Assessing the nutritional status of children with leukemia from hospitals in Kuala Lumpur

A. Z. Zalina, Suzana Shahar, A. Rahman A. Jamal, M. Y. Noor Aini

Research output: Contribution to journalArticle

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Abstract

A cross-sectional study was carried out to evaluate the nutritional status of 51 subjects with leukemia aged 4 to 12 years from the Haematology & Oncology Paediatric Ward, Universiti Kebangsaan Malaysia Medical Centre (PPUKM) and the Paediatric Institute of Kuala Lumpur. Nutritional status was assessed using anthropometric measurements, biochemical and haematological parameters. Subjects comprised 32 (62.7%) males and 19 (27.3%) females. Most of the subjects (41.2%) were in the age group of 4 to 6 years. More than half of the children were Malays (70.6%) followed by Indians (15.7%) and Chinese (13.7%). The subjects were diagnosed as acute lymphoblastic leukemia (ALL) (84.3%) followed by acute myelogenous leukemia (AML) (13.7%) and chronic myelogenous leukemia (CML) (2.0%) respectively. Most of the children were in remission status (54.9%). Underweight (<-2 SD for weight-for-age) was observed in 37.3% of the children while 17.6% of them were stunted (<-2 SD for height-for-age), and sign(s) of malnutrition (<-2 SD) for mid upper arm circumference (MUAC)-for-age was observed in 15.7% of the subjects. Approximately 20.0% of the subjects were in the severe malnutrition category with respect to low serum albumin levels (<3.5g/dl). All subjects had hemoglobin levels of less than the normal range. While the results indicated no significant differences in the nutritional status of subjects with leukemia at different stages of treatment, it was observed that the prevalence of malnutrition was higher in children with newly diagnosed leukemia. Thus, the nutritional status of children with leukemia should be monitored closely as there is a likelihood of deterioration owing to the disease.

Original languageEnglish
Pages (from-to)45-51
Number of pages7
JournalMalaysian Journal of Nutrition
Volume15
Issue number1
Publication statusPublished - 2009

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Nutritional Status
leukemia
nutritional status
Leukemia
Malnutrition
malnutrition
Pediatrics
Thinness
Malaysia
arm circumference
Hematology
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
lymphocytic leukemia
underweight
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Acute Myeloid Leukemia
Serum Albumin
remission
serum albumin
hematology

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Assessing the nutritional status of children with leukemia from hospitals in Kuala Lumpur. / Zalina, A. Z.; Shahar, Suzana; A. Jamal, A. Rahman; Noor Aini, M. Y.

In: Malaysian Journal of Nutrition, Vol. 15, No. 1, 2009, p. 45-51.

Research output: Contribution to journalArticle

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