Dietary intake after treatment in child cancer survivors†
Corresponding Author
Jennifer Cohen Masters(Nutr & Diet)
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales 2031, Australia.===Search for more papers by this authorClaire E. Wakefield PhD
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia
Search for more papers by this authorCatharine A. K. Fleming BSc(Hons)
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Search for more papers by this authorRebecca Gawthorne BSc(Hons)
Smart Foods Centre, University of Wollongong, Wollongong, New South Wales, Australia
Search for more papers by this authorLinda C. Tapsell PhD
Smart Foods Centre, University of Wollongong, Wollongong, New South Wales, Australia
Search for more papers by this authorRichard J. Cohn MD
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia
Search for more papers by this authorCorresponding Author
Jennifer Cohen Masters(Nutr & Diet)
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales 2031, Australia.===Search for more papers by this authorClaire E. Wakefield PhD
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia
Search for more papers by this authorCatharine A. K. Fleming BSc(Hons)
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Search for more papers by this authorRebecca Gawthorne BSc(Hons)
Smart Foods Centre, University of Wollongong, Wollongong, New South Wales, Australia
Search for more papers by this authorLinda C. Tapsell PhD
Smart Foods Centre, University of Wollongong, Wollongong, New South Wales, Australia
Search for more papers by this authorRichard J. Cohn MD
Centre for Children's Cancer & Blood Disorders, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
Faculty of Medicine, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia
Search for more papers by this authorConflict of interest: Nothing to declare.
Abstract
Background
Childhood cancer survivors (CCS) are at increased risk of complications such as obesity, diabetes, and osteoporosis which have the potential to, in part, be controlled with dietary interventions. To allow the development of appropriate dietary interventions for younger cancer survivors data on their dietary intake as well as information on parental nutrition views and practices need to be assessed.
Procedure
Dietary intake of 50 CCS was assessed with a 3-day food diary (parent report). Parent child feeding practices were assessed with the Child Feeding Questionnaire (CFQ). Historical and anthropometric data was extracted from medical records. Survivors were less than 13 years old and less than 5 years after treatment completion.
Results
Twenty percent of participating CCS was overweight or obese and 54% were consuming above their estimated energy requirements. Fifty, 32% and 44% of children did not meet requirements for folate, calcium, and iron respectively. There was a significant trend for increasing BMI percentiles from diagnosis to time of assessment (56.29 vs. 67.17, P = 0.01). Results from the CFQ showed that parents were more likely to monitor (3.99) and use a restrictive form of parenting (3.43) to control their child's food intake rather than pressure their child to eat (2.77) (P = 0.001).
Conclusion
This group displayed excessive energy intake (kilojoules) and poor dietary habits. Parents' restrictive feeding style may be contributing to these habits. Early interventions targeting the dietary intake of young survivors and associated parent feeding practices may prevent some of the deleterious long-term effects associated with childhood cancer therapy. Pediatr Blood Cancer 2012; 58: 752–757. © 2011 Wiley Periodicals, Inc.
Supporting Information
Additional supporting information may be found in the online version of this article.
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