Avaliação nutricional em pacientes hospitalizados em um Centro de Oncohematologia Pediátrica no nordeste do Brasil

Iago Alves Miranda  Santos; Érica  Patrícia Cunha Rosa  Schmitz; Silvia  Patrícia de Oliveira Silva  Bacalhau

doi:10.59171/nutrivisa-2023v10e11254

Authors

Iago Alves Miranda Santos Universidade Federal de Pernambuco https://orcid.org/0000-0001-7454-4404
Érica Patrícia Cunha Rosa Schmitz Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0001-9308-8846
Silvia Patrícia de Oliveira Silva Bacalhau Universidade de Pernambuco (UPE) https://orcid.org/0000-0002-3604-9143

DOI:

https://doi.org/10.59171/nutrivisa-2023v10e11254

Keywords:

nutritional assessment, Oncology Service; pediatrics, pediatrics, Unified Health System, skinfold thicknesses

Abstract

Pediatric patients undergoing antineoplastic treatment require linear growth and weight gain for adequate development, but malnutrition is a major obstacle. Malnutrition can negatively impact the prognosis of these patients, highlighting the importance of using more sensitive nutritional assessment parameters to detect and prevent nutritional complications. The aim of this study was to use different parameters to characterize the nutritional status of children and adolescents admitted to a reference pediatric hematology/oncology center in the Northeast of Brazil. Nutritional assessment was performed using body mass index (BMI) and height for age, along with measurements of arm circumference (AC), triceps skinfold thickness (TSF), and mid-upper arm muscle circumference (MUAC). The sample was predominantly composed of male patients, with a mean age of 9.88 (± 5.37) years. The most common diagnosis was leukemia. Gastrointestinal symptoms were observed in 71.88% of the sample, even without direct association with nutritional status. Malnutrition rates were higher when assessed by body composition parameters, such as TSF (46.88%), followed by AC (37.5%) and MUAC (25.00%), compared to BMI/A (10.94%). Most children and adolescents had adequate height for age (92.19%). In conclusion, the results of this study suggest that the use of arm anthropometry can be a relevant tool in nutritional assessment in children and adolescents undergoing antineoplastic treatment, as it can provide more accurate and direct measures of body composition and nutritional status, allowing for early identification of malnutrition and implementation of appropriate interventions.

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