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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Alexandria University
2020-08-01
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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 |
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