Children with brain tumors: a study of nutritional status on hospital admission
DOI:
https://doi.org/10.5433/1679-0367.2021v42n1p51Palabras clave:
Brain tumors, Pediatrics, Nutritional statusResumen
Objective: to assess the nutritional status of children with brain tumors on hospital admission and to verify whether the nutritional status varies according to the type of tumor. Methods: anthropometric data of 30 children between 2 and 10 years old, of both sexes, with brain tumors and admitted to a hospital in the city of São Paulo, Brazil, were evaluated. Secondary data collection allowed to assess and classify the Z-scores of the body mass index, percentage of adequacy of the triceptal skinfold and the arm muscle circumference, carried out between the years 2004 and 2011. Results: The frequencies of brain tumors were: 33.3% astrocytic, 40% embryonal, 10% of the seal region and 16.6% ependimals. The median age and body mass index Z scores were 5.5 years (4.0 and 7.0) and 0.66 SD (- 1.41 and 0.87), respectively. The median percentage of adequacy of arm muscle circumference was 98% (88.9 and 103.2) and the triceptal skinfold was 83.2% (57.0 and 106.6). As for nutritional status, 21 (70%) of the children were eutrophic; 7 (23.3%) overweight and 2 (6.7%) with malnutrition/wasting showing no significant difference between groups of brain tumors (p = 0.721). The percentages of adequacy of the triceptal skinfold and of the arm muscle circumference also showed no significant difference between the different types of brain tumors (p = 0.865 and p = 0.860, respectively). Conclusion: at the time of hospital admission, the children were in good nutritional status, regardless of the type of brain tumor.
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American Cancer Society. Cancer facts & figures 2017. [Internet]. Atlanta: American Cancer Society; 2017 [cited 2018 july 24]. Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2017/cancer-facts-and-figures-2017.pdf
Barr R, Collins L, Nayiager T, Doring N, Kennedy C, Halton J, et al. nutritional status at diagnosis in children with cancer. 2: An Assessment by Arm Anthropometry. J Pediatr Hematol Oncol [Internet]. 2011 [cited 2018 feb 24]; 33(3):101-4. Available from: https://pubmed.ncbi.nlm.nih.gov/21368675/. doi: 10.1097/MPH.0b013e3182002a65.
Bauer J, Jürgens H, Frühald MC. Important aspects of nutrition in children with cancer. Adv Nutr [Internet]. 2011 [cited 2018 apr 24]; 2(2): 67-77. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065754/. doi: 10.3945/an.110.000141.
Blackburn GL, Thornton PA. Nutritional assessment of the hospitalized patient. Med. Clin. North Am. 1979;14:1102-8.
Bozzetti F, Arends J, Lundholm K, Micklewright A, Zurcher G, Muscaritoli M. ESPEN Guidelines on Parenteral Nutrition: Non-surgical oncology. Clin Nutr [Internet]. 2009 [cited 2019 feb 24]; 28(4):445-54. Available from: https://pubmed.ncbi.nlm.nih.gov/19477052/. doi: 10.1016/j.clnu.2009.04.011.
Brinksma A, Huizinga G, Sulkers E, Kamps W, Roodbol P, Tissing W. Malnutrition in childhood cancer patients: a review on its prevalence and possible causes. Crit Rev Oncol Hematol [Internet]. 2012 [cited 2018 apr 24];83(2):249-75. Available from: https://europepmc.org/article/med/22264939. doi: 10.1016/j.critrevonc.2011.12.003.
Brinksma A, Huizinga G, Sulkers E, Kamps W, Roodbol P, Tissing W. Malnutrition in childhood cancer patients: a review on its prevalence and possible causes. Crit Rev Oncol Hematol [Internet]. 2012 [cited 2019 feb 4];83(2): 249-75. Available from: https://pubmed.ncbi.nlm.nih.gov/22264939/. DOI: 10.1016/j.critrevonc.2011.12.003.
Collins L, Nayiager T, Doring N, Kennedy C, Webber C, Halton J, et al. Nutritional status at diagnosis in children with cancer I. An assessment by dietary recall--compared with body mass index and body composition measured by dual energy X-ray absorptiometry. J Pediatr Hematol Oncol [Internet]. 2010 [cited 2018 feb 24];32(8):e299-e303. Available from: https://pubmed.ncbi.nlm.nih.gov/20962676/. doi: 10.1097/MPH.0b013e3181e9e43c.
Frisancho AR. Anthropometric Standards for the assessment of growth and nutritional status. Ann Arbor: The University of Michigan Press; 1993.
Frisancho, A. R. Triceps skin fold and upper arm muscle size norms for assessment of nutrition status. Am. J. Clin. Nutr [Internet]. 1974 [cited 2018 aug 2];27(10):1052-8. Available from: https://pubmed.ncbi.nlm.nih.gov/4419774/. doi: 10.1093/ajcn/27.8.1052.
Garófolo A, Caran EM, Silva NS, Lopez FA. Prevalência de desnutrição em crianças com tumores sólidos. Rev Nutr [Internet]. 2005 [citado 2018 feb 24];18(2):193-200. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732005000200003&lng=pt. doi: 10.1590/S1415-52732005000200003.
Garófolo A. Diretrizes para terapia nutricional em crianças com câncer em situação crítica. Rev Nutr [Internet]. 2005 [citado 2018 set 19]; 18(4): 513-27. Disponível em: https://www.researchgate.net/publication/250040872_Diretrizes_para_terapia_nutricional_em_criancas_com_cancer_em_situacao_critica. doi: 10.1590/S1415-52732005000400007.
Grant M, Kravits K. Symptoms and their impact on nutrition. Semin Oncol Nurs [Internet]. 2000 [cited 2018 sep 19]; 16(2):113-21. Available from: https://pubmed.ncbi.nlm.nih.gov/10842780/ doi: 10.1053/on.2000.5738
Huhmann MB, August DA. Review of American society for parenteral and enteral nutrition (A.S.P.E.N.) clinical guidelines for nutrition support in cancer patients: nutrition screening and assessment. Nutr Clin Pract [Internet]. 2008 [cited 2015 feb 24]; 23(2): 182-8. Available from: https://pubmed.ncbi.nlm.nih.gov/18390787/. DOI: 10.1177/0884533608314530
Instituto Nacional de Câncer. Consenso Nacional de Nutrição Oncológica [Internet]. 2a ed. Rio de Janeiro: INCA; 2016 [citado 2020 jun 26]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//consenso-nutricao-oncologica-vol-ii-2-ed-2016.pdf
Instituto Nacional de Câncer. Consenso Nacional de Nutrição Oncologica. [Internet]. Rio de Janeiro: INCA; 2009 [citado 2019 fev 11]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/consenso_nacional_nutricao_oncologico.pdf
Instituto Nacional de Câncer. Consenso nacional de nutrição oncológica: paciente pediátrico oncológico [Internet]. Rio de Janeiro: INCA; 2014. [citado 2019 ago 2]. Disponível em: http://www1.inca.gov.br/inca/Arquivos/comunicacao/Consenso_de_Nutricao_Oncologica_Pediatria_PDF_final.pdf
Instituto Nacional de Câncer. Estimativa 2014: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA; 2019 [citado 2020 jun 15]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Kaatsch P. Epidemiology of childhood cancer. Cancer Treat Rev [Internet]. 2010 [cited 2018 mar 3];36 (4):277-85. Available from: https://www.researchgate.net/publication/41968708_Kaatsch_PEpidemiology_of_childhood_cancer_Cancer_Treat_Rev_36_277-285. doi: 10.1016/j.ctrv.2010.02.003.
Knab B, Connell PP. Radiotherapy for pediatric brain tumors: when and how. Expert Rev Anticancer Ther [Internet]. 2007 [cited 2019 febr 16];7 (12 Suppl):S69-S77. Available from: https://www.tandfonline.com/.doi/abs/10.1586/14737140.7.12s.S69
Lobato-Mendizábal E, López-Martínez B, Ruiz-Argüelles Gj. A critical review of the prognostic value of the nutritional status at diagnosis in the outcome of therapy of children with acute lymphoblastic leukemia. Rev Investig Clin [Internet]. 2003 [cited 2019 mar 4]; 31-5. Available from: http://www.pubfacts.com/detail/12708161/A-critical-review-of-the-prognostic-value-of-the-nutritional-status-at-diagnosis-in-the-outcome-of-t
Loeffen EAH, Brinksma A, Miedema KGE, Bock GH, Tissing WJE. Clinical implications of malnutrition in childhood cancer patients--infections and mortality. Support Care Cancer 2015;23(1):143-50. doi: 10.1007/s00520-014-2350-9.
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, et al. The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol [Internet]. 2007 [cited 2018 febr 16];114(2):97-109. Available from: https://pubmed.ncbi.nlm.nih.gov/17618441/ doi: 10.1007/s00401-007-0243-4.
Maia PS, Tsutsumi RC, Pedro BMO, Garófolo A, Petrilli AS, Lopez FA. Nutritional supplementation in pediatric patients with cancer. Rev Soc Bras Aliment Nutr [Internet]. 2010 [cited 2019 feb 24]; 35(1). Available from: https://pdfs.semanticscholar.org/cc83/d73f64cd4491e4546046f1c32a7fb5aad91b.pdf
Onis M, Onyango AW, Borghi E, Siyam A, Chizuru N, Jonathan S. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ [Internet]. 2007 [cited 2018 apr 13];85(9):660-7. Available from: http://www.who.int/growthref/growthref_who_bull.pdf?ua=1. doi: 10.2471/BLT.07.043497
Sala A, Rossi E, Antillon F, Molina, AL, Maselli T, Bonilla M, et al. Nutritional status at diagnosis is related to clinical outcomes in children and adolescents with cancer: a perspective from Central America. Eur J Cancer [Internet]. 2012 [cited 2019 mar 4];48(2):243-52. Available from: https://pubmed.ncbi.nlm.nih.gov/21737253/. doi: 10.1016/j.ejca.2011.06.006
Tazi I, Hidane Z, Zafad S, Harif M, Benchekroun S, Ribeiro R. Nutritional status at diagnosis of children with malignancies in Casablanca. Pediatr Blood Cancer [Internet]. 2008 [cited 2018 feb 24];51(4):495-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4684256/. doi: 10.1002/pbc.21689.
World Health Organization. Application tools. [Internet]. Geneva: World Health Organization; 2006 [cited 2018 mar 3]. Available from: http://www.who.int/growthref/tools/en/
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