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Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology

Pediatric cancer survivors may experience cardiometabolic sequelae over the course of their lives as a result of the treatments they have received. While nutrition consists of an actionable target for cardiometabolic health, few nutritional interventions have been documented in this population. This...

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Autores principales: Napartuk, Mélanie, Bélanger, Véronique, Bouchard, Isabelle, Meloche, Caroline, Curnier, Daniel, Sultan, Serge, Laverdière, Caroline, Sinnett, Daniel, Marcil, Valérie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137074/
https://www.ncbi.nlm.nih.gov/pubmed/37189915
http://dx.doi.org/10.3390/children10040667
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author Napartuk, Mélanie
Bélanger, Véronique
Bouchard, Isabelle
Meloche, Caroline
Curnier, Daniel
Sultan, Serge
Laverdière, Caroline
Sinnett, Daniel
Marcil, Valérie
author_facet Napartuk, Mélanie
Bélanger, Véronique
Bouchard, Isabelle
Meloche, Caroline
Curnier, Daniel
Sultan, Serge
Laverdière, Caroline
Sinnett, Daniel
Marcil, Valérie
author_sort Napartuk, Mélanie
collection PubMed
description Pediatric cancer survivors may experience cardiometabolic sequelae over the course of their lives as a result of the treatments they have received. While nutrition consists of an actionable target for cardiometabolic health, few nutritional interventions have been documented in this population. This study assessed the changes in diet during a one-year nutritional intervention for children and adolescents undergoing cancer treatments and the participants’ anthropometric and cardiometabolic profiles. A total of 36 children and adolescents (mean age: 7.9 years, 52.8% male) newly diagnosed with cancer (50% leukemia) and their parents underwent a one-year individualized nutrition intervention. The mean number of follow-up visits with the dietitian during the intervention was 4.72 ± 1.06. Between the initial and one-year assessments, there was an improvement in diet quality reflected by the Diet Quality Index (5.22 ± 9.95, p = 0.003). Similarly, the proportion of participants with moderate and good adherence (vs. low adherence) to the Healthy Diet Index score almost tripled after one year of intervention (14% vs. 39%, p = 0.012). In parallel, there was an increase in the mean z-scores for weight (0.29 ± 0.70, p = 0.019) and BMI (0.50 ± 0.88, p = 0.002), and in the mean levels of HDL-C (0.27 ± 0.37 mmol/L, p = 0.002) and 25-hydroxy vitamin D (14.5 ± 28.1 mmol/L, p = 0.03). Overall, this study supports that a one-year nutritional intervention deployed early after a pediatric cancer diagnosis is associated with an improvement in the diets of children and adolescents.
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spelling pubmed-101370742023-04-28 Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology Napartuk, Mélanie Bélanger, Véronique Bouchard, Isabelle Meloche, Caroline Curnier, Daniel Sultan, Serge Laverdière, Caroline Sinnett, Daniel Marcil, Valérie Children (Basel) Article Pediatric cancer survivors may experience cardiometabolic sequelae over the course of their lives as a result of the treatments they have received. While nutrition consists of an actionable target for cardiometabolic health, few nutritional interventions have been documented in this population. This study assessed the changes in diet during a one-year nutritional intervention for children and adolescents undergoing cancer treatments and the participants’ anthropometric and cardiometabolic profiles. A total of 36 children and adolescents (mean age: 7.9 years, 52.8% male) newly diagnosed with cancer (50% leukemia) and their parents underwent a one-year individualized nutrition intervention. The mean number of follow-up visits with the dietitian during the intervention was 4.72 ± 1.06. Between the initial and one-year assessments, there was an improvement in diet quality reflected by the Diet Quality Index (5.22 ± 9.95, p = 0.003). Similarly, the proportion of participants with moderate and good adherence (vs. low adherence) to the Healthy Diet Index score almost tripled after one year of intervention (14% vs. 39%, p = 0.012). In parallel, there was an increase in the mean z-scores for weight (0.29 ± 0.70, p = 0.019) and BMI (0.50 ± 0.88, p = 0.002), and in the mean levels of HDL-C (0.27 ± 0.37 mmol/L, p = 0.002) and 25-hydroxy vitamin D (14.5 ± 28.1 mmol/L, p = 0.03). Overall, this study supports that a one-year nutritional intervention deployed early after a pediatric cancer diagnosis is associated with an improvement in the diets of children and adolescents. MDPI 2023-03-31 /pmc/articles/PMC10137074/ /pubmed/37189915 http://dx.doi.org/10.3390/children10040667 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Napartuk, Mélanie
Bélanger, Véronique
Bouchard, Isabelle
Meloche, Caroline
Curnier, Daniel
Sultan, Serge
Laverdière, Caroline
Sinnett, Daniel
Marcil, Valérie
Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title_full Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title_fullStr Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title_full_unstemmed Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title_short Improvement of Diet after an Early Nutritional Intervention in Pediatric Oncology
title_sort improvement of diet after an early nutritional intervention in pediatric oncology
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137074/
https://www.ncbi.nlm.nih.gov/pubmed/37189915
http://dx.doi.org/10.3390/children10040667
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