pathology arm anthropometry Biomarkers - analysis Body Mass Index cancer Child Child, Preschool children Female Follow-Up Studies Humans Infant Infant, Newborn Male malnutrition Malnutrition - blood Malnutrition - diagnosis Malnutrition - etiology Neoplasms - complications Nutrition Assessment Nutritional Status prealbumin Prognosis |
| title | Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins |
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