POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA

Objective: In this study, we aimed to investigate the nutritional status after treatment in pediatric patients who have completed treatment with the diagnosis of acute lymphoblastic leukemia. Methodology: We analyzed the data obtained by evaluating patients’ answers to the questionnaire consisting o...

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Autores principales:	Akbar Akbarov, Aylin Canbolat Ayhan, Hamdi Emeksiz, Fahri Ovalı
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Diseases of the blood and blood-forming organs RC633-647.5
Acceso en línea:	https://doaj.org/article/75a809208c8745a9ab487d220c62bfcc
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spelling	oai:doaj.org-article:75a809208c8745a9ab487d220c62bfcc2021-11-10T04:33:26ZPOST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA2531-137910.1016/j.htct.2021.10.991https://doaj.org/article/75a809208c8745a9ab487d220c62bfcc2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S253113792101138Xhttps://doaj.org/toc/2531-1379Objective: In this study, we aimed to investigate the nutritional status after treatment in pediatric patients who have completed treatment with the diagnosis of acute lymphoblastic leukemia. Methodology: We analyzed the data obtained by evaluating patients’ answers to the questionnaire consisting of questions containing a Likert scale, laboratory tests, and anthropometric measures. Results: Forty-one patients (22 male, 19 female) aged between four and 19 years with a mean age of 11.98 ±3.74 years were included. Mean body mass index (BMI) was 66.31±33.06 percentile, mean bone age was12.16±3.99 years. In 40 patients under the age of 19 years, one patient (2.5%) was underweight, 23 patients (57.5%) were normal, six patients (15%) were overweight, six patients were (15%) obese, four patients (10%) were extremely obese. There was no statistically significant difference between the genders in terms of BMI (p:0.828). Of the 41 patients, 73.2% stated that their eating habits changed negatively after the treatment was completed, 2.4% used nutritional supplements, 4.9% used herbal medicine. 17.1% of the patients consumed two meals/day a day, 70.7% three meals/day, 7.3% meals/day, 4.9% 4≤ meals/day; 34.1% were fed mostly with carbohydrates, 7.3% mostly with protein, 17.1% with mostly fat-containing food, 4.9% with mostly processed food and 36.6% were fed with a balanced diet. In their daily diets, 51.2% of the patients consumed processed food, and 48.8% did not consume any processed food. Of the patients, 80.5% were not involved in any kind of sports activity. 14.6% of patients stated that they spend > 5 hours/day, 12.2% 3-5 hours/day, 70.7% 1-3 hours/day, and 2.4% < one hour/day in front of a screen. In 73.2% of patients’ vitamin D level was <12 ng/mL and in 26.8% between 12 and 20, ng/mL. In 19.5% vitamin B12 level was < 200 pg/mL. Selenium deficiency was detected in 12.2%, zinc deficiency in 29.3%, vitamin C deficiency in 12.2%. Conclusion: Nutritional disturbances are not uncommon in survivors of pediatric acute lymphoblastic leukemia. It is important to closely monitor and raise awareness of these children in terms of unbalanced nutrition, inactivity, and the development of a tendency to gain weight.Akbar AkbarovAylin Canbolat AyhanHamdi EmeksizFahri OvalıElsevierarticleDiseases of the blood and blood-forming organsRC633-647.5ENHematology, Transfusion and Cell Therapy, Vol 43, Iss , Pp S24-S25 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the blood and blood-forming organs RC633-647.5
spellingShingle	Diseases of the blood and blood-forming organs RC633-647.5 Akbar Akbarov Aylin Canbolat Ayhan Hamdi Emeksiz Fahri Ovalı POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
description	Objective: In this study, we aimed to investigate the nutritional status after treatment in pediatric patients who have completed treatment with the diagnosis of acute lymphoblastic leukemia. Methodology: We analyzed the data obtained by evaluating patients’ answers to the questionnaire consisting of questions containing a Likert scale, laboratory tests, and anthropometric measures. Results: Forty-one patients (22 male, 19 female) aged between four and 19 years with a mean age of 11.98 ±3.74 years were included. Mean body mass index (BMI) was 66.31±33.06 percentile, mean bone age was12.16±3.99 years. In 40 patients under the age of 19 years, one patient (2.5%) was underweight, 23 patients (57.5%) were normal, six patients (15%) were overweight, six patients were (15%) obese, four patients (10%) were extremely obese. There was no statistically significant difference between the genders in terms of BMI (p:0.828). Of the 41 patients, 73.2% stated that their eating habits changed negatively after the treatment was completed, 2.4% used nutritional supplements, 4.9% used herbal medicine. 17.1% of the patients consumed two meals/day a day, 70.7% three meals/day, 7.3% meals/day, 4.9% 4≤ meals/day; 34.1% were fed mostly with carbohydrates, 7.3% mostly with protein, 17.1% with mostly fat-containing food, 4.9% with mostly processed food and 36.6% were fed with a balanced diet. In their daily diets, 51.2% of the patients consumed processed food, and 48.8% did not consume any processed food. Of the patients, 80.5% were not involved in any kind of sports activity. 14.6% of patients stated that they spend > 5 hours/day, 12.2% 3-5 hours/day, 70.7% 1-3 hours/day, and 2.4% < one hour/day in front of a screen. In 73.2% of patients’ vitamin D level was <12 ng/mL and in 26.8% between 12 and 20, ng/mL. In 19.5% vitamin B12 level was < 200 pg/mL. Selenium deficiency was detected in 12.2%, zinc deficiency in 29.3%, vitamin C deficiency in 12.2%. Conclusion: Nutritional disturbances are not uncommon in survivors of pediatric acute lymphoblastic leukemia. It is important to closely monitor and raise awareness of these children in terms of unbalanced nutrition, inactivity, and the development of a tendency to gain weight.
format	article
author	Akbar Akbarov Aylin Canbolat Ayhan Hamdi Emeksiz Fahri Ovalı
author_facet	Akbar Akbarov Aylin Canbolat Ayhan Hamdi Emeksiz Fahri Ovalı
author_sort	Akbar Akbarov
title	POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
title_short	POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
title_full	POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
title_fullStr	POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
title_full_unstemmed	POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
title_sort	post-treatment nutritional status of children with acute lymphoblastic leukemia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/75a809208c8745a9ab487d220c62bfcc
work_keys_str_mv	AT akbarakbarov posttreatmentnutritionalstatusofchildrenwithacutelymphoblasticleukemia AT aylincanbolatayhan posttreatmentnutritionalstatusofchildrenwithacutelymphoblasticleukemia AT hamdiemeksiz posttreatmentnutritionalstatusofchildrenwithacutelymphoblasticleukemia AT fahriovalı posttreatmentnutritionalstatusofchildrenwithacutelymphoblasticleukemia
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POST-TREATMENT NUTRITIONAL STATUS OF CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA

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