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癌症患儿营养状况评估:叙事性综述。

Assessment of nutritional status in children with cancer: A narrative review.

机构信息

Instituto de Tratamento do Câncer Infantil (ITACI), Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.

Pediatric Hematology Oncology Unit, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Pediatr Blood Cancer. 2020 Jun;67 Suppl 3:e28211. doi: 10.1002/pbc.28211. Epub 2020 Feb 25.

Abstract

A child's appropriate development stems in large part from proper nutrition. Malnutrition is an adverse prognostic factor in children with cancer, and its prevalence is highly variable. Currently, there is no standardized definition and assessment method of nutritional status in pediatric oncology. A complete nutritional assessment includes anthropometry, biochemical, clinical, and dietary assessments. In this article, we explore these methods and suggest practical approaches for pediatric cancer units depending on the levels of care that these can provide. We also advise on the monitoring and follow-up of children with cancer during and after treatment, and discuss potential areas for future research.

摘要

儿童的正常发育在很大程度上源于适当的营养。营养不良是癌症患儿的一个不利预后因素,其发病率差异很大。目前,儿科肿瘤学中尚没有营养状况的标准化定义和评估方法。完整的营养评估包括人体测量学、生物化学、临床和饮食评估。本文探讨了这些方法,并根据这些方法所能提供的护理水平,为儿科肿瘤单位提供了实用的方法。我们还就治疗期间和治疗后的癌症患儿的监测和随访提出了建议,并讨论了未来研究的潜在领域。

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