Adherence to Oral Nutritional Support and Its Effect on Nutritional Status in Pediatric Oncology Patients.

Children with cancer frequently suffer from malnutrition caused by their disease and treatments. This study examines the rates of malnutrition, compliance with nutritional therapy, and its impact on nutritional status in pediatric cancer patients. This multicenter cross-sectional study was conducted...

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Publicado en:Nutrition & Cancer Vol. 78; no. 2; pp. 145 - 158
Autores principales: Kantar, Mehmet, Bıçaklı, Derya Hopancı, Özkan, Ayşe, İlhan, İnci, Taçyıldız, Nurdan, Kebudi, Rejin, Eker, Nurşah, Siviş, Zuhal, Demirsoy, Uğur, Beker, Bahar, Yeşil, Şule, Varan, Ali, Demirağ, Bengü, Bayram, İbrahim, Özyörük, Derya, Ataseven, Eda, İncesoy, Sonay, Büyükkapu, Sema, Tufan, Burcu, Kızmazoğlu, Deniz
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
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        10.1080/01635581.2025.2584473
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        atl: Adherence to Oral Nutritional Support and Its Effect on Nutritional Status in Pediatric Oncology Patients.
      aug:
        au:
          Kantar, Mehmet
          Bıçaklı, Derya Hopancı
          Özkan, Ayşe
          İlhan, İnci
          Taçyıldız, Nurdan
          Kebudi, Rejin
          Eker, Nurşah
          Siviş, Zuhal
          Demirsoy, Uğur
          Beker, Bahar
          Yeşil, Şule
          Varan, Ali
          Demirağ, Bengü
          Bayram, İbrahim
          Özyörük, Derya
          Ataseven, Eda
          İncesoy, Sonay
          Büyükkapu, Sema
          Tufan, Burcu
          Kızmazoğlu, Deniz
        affil: Ege University, School of Medicine, Division of Pediatric Oncology, Bornova, İzmir, Turkey
      sug:
        subj:
          Patient Compliance Evaluation
          Dietary Supplementation
          Nutritional Status
          Cancer Patients
          Childhood Neoplasms
          Malnutrition Risk Factors
          Risk Assessment
          Nutritional Assessment
          Malnutrition Epidemiology
          Funding Source
          Turkiye
          Human
          Male
          Female
          Infant
          Child, Preschool
          Child
          Adolescence
          Multicenter Studies
          Cross Sectional Studies
          Leukemia
          Lymphoma
          Anthropometry
          Arm Circumference
          Body Mass Index
          Sarcoma
          Central Nervous System Neoplasms
          Comparative Studies
          Prevalence
          Power Analysis
          Confidence Intervals
          Clinical Assessment Tools
          Questionnaires
          Quality of Life
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          Fisher's Exact Test
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Unpaired T-Tests
          One-Way Analysis of Variance
          Wilcoxon Rank Sum Test
          Friedman Test
          Repeated Measures
          Post Hoc Analysis
          McNemar's Test
          Prospective Studies
          Anorexia
          Severity of Illness
          Appetite
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Children with cancer frequently suffer from malnutrition caused by their disease and treatments. This study examines the rates of malnutrition, compliance with nutritional therapy, and its impact on nutritional status in pediatric cancer patients. This multicenter cross-sectional study was conducted between 2021 and 2023 at 12 pediatric hematology and oncology clinics. This study included 385 patients (aged 0.3–18 years) with leukemia–lymphoma and solid tumors that are currently on or had newly started oral nutritional supplement (ONS) treatment. Anthropometric measurements, mid-upper-arm-circumference (MUAC), body mass index (BMI), weight-for-age (WFA), were collected, and malnutrition risk was evaluated by the nutrition screening tool for childhood cancer (SCAN). Baseline WFA-based malnutrition was 31.0%, increasing to 38.5%, while SCAN≥3 was 83.8% decreasing to 72.4% at the sixth month. Malnutrition risk was more common in sarcoma and central nervous system tumor patients. ONS adherence decreased across all cancer types during the follow-up period. Adherent patients demonstrated higher BMI scores during the study period and MUAC z-scores in the last 2 months compared to the non-adherent group (P < 0.04). Our study demonstrates that the use of validated nutrition screening tools, together with adherence strategies, can lead to increased weight-for-age and lower malnutrition risk screening scores.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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