Malnutrition in remission of childhood cancers as assessed by bioelectric impedance analysis

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Abstract

The results of our cross-sectional bioimpedance study of children aged 7–17 years cured of cancer during follow-up (patients’ group, n = 552, remission time range 0–15 years) and of age-matched healthy controls (n = 1,500) show significant intergroup differences in body height and body composition parameters. The most pronounced alterations in the patients’ group were observed in standardized values of phase angle reflecting a sharp decrease in the percentage of metabolically active body cell mass in fat-free mass. Malnutrition, judged from the prevalence of obesity and low phase angle, was observed in 52.7 % of our patients reaching a maximum of 76.8 % in a subgroup of children with CNS tumors. In view of known association that exists between malnutrition and reduced tolerance to chemotherapy, increased susceptibility to infections and adverse outcomes rate, we recommend using bioimpedance analysis in remission of childhood cancers in order to monitoring and timely correction of nutritional state as well as for prevention of delayed cardiovascular risks.

About the authors

M. V. Konovalova

Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology

Russian Federation

A. V. Anisimova

Lomonosov Moscow State University, Research Institute and Museum of Antropology

Russian Federation

A. Yu. Vashura

Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology

Russian Federation

E. Z. Godina

Lomonosov Moscow State University, Research Institute and Museum of Antropology

Russian Federation

D. V. Nikolaev

SRC Medass

Russian Federation

S. G. Rudnev

Institute of Numerical Mathematics, Russian Academy of Sciences

Russian Federation

O. A. Starunova

Lomonosov Moscow State University

Faculty of Computational Mathematics and Cybernetics Russian Federation

I. A. Khomyakova

Lomonosov Moscow State University, Research Institute and Museum of Antropology

Russian Federation

G. Ya. Tseytlin

Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology

Author for correspondence.
Email: GrigoryTs@yandex.ru
Russian Federation

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