Publicação: Estado nutricional e déficit de crescimento em crianças e adolescentes com câncer em diferentes momentos do tratamento
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Background and objectives: Malnutrition is common in children and adolescents undergoing cancer treatment and can contribute to a worse prognosis. Despite this concern, there are few studies investigating the impact of the cancer treatment at different moments on nutritional status. So, the aim of this study was to evaluate the association of moments on nutritional status in children and adolescents with cancer. Methods: a retrospective study was performed from January 2013 to December 2015, including data from all clinical records of children and adolescents with cancer under 18 years old undergoing oncology treatment in a public university hospital of tertiary level, that is a regional reference for cancer treatment. Clinical, nutritional support and anthropometric data were collected in four moments of treatment: diagnosis (T0), 3 months (T1), 6 months (T2) and 1 year (T3) after cancer diagnosis. In addition, nutritional indicators were also evaluated. Generalized Estimating Equation models were performed to determine the association of moments of treatment on nutritional status. Results: The sample was composed of 73 patients included in this study, of 73 patients, 54.8%(40) were male. The frequency of malnutrition was high at all times ranged from 13.0%(7) to 18.6%(11) and all indicators decreased in T1, modest recovery in T2 and recovered more strongly in T3 (p <0.001). Growth was also impacted during treatment in patients 0 to 5 years old and over 10 years, being an important impairment for proper development. The greatest impact was in patients under 2 years in the first three months of treatment. Conclusions: The moment was associated with decreased percentiles in development indicators, especially at T1 and T2. Despite the weight recovery in T3, there were still deficits in growth.
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Malnutrition, Nutritional status, Neoplasms, Growth, Child
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ALVES, Débora Santana; ASSUNÇÃO, Dayane Tonaco; SILVA, Nayara Cristina da; OLIVEIRA, Cássia Maria; AMARAL, Anna Beatriz Costa Neves do. Estado nutricional e déficit de crescimento em crianças e adolescentes com câncer em diferentes momentos do tratamento. 2020. 21 f. Trabalho de Conclusão de Residência (Residência em Atenção em Saúde da Criança) - Universidade Federal de Uberlândia, Uberlândia, 2020.
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