Nutritional support strategies in pediatric cancer patients in Mexico

Authors

  • Edna Astrid Nuño-Iñiguez <p>Hospital Civil de Guadalajara &ldquo;Dr. Juan I. Menchaca&rdquo;, Servicio de Hematolog&iacute;a/Oncolog&iacute;a Pedi&aacute;trica. Guadalajara, Jalisco</p>
  • Katja Stein <p>Universidad de Guadalajara, Instituto de Nutrici&oacute;n Humana, Centro Universitario de Ciencias de la Salud. Guadalajara, Jalisco</p>
  • Miriam Raquel Caselin-García <p>Hospital Civil de Guadalajara &ldquo;Dr. Juan I. Menchaca&rdquo;, Servicio de Hematolog&iacute;a/Oncolog&iacute;a Pedi&aacute;trica. Guadalajara, Jalisco</p>
  • Enrique Romero-Velarde <p>Universidad de Guadalajara, Instituto de Nutrici&oacute;n Humana, Centro Universitario de Ciencias de la Salud. Guadalajara, Jalisco</p>
  • Claudia Paola Medina-Jiménez <p>Hospital Civil de Guadalajara &ldquo;Dr. Juan I. Menchaca&rdquo;, Servicio de Hematolog&iacute;a/Oncolog&iacute;a Pedi&aacute;trica. Guadalajara, Jalisco</p>
  • Rogelio Troyo-Sanromán <p>Universidad de Guadalajara, Instituto de Nutrici&oacute;n Humana, Centro Universitario de Ciencias de la Salud. Guadalajara, Jalisco</p>
  • Fernando A Sánchez-Zubieta <p>Hospital Civil de Guadalajara &ldquo;Dr. Juan I. Menchaca&rdquo;, Servicio de Hematolog&iacute;a/Oncolog&iacute;a Pedi&aacute;trica. Guadalajara, Jalisco</p>

Keywords:

Food Service, Hospital, Energy Intake, Malnutrition, Patient Satisfaction

Abstract

Background: Meeting the nutritional needs of pediatric patients on oncology services in low budget public hospitals of Mexico is a continuous challenge, due to its financial resources.

Objective: To evaluate the effectiveness of a nutritional strategy for children and adolescents with cancer in a public hospital of Mexico, based on a complacency diet.

Methods: Across-sectional study included 58 children and adolescents (1-18 years old). An assessment of nutritional status was applied and a dietary diary was elaborated for 24 hours with the double weight method.

Results: 43 patients (74.4%) had an adequate nutritional status. The average energy intake was 72.8% and average protein intake 168.3% of the requirements. The hospital meals accounted for 67.5% of the energy intake, 28.5% resulted from snacks and 3.9% from oral nutritional supplements or polymeric smoothies.

Conclusion: The nutritional strategy based on offering a menu at the request supported by smoothies or oral nutritional supplements and the permission to introduce snacks to the hospital offers convenience and flexibility for meal times and favors the energy intake in hospitalized pediatric oncology patients.

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Author Biography

  • Edna Astrid Nuño-Iñiguez, <p>Hospital Civil de Guadalajara &ldquo;Dr. Juan I. Menchaca&rdquo;, Servicio de Hematolog&iacute;a/Oncolog&iacute;a Pedi&aacute;trica. Guadalajara, Jalisco</p>

    HOSPITAL CIVIL DE GUADALAJARA “DR. JUAN I. MENCHACA”

    Agosto 2013- Julio 2014 Pasante en la Unidad de Nutrición del servicio de Hemato-/Oncologíapediátrica.

    1. Atención integral intrahospitalaria al paciente pediátrico con cáncer, evaluación del estado nutricio, soporte nutricio enteral y parenteral; asesoría en alimentación vía oral y consulta externa a pacientes oncológicos

    CENTRO UNIVERSITARIO DE CIENCIAS EXACTAS E INGENIERIAS.

    Enero 2013- Junio 2013 Practicante del Laboratorio de Microbiología Sanitaria Unidad de Vinculación.

    1. Determinación de grupos indicadores de interés, Utilización del sistema de identificación API, Retos Microbianos, Reactivación de cepas, Preparación y esterilización de medios de cultivo, uso del potenciómetro, autoclave, stomacher e incubadoras.

    CONSULTA Y ASESORIA NUTRICIONAL EN EL TRATAMIENTO PARA EL CONTROL DE PESO Y DIVERSAS PATOLOGÍAS

    2012- Actual

    1. Consulta para pacientes con sobrepeso-obesidad, desnutrición, deportistas y/o pacientes con patología específicas. Con intervención mediante elaboración de plan de cuidado nutricio completo e individualizado, conteo de calorías con menú, equivalentes, y recomendaciones.

References

Mosby TT, Barr RD, Pencharz PB. Nutritional assessment of children with cancer. J Pediatr Oncol Nurs. 2009;26(4):186-97. DOI: 10.1177/1043454209340326.

 

Ravasco P. Aspects of taste and compliance in patients whit cancer. Eur J Oncolo Nurs. 2005;9:S84-S91. DOI: 10.1016/j.ejon.2005.09.003

 

Donaldson SS, Wesley MN, De Wys WD, Suskind RM, Jaffe N, van-Eys J. A study of the nutritional-status of pediatric cancer-patients. Am J Diseases Children 1981;135(12):1107-12.

 

Lange BJ, Gerbing RB, Feusner J, Skolnik J, SacksN, Smith FO, et al: Mortality in overweight and underweight children with acute myeloid leukemia. JAMA. 2005;293(2):203-11. DOI: 10.1001/jama.293.2.203

 

Lobato-Mendizabal E, Lopez-Martinez B, Ruiz-Arguelles GJ. A critical review of the prognostic value of the nutritional status at diagnosis in the outcome of therapy of children with acute lymphoblastic leukemia. Rev Invest Clin. 2003;55(1):31-5.

 

Ladas EJ, Sacks N, Meacham L, Henry D, Enriquez L, Lowry G, et al. A multidisciplinary review of nutrition considerations in the pediatric oncology population: A perspective from Children’s Oncology Group. Nutr Clin Pract. 2005;20(4):377-93. DOI: 10.1177/0115426505020004377

 

Murry DJ, Riva L, Poplack D. Impact of nutrition on pharmacokinetics of anti-neoplastic agents. Int J Cancer Suppl. 1998;11:48-51.

 

Kapucu S. Nutritional issues and self-care measures adopted by cancer patients attending a University Hospital in Turkey. Asia Pac J Oncol Nurs. 2016;3(4):390-95. DOI: 10.4103/2347-5625.196500

 

Ferreira D, Gomes-Guimarães T, Marcadenti A. Acceptance of hospital diets and nutritional status among in patients with cancer. Einstein. 2013;11(1):41-6.

 

Holch JW, Michl M, Heinemann V, Erickson N. Vitamins and minerals in oncology. Dtsch Med Wochenschr. 2017;142(12):896-902. DOI: 10.1055/s-0042-112046

 

van Bokhorst-de van der Schueren MA. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs. 2005;9(Suppl. 2):S74-83. DOI: 10.1016/j.ejon.2005.09.004

 

Nyack Hospital offers. At your request-room service dining. Hudson Valley Business Journal. 2013; 2(27):8. Disponible en: http://connection.ebscohost.com/c/articles/89858101/nyack-hospital-offers-your-request-room-service-dining

 

World Health Organization. Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization; 2006. Disponible en: https://www.who.int/childgrowth/standards/Technical_report.pdf?ua=1

Frisancho RA. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor, Michigan: University of Michigan Press; 1993.

 

de Onis M, Lobstein T. Defining obesity risk status in the general childhood population: Which cut-offs should we use? Int J Pediatr Obes. 2010;5(6):458-60.

 

FAO/OMS/UNU. Necesidades de energía y proteína. Serie Informes Técnicos 724. Ginebra, Suiza: OMS; 1985. Disponible en: www.fao.org/docrep/014/am401s/am401s03.pdf.

 

Fuchs-Tarlovsky V, Gutiérrez-Salmeán G. Situación nutricional en pacientes oncológicos internados en un hospital público de la ciudad de México. Rev Cubana Med. 2008;47(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S003475232008000200004&lng=es

 

García-Luna PP, Parejo-Campos J, Pereira-Cunill JL. Causas e impacto clínico de la desnutrición y caquexia en el paciente oncológico. Nutr Hosp. 2006;21(3):10-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S021216112006000600003&lng=es.

 

Delbecque-Boussard L, Gottrand F, Ategbo S, Nelken B, Mazingue F, et al. Nutritional status of children with acute lymphoblastic leukemia: a longitudinal study. Am J Clin Nutr. 1997;65(1):95-100.

 

Jaime-Pérez JC, González-Llano O, Herrera-Garza JL, Gutiérrez-Aguirre H, Vázquez-Garza E, Gómez-Almaguer D. Assessment of nutritional status in children with acute lymphoblastic leukemia in Northern Mexico: a 5-year experience. Pediatr Blood Cancer. 2008;50(Supl. 2):506-8. doi: 10.1002/pbc.21397.

 

Warris LT, van den Akker ELT, Bierings MB, et al. Eating behavior during dexamethasone treatment in children with acute lymphoblastic leukemia. Pediatr Blood Cancer. 2017;64(12):e26679. doi: 10.1002/pbc.26679.

 

Ventham JC, Reilly JJ. Childhood leukaemia: a model of pre-obesity. P Nutr Soc. 1999;58(2):277-81.

 

Paredes-Aguilera R. Efectos tardíos del tratamiento antileucémico. Rev Hemato. 2010;11(1):4-11.

 

Tan SY, Poh BK, Nadrah MH, Jannah NA, Rahman J, Ismail MH. Nutritional status and dietary intake of children with acute leukaemia during induction or consolidation chemotherapy. J Hum Nutr Diet. 2003;26(1):23-33. doi: 10.1111/jhn.12074.

 

Lai J, Cella D, Peterman A, Barocas J, Goldman S. Anorexia/cachexia-related quality of life for children with cancer. Cancer. 2005;104(7):1531-9. doi: 10.1002/cncr.21315.

 

Baltazar-Luna E, Omaña-Guzmán LI, Ortiz-Hernández L, Ñamendis-Silva SA, De Nicola DL. Estado nutricio en pacientes de primer ingreso a hospitalización del Servicio de Hematología del Instituto Nacional de Cancerología. Nutr Hosp. 2013;28(3):1259-65. Disponible en: http://dx.doi.org/10.3305/nh.2013.28.4.6484

 

Tchekmedyian N. Cost and benefits of nutrition support in cancer. Oncology. 1995;9(Supl. 11):79-84.

 

Doorduijn AS, Van-Gameren Y, Vasse E, De Roos N. At Your Request(®) room service dining improves patient satisfaction, maintains nutritional status, and offers opportunities to improve intake. Clin Nutr. 2016;35(5):1174-80. DOI: 10.1016/j.clnu.2015.10.009.

 

Johns N, Hartwell H, Morgan M. Improving the provision of meals in hospital. The patients' viewpoint. Appetite. 2010;54(1):181-5. doi: 10.1016/j.appet.2009.10.005.

 

Patel MD, Martin FC. Why don't elderly hospital inpatients eat adequately? J Nutr Health Aging. 2008;12(4):227-31.

 

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Published

2019-03-15

Issue

Vol. 56 No. 6 (2018): November-December

Section

Original Articles

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