Prevalence of obesity/abdominal obesity and related factors in pediatric ALL survivors"

Aktolan T., Tek N.

JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, cilt.41, sa.1, ss.50-56, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1080/07315724.2020.1846635
  • Dergi Adı: JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, PASCAL, BIOSIS, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE, SportDiscus, Veterinary Science Database
  • Sayfa Sayıları: ss.50-56
  • Anahtar Kelimeler: Pediatric ALL, survivors, obesity, nutrition, ACUTE LYMPHOBLASTIC-LEUKEMIA, CHILDHOOD-CANCER SURVIVORS, BODY-MASS INDEX, PHYSICAL-ACTIVITY, ADULT SURVIVORS, WAIST CIRCUMFERENCE, NUTRITIONAL INTAKE, HEALTH BEHAVIORS, RISK, CHILDREN
  • Gazi Üniversitesi Adresli: Evet

Özet

ABSTRACT Objective: Obesity has been increasingly recognized in pediatric acute lymphoblastic leukemia (ALL) survivors. The aim of the current study was to determine the prevelance and related factors of obesity/abdominal obesity and evaluate the association between nutrition and overweight/ obesity after cancer treatment in pediatric ALL survivors. Method: An observational retrospective cohort study was performed among 67 volunteers (aged 5–15). Participants completed 3 consecutive days (2 weekdays and 1 weekend day) recording food consumption and physical activity simultaneously. Weight, height, and waist circumference measurements were performed in remission period, and retrospective data were obtained from patient records. We examined data at three periods: diagnosis, end of treatment, and remission. Subjects were classified into four groups according to body mass index for age z score (BAZ): underweight, normal weight, overweight, and obese. Abdominal obesity was defined waist-to-height ratio  0.5. Results: Prevalence of overweight, obesity, and abdominal obesity were 25.3%, 23.9%, 38.8%, respectively in remission. BAZ at diagnosis and at treatment completion, dietary energy intake, and physical activity were associated with an increased risk of being overweight/obese in remission (p < .05). Gender, age at diagnosis, cranial radiotherapy, and treatment risk category were not significant (p > .05). Conclusions: As in obesity, abdominal obesity was found an important problem in pediatric ALL survivors. Therefore, nutritional targets are needed to prevent obesity. Survivors should be closely monitored in terms of nutritional status during and after treatment and informed about and supported for healthy lifestyle (balanced and adequate nutrition, increase in physical activity).