Nutritional Assessment of Adult Acute Leukemia Patients

Background: Malnutrition is a challenging problem fronting acute leukemia patients. Early identification of high-risk patients is crucial for disease outcome. Objective(s): The study aimed to assess the nutritional status of acute leukemia patients and to assess patient’s length of hospital stay (L...

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Main Authors: Samar A. Ali, Jailan M. Nabil2, Aly K. Amin1, Nesrin K. Abd-El-Fatah
Format: Article
Language:English
Published: Alexandria University 2020-08-01
Series:Journal of High Institute of Public Health
Subjects:
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spelling doaj-d444a12b56954a29b0b4878b958021902021-02-15T10:34:15ZengAlexandria UniversityJournal of High Institute of Public Health2357-06012357-061X2020-08-01502657410.21608/JHIPH.2020.96449 Nutritional Assessment of Adult Acute Leukemia PatientsSamar A. Ali0Jailan M. Nabil21Aly K. Amin12Nesrin K. Abd-El-Fatah3Department of Nutrition, High Institute of Public Health, Alexandria University, EgyptFellow of Nutrition Department, High Institute of Public Health, Alexandria University, EgyptDepartment of Nutrition, High Institute of Public Health, Alexandria University, EgyptDepartment of Nutrition, High Institute of Public Health, Alexandria University, EgyptBackground: Malnutrition is a challenging problem fronting acute leukemia patients. Early identification of high-risk patients is crucial for disease outcome. Objective(s): The study aimed to assess the nutritional status of acute leukemia patients and to assess patient’s length of hospital stay (LOS) and disease duration. Methods: A cross sectional study was conducted on 90 adult acute leukemia patients attending a Alexandria University Hospital, Egypt. Dietary intake assessment using 24 hour recall method, clinical assessment for subcutaneous fat loss and muscle wasting, body mass index (BMI), triceps skinfold thickness (TSF), mid-upper arm circumference (MUAC) and body composition measurements were done according to the standard procedures. Records for laboratory tests were reviewed for each patient. Body mass index (< 18.5 kg/m2), MUAC ( Results: Nineteen patients (21.1%) according to BMI, 9 patients (10%) according to MUAC and 15 patients (16.6%) according to TSF were found to be malnourished. Based on BMI, ninety percent of the patients were taking less than their daily energy and protein needs (91.1%) with no significant difference between malnourished and well-nourished group. The percent of muscle mass was significantly lower among malnourished patients (36.22 ± 7.98 vs.31.53 ± 5.52%). Malnourished patients had significantly longer disease duration (16.32 ± 9.80), longer mean LOS (58.20 ± 16.44 vs 105.42 ± 38.36) and higher mean number of chemotherapy cycles (4.66 ± 1.62 vs 8.26 ± 3.12) Conclusion: Nutrition is an important aspect of patient care in acute leukemia. Attention should be paid for acute leukemia patient’s nutritional needs to achieve better disease outcome.acute leukemia; malnutrition; adult; nutritional assessment
collection DOAJ
language English
format Article
sources DOAJ
author Samar A. Ali
Jailan M. Nabil2
Aly K. Amin1
Nesrin K. Abd-El-Fatah
spellingShingle Samar A. Ali
Jailan M. Nabil2
Aly K. Amin1
Nesrin K. Abd-El-Fatah
Nutritional Assessment of Adult Acute Leukemia Patients
Journal of High Institute of Public Health
acute leukemia; malnutrition; adult; nutritional assessment
author_facet Samar A. Ali
Jailan M. Nabil2
Aly K. Amin1
Nesrin K. Abd-El-Fatah
author_sort Samar A. Ali
title Nutritional Assessment of Adult Acute Leukemia Patients
title_short Nutritional Assessment of Adult Acute Leukemia Patients
title_full Nutritional Assessment of Adult Acute Leukemia Patients
title_fullStr Nutritional Assessment of Adult Acute Leukemia Patients
title_full_unstemmed Nutritional Assessment of Adult Acute Leukemia Patients
title_sort nutritional assessment of adult acute leukemia patients
publisher Alexandria University
series Journal of High Institute of Public Health
issn 2357-0601
2357-061X
publishDate 2020-08-01
description Background: Malnutrition is a challenging problem fronting acute leukemia patients. Early identification of high-risk patients is crucial for disease outcome. Objective(s): The study aimed to assess the nutritional status of acute leukemia patients and to assess patient’s length of hospital stay (LOS) and disease duration. Methods: A cross sectional study was conducted on 90 adult acute leukemia patients attending a Alexandria University Hospital, Egypt. Dietary intake assessment using 24 hour recall method, clinical assessment for subcutaneous fat loss and muscle wasting, body mass index (BMI), triceps skinfold thickness (TSF), mid-upper arm circumference (MUAC) and body composition measurements were done according to the standard procedures. Records for laboratory tests were reviewed for each patient. Body mass index (< 18.5 kg/m2), MUAC ( Results: Nineteen patients (21.1%) according to BMI, 9 patients (10%) according to MUAC and 15 patients (16.6%) according to TSF were found to be malnourished. Based on BMI, ninety percent of the patients were taking less than their daily energy and protein needs (91.1%) with no significant difference between malnourished and well-nourished group. The percent of muscle mass was significantly lower among malnourished patients (36.22 ± 7.98 vs.31.53 ± 5.52%). Malnourished patients had significantly longer disease duration (16.32 ± 9.80), longer mean LOS (58.20 ± 16.44 vs 105.42 ± 38.36) and higher mean number of chemotherapy cycles (4.66 ± 1.62 vs 8.26 ± 3.12) Conclusion: Nutrition is an important aspect of patient care in acute leukemia. Attention should be paid for acute leukemia patient’s nutritional needs to achieve better disease outcome.
topic acute leukemia; malnutrition; adult; nutritional assessment
work_keys_str_mv AT samaraali nutritionalassessmentofadultacuteleukemiapatients
AT jailanmnabil2 nutritionalassessmentofadultacuteleukemiapatients
AT alykamin1 nutritionalassessmentofadultacuteleukemiapatients
AT nesrinkabdelfatah nutritionalassessmentofadultacuteleukemiapatients
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