Study of Malnutrition in Children with Malignancies in Northern Garhwal Region

Authors

  • Ankita Giri
  • Tanvi
  • Ayesha Imran
  • Minakshi Singh

DOI:

https://doi.org/10.37506/jatn5f25

Keywords:

malnutrition, anthropometric parameters.

Abstract

 Background: Children with cancer are particularly vulnerable to malnutrition. Adequate nutrition plays a 
decisive role on treatment response, quality of life, and cost of care. This study aims to find out the prevalence of 
malnutrition in pediatric cancer patients and assess its grade and severity. 
Methods: 89 patients included in this observational hospital based study. Nutritional status was assessed at 
the time of diagnosis then at 3rd and 6th month by different Anthropometric parameters.P < 0.05 was taken as 
significant.
 Conclusion: Out of 89 patients, 3 died. According to IAP classification prevalence of malnutrition when weight 
for age taken as criteria, 22.1% lies in grade I and 16.3% lies in grade II at admission , total 38.4% malnourished at 
admission.
 According to WHO 19.8% were moderately wasted at admission and 5.8% were severely wasted. When BMI taken 
as criteria, 15.1% falls under thinness and 16.3% falls under severe thinness, only 1.2% were obese. After post 
hoc analysis, there was significant difference between BMI of patients at admission versus 6months and also at 
3 months versus 6 months. Prevalence as per WHO criteria at admission 25.6% decreased to 16.3% at six months. 

Author Biographies

  • Ankita Giri

    Assistant Professor, Department of Pediatrics; Government Doon Medical College, Dehradun, 
    Uttarakhand, India

  • Tanvi

    Assistant Professor, Department of Pediatrics; Government Doon Medical College, Dehradun, 
    Uttarakhand, India,

  • Ayesha Imran

    Assistant Professor, Department of Pediatrics; Government Doon Medical College, Dehradun, 
    Uttarakhand, India,

  • Minakshi Singh

    Assistant Professor, Department of Obstetrics & Gynaecology; Government Doon 
    Medical College, Dehradun, Uttarakhand, India

References

Chukwu BF, Ezenwosu OU, Ukoha OM, Ikefuna

AN, Emodi IJ. Nutritional status of children with

cancer at the university of Nigeria teaching hospital,

Ituku/Ozalla, Enugu, Nigeria. J Cancer PrevCurr Res.

;5(4):00167.

Alessandra S. Children, cancer, and nutrition: a

dynamic triangle. ReviewCancer. 2004;100:677-87.

Bosaeus I, Daneryd P, Svanberg E, Lundholm K.

Dietary intake and resting energy expenditure

in relation to weight loss in unselected cancer

patients. International journal of cancer. 2001 Aug

;93(3):380-3.

Han-Markey T. Nutritional considerations in pediatric

oncology. InSeminars in oncology nursing 2000 May 1

(Vol. 16, No. 2, pp. 146-151). WB Saunders.

Van Eys J. Malnutrition in children with cancer:

incidence and consequence. Cancer. 1979 May;43(5

Suppl):2030-5.

Bauer J, Jürgens H, Frühwald MC. Important aspects

of nutrition in children with cancer. Advances in

Nutrition: An International Review Journal. 2011 Mar

;2(2):67-77.

Baggott CR, Dodd M, Kennedy C, Marina N, Matthay

KK, Cooper B, Miaskowski C. An evaluation of the

factors that affect the health-related quality of life of

children following myelosuppressive chemotherapy.

Supportive Care in Cancer. 2011 Mar 1;19(3):353-61.

de Araújo LL, Barbosa JM, Ribeiro AG, dos Santos

AO, Pedrosa F. Nutritional status, dietary intake and

serum levels of vitamin C upon diagnosis of cancer

in children and adolescents. Nutricionhospitalaria.

;27(2):496-503.

Jussawalla DJ, Haenszel W, Deshpande VA, Natekar

MV. Cancer incidence in greater Bombay: assessment

of the cancer risk by age. British journal of cancer. 1968

Dec;22(4):623.

Lemos PD, Oliveira FL, Caran EM. Nutritional status of

solid children and adolescents at diagnosis of hematological

and malignancies. Revistabrasileira de

hematologia e hemoterapia. 2014 Dec;36(6):420-3.

Antillon F, Rossi E, Molina AL, Sala A, Pencharz P,

Valsecchi MG, Barr R. Nutritional status of children

during treatment for acute lymphoblastic leukemia in

Guatemala. Pediatric blood& cancer. 2013 Jun;60(6):911

Pribnow AK, Ortiz R, Báez LF, Mendieta L, Luna

Fineman S. Effects of malnutrition on treatment

related morbidity and survival of children with cancer

in Nicaragua. Pediatric blood & cancer. 2017 Nov;

(11):e26590

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Published

2024-04-05

How to Cite

Study of Malnutrition in Children with Malignancies in Northern Garhwal Region. (2024). Indian Journal of Public Health Research & Development, 15(2), 14-19. https://doi.org/10.37506/jatn5f25