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KMID : 0816119990020020204
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Korean Journal of Pediatric Gastroenterolology and Nutrition
1999 Volume.2 No. 2 p.204 ~ p.210
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Nutritional Assessment and Dietary Management during Anti-Cancer Chemotherapy in Pediatric Oncology Patients
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Jang Se-Ri
Lee Young-Ho
Kim Hee-Sun
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Abstract
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Purpose : We assessed the nutritional status and the alterations of oral diets during
anti-cancer chemotherapy in pediatric oncology patients.
Methods : Twenty children with malignancy were evaluated from day 0 until day 21
of post-chemotherapy. Nutritional status was assessed by body weight and biochemical
parameters. The amount and calories of oral diets were assessed and food preference
before and during chemotherapy were analysed by questionnelle.
Results : 1) The underlying diseases of 20 patients were 11 acute lymphoblastic
lekemia, 2 non-Hodgkin’s lymphoma, 2 Langerhans cell histiocytosis, 2 Wilm’s tumor, 2
brain tumor, 1 rhabdomyosarcoma. 2) There were weight loss during chemotherapy in 8
patients (40.0%), weigh gain in 5 patients (25.0%), and no significant changes in 7
patients (35.0%). 3) Biochemical parameters showed no significant interval changes
during chemotherapy except elevation of serum ALT level. 4) The daily caloric intakes
of oral diets during chemotherapy were 310∼600 ㎉ which was much lower than
average of daily recommended calory for Korean children. 5) The most favorate food
was altered by chemotherapy, from meats to carbonated beverages and unfavorate food
was not altered as vegetables.
Conclusion : The periodic assessment of nutritional status and dietary supplements
according to preferred foods of patients will be required for the optimal nutrition care in
cancer patients.
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KEYWORD
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Nutrition, Diet, Pediatric malignancy, Anti-cancer chemotherapy,
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