Comparison of malnutrition and malnutrition screening tools in pediatric oncology patients: A cross-sectional study
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Science Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives: The aim of this study was to determine the prevalence of malnutrition, to compare nutritional evaluation tools, and to highlight the importance of nutritional status in pediatric oncology patients.& nbsp; Methods: This study evaluated the nutritional status, based on height, weight, and midupper arm circumfer-ence, of 170 patients ages 5 months to 18 years who were hospitalized at the Ege University Hospital Pediat-ric Oncology Clinic. The prevalence of malnutrition was determined using the malnutrition screening tools, STRONGkids (SK) and Pediatric Yorkhill Malnutrition Score (PYMS). Correlations, sensitivity, specificity, and the positive and negative predictive values between the screening tools were calculated.& nbsp; Results: In all, 68.2% of the patients were diagnosed with a solid tumor. According to SK, 59.4% had a moder-ate risk of malnutrition, and 40.6% had a high risk. According to PYMS, 30.6% of patients had a low to moder-ate risk of malnutrition, and 69.4% had a high risk of malnutrition. Minimal agreement was noted between SK and PYMS (Kappa value: 0.40 and 0.18, respectively). The sensitivity of PYMS was higher than that of SK (92.68 and 78.05, respectively). In total, 22.9% of the patients had a body mass index of <5%, and 21.2% had a midupper arm circumference of <5.& nbsp; Conclusions: The present findings show that, in general, pediatric oncology patients have a high risk of mal-nutrition. Although SK and PYMS do not differ significantly, PYMS has higher sensitivity for detecting malnu-trition. The nutritional status of pediatric oncology patients should be monitored using appropriate screening techniques throughout their treatment.& nbsp; (c) 2021 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Malnutrition, Pediatric oncology, Strong kids, Pediatric Yorkhill Malnutrition Score, Body-Mass Index, Hospitalized Children, Nutritional-Status, Taste Perception, Cancer, Risk, Chemotherapy, Score, Circumference, Management
Kaynak
Nutrition
WoS Q Değeri
Q2
Scopus Q Değeri
Cilt
86
