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Children with Cancer: Measurements of Nutritional Status at Diagnosis
We reviewed anthropometric data from 133 consecutive children diagnosed with cancer at our institution over the past 2 years. Complete information was obtained in 127 cases. Using these data, body mass index (BMI) and weight for height (WT/HT), WT/HT percentile, WT/HT percent for median, weight for age (WT/AGE), WT/AGE percentile, WT/AGE percent of median, height for age (HT/AGE), HT/AGE percentile and HT/AGE percent of median, BMI and WT/HT z scores were calculated. The present study could be interpreted as demonstrating an overall malnutrition incidence ranging between 1% (WT/HT z score < –2.0) and 46% (WT/HT percentile < 50). Despite reports of malnutrition being more common in children with solid vs hematological malignancies, only in the 5- to 10-year age group was a significant difference between hematological malignancies and solid tumors demonstrated using WT/HT or BMI z scores. In summary, the definitions of malnutrition in children with cancer based on anthropometric measurements vary widely. WT/HT z score for ages 0 to 5 years and the BMI z score for ages 10 to 18 years are the preferred indices. For ages 5 to 10 years, either z score may be used. Presented in part at the 23rd Clinical Congress of the American Society of Parenteral and Enteral Nutrition in January 1999 in San Diego, California.
Nutrition in Clinical Practice, Vol. 15, No. 4,
185-188 (2000) This article has been cited by other articles:
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