MALNUTRITION AT DIAGNOSIS OF MALIGNANCY IN CHILDHOOD - COMMON BUT MOSTLY MISSED

被引:88
作者
SMITH, DE
STEVENS, MCG
BOOTH, IW
机构
[1] CHILDRENS HOSP, DEPT ONCOL, BIRMINGHAM B16 8ET, ENGLAND
[2] UNIV BIRMINGHAM, INST CHILD HLTH, BIRMINGHAM B15 2TT, W MIDLANDS, ENGLAND
关键词
NUTRITIONAL STATUS; PEDIATRIC ONCOLOGY; ANTHROPOMETRY;
D O I
10.1007/BF01955930
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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 < 0.001) and 23% had TSFT more than 2 SD below the mean (P < 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).
引用
收藏
页码:318 / 322
页数:5
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