Short Communication - Insights in Nutrition and Metabolism (2021) Volume 5, Issue 4
Special nutritional needs of children with malignancies
Marwa A Bebars
Dubai Health Authority, UAE
Malnutrition is an unspecific term used to define an inadequate nutritional condition. It is characterized by either a deficiency or an excess of energy with measurable adverse effects on clinical outcome. Malnutrition describes the consequences of insufficient pr otein-energy in take.
Malnutrition is an unspecific term used to define an inadequate nutritional condition. It is characterized by either a deficiency or an excess of energy with measurable adverse effects on clinical outcome. Malnutrition describes the consequences of insufficient pr protein-energy in take.An adequate proteinenergy balance is a prerequisite for age-appropriate growth and maintenance. Malnutrition also comprises circumstances of elevated energy supply resulting in over nutrition with an increase in adipose tissue. Even though malnutrition has been defined or described in many ways, no consensus exists regarding a specific definition t o i identify c children at risk. The WHO re commends the weight-for-height index to assess the nutritional status of children and adolescents. However, it is proposed that a loss in body weight of 5% constitutes acute malnutrition and a height-for-age value below the 5th percentile may reflect chronic undernourishment in children. Ironically, many children suffering from cancer do not meet these criteria. Particularly those with large solid abdominal masses (e.g. embryonic neoplasms such as neuroblastoma,hepatoblastoma, or Wilmstumor) may present with normal weight despite severe malnutrition. Nutritional depletion may furthermore be masked in children by edema due to corticosteroid treatment. Even if no gold standard definition for undernourishment in children exists, concise definitions a re needed f or t he institution o f preventive policies. We provide a critical review of the current state of research and knowledge related to the nutritional management in childhood cancer.
Marwa A Bebars has completed her Masters degree in Pediatrics from Zagazing University and Post-doctoral studies in Pediatric Oncology from Cairo University School of Medicine. She is a Member of Royal College of Pediatric and Child Health. She is currently working as a Senior Specialist in Dubai Hospital Tertiary Reffral Hospital and also published more 15 papers in requted.