The validity of simple methods to detect poor nutritional status in paediatric oncology patients

Murphy, Alexia J., White, Melinda and Davies, Peter S. W. (2009) The validity of simple methods to detect poor nutritional status in paediatric oncology patients. British Journal of Nutrition, 101 9: 1388-1392. doi:10.1017/S0007114508076241

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Author Murphy, Alexia J.
White, Melinda
Davies, Peter S. W.
Title The validity of simple methods to detect poor nutritional status in paediatric oncology patients
Journal name British Journal of Nutrition   Check publisher's open access policy
ISSN 0007-1145
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1017/S0007114508076241
Open Access Status File (Publisher version)
Volume 101
Issue 9
Start page 1388
End page 1392
Total pages 5
Editor P. C. Calder
Place of publication United Kingdom
Publisher Cambridge University Press
Language eng
Subject 111403 Paediatrics
920411 Nutrition
C1
Abstract Poor nutritional status is a major concern for children being treated for an oncology condition. It is vital for optimal prognosis that nutritional concerns are recognised and treated promptly. The majority of oncology treatment centres only use simple methods to screen for poor nutritional status; however, it is unknown whether these simple methods accurately recognise poor nutritional status. We aimed to determine whether commonly used simple nutritional assessment variables could accurately identify poor nutritional status in children being treated for oncological conditions. This cross-sectional study measured height, weight, mid-upper arm circumference, triceps skinfold, albumin levels and body cell mass in forty children being treated for an oncological condition. To determine whether commonly used nutritional variables were suitable determinants, the variables were compared against the reference measure of body cell mass index (BCMI) Z-scores. Using the BCMI Z-score cut-off of − 1·65, 48 % of the study population were considered poorly nourished. Correlational analysis showed that there was no significant biological relationship between the BCMI Z-score and the simple parameters. When divided into two groups based on the nutritional status indicated by the BCMI Z-score, the independent t tests between the well-nourished and malnourished groups demonstrated that there was a significant difference in the BMI Z-score (P = 0·01) between the groups. No simple nutritional measures were found to accurately identify poor nutritional status in children being treated for oncological conditions.
Keyword Poor nutritional status
Oncology
Body Composition
Children
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Fri, 15 May 2009, 21:55:19 EST by Lisa Hennell on behalf of Paediatrics & Child Health - RBWH