Early Nutrition Intervention Attenuates Weight Gain for Pediatric Acute Lymphoblastic Leukemia Patients in Maintenance Therapy

Hill, Rachel; Hamby, Tyler; Bashore, Lisa; Rapisand, Stefanie; Galipp, Kari; Heym, Kenneth; Bowman, W. Paul

doi:10.1097/mph.0000000000000975

Cited by 20 publications

(24 citation statements)

References 27 publications

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“…We report nutritional interventions (n 9) (Table 4) that have an educational aim to improve nutritional or cooking knowledge or eating habits in patients with cancer and their families. Almost half (n 4) of the studies were conducted with ALL patients (58)(59)(60)(61) and, in three studies interventions were performed during the maintenance phase (59)(60)(61) when patients are prone to weight gain.…”

Section: Interventions On Nutritional Educationmentioning

confidence: 99%

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Food habits during treatment of childhood cancer: a critical review

2019

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Several factors can affect the nutritional status of children undergoing cancer therapy. The present review aims to describe children’s food intake during cancer treatments and to explore the contributing determinants. It also assesses the nutritional educational interventions developed for this clientele. Scientific literature from January 1995 to January 2018 was searched through PubMed and MEDLINE using keywords related to childhood cancer and nutritional intake. Quantitative and qualitative studies were reviewed: forty-seven articles were selected: thirty-eight related to food intake and parental practices and nine related to nutritional interventions. Patients’ intakes in energy, macronutrients and micronutrients were compared with those of healthy controls or with requirement standards. Generally, patients ate less energy and proteins than healthy children, but adhered similarly to national guidelines. There is a lack of consensus for standard nutrient requirement in this population and a need for more prospective evaluations. Qualitative studies provide an insight into the perceptions of children, parents and nurses on several determinants influencing eating behaviours, including the type of treatment and their side effects. Parental practices were found to be diverse. In general, savoury and salty foods were preferred to sweet foods. Finally, most interventional studies in childhood cancer have presented their protocol or assessed the feasibility of an intervention. Therefore, because of the variability of study designs and since only a few studies have presented results, their impact on the development of healthful eating habits remains unclear. A better understanding of children’s nutritional intakes and eating behaviours during cancer treatment could guide future nutritional interventions.

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Section: Interventions On Nutritional Educationmentioning

confidence: 99%

“…Hill et al (61) compared weight gain between a control group (n 34) recruited before the initiation of the intervention and an intervention group (n 33) who received three nutrition sessions with a dietitian during the first 6 months of the maintenance phase. The counselling was standardised and included goal setting for the family.…”

Section: Study Findingsmentioning

confidence: 99%

Food habits during treatment of childhood cancer: a critical review

2019

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“…Most of the existing nutrition education interventions in childhood cancer were designed for patients at the end of their treatment or for survivors [14][15][16][17][18][19][20] and few have included a culinary component [21,22]. However, intervening at the end of cancer treatment might be too late to reverse the acquired food habits [18]. While this supports the need for early interventions, their feasibility in the context of a recent diagnosis and initiation of treatment is unknown.…”

Section: Introductionmentioning

confidence: 99%

Nutrition education and cooking workshops for families of children with cancer: a feasibility study

et al. 2019

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Background: Changes in food intake are common in children with cancer and are often caused by nausea and perturbations in sense of taste. The VIE (Valorization, Implication, Education) study proposes family-based nutrition and cooking education workshops during childhood cancer treatments. Process evaluation during implementation allows to assess if the intervention was delivered as planned and to determine its barriers and facilitators. The study objective was to describe the implementation process of a nutrition education and cooking workshop program for families of children actively treated for cancer in a non-randomized non-controlled feasibility study. Methods: Six open-to-all in-hospital workshops were offered on a weekly basis during a one-year implementation phase. We collected qualitative and quantitative data using field notes and activity reports completed by the registered dietician facilitator; surveys and questionnaires fulfilled by the workshop participants and by the families enrolled in the VIE study. Field notes were used to collect only qualitative data. Survey respondents (n = 26) were mostly mothers (n = 19, 73%). Children's mean age was 7.80 (± 4.99) years and the mean time since diagnosis was 7.98 (± 0.81) months. Qualitative data were codified using hybrid content analysis. The first deductive analysis was based on the Steckler & Linnan concepts. Subthemes were then identified inductively. Quantitative data were presented with descriptive statistics. Results: Workshop attendance was low (17 participants over 1 year) and 71% of the planned workshops were cancelled due to lack of participants. The principal barriers to participation referred the child's medical condition, parental presence required at the child's bedside and challenges related to logistics and time management. The level of interest in the topics addressed was found high or very high for 92% of the participants. The themes that were perceived as the most useful by parents were related to the child's specific medical condition. Conclusions: Despite high interest, workshops delivered in a face-to-face format were poorly feasible in our sample population. This supports the need to develop educational programs in pediatric oncology using strategies and delivery formats that address the major barriers for participation encountered by families.

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“…Most of the existing nutrition education interventions in childhood cancer were designed for patients at the end of their treatment or for survivors [15][16][17][18][19][20][21] and few have included a culinary component [22,23]. However, intervening at the end of cancer treatment might be too late to reverse the acquired food habits [19]. While this supports the need for early interventions, their feasibility in the context of a recent diagnosis and initiation of treatment is unknown.…”

Section: Introductionmentioning

confidence: 99%

Nutrition education and cooking workshops for families of children with cancer: a feasibility study

Beaulieu-Gagnon

Bélanger

Meloche

et al. 2019

Preprint

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Background: Changes in food intake are common in children with cancer and are often caused by nausea and perturbations in sense of taste. The VIE (Valorization, Implication, Education) study proposes family-based nutrition and cooking education workshops during childhood cancer treatments. Process evaluation during implementation allows to assess if the intervention was delivered as planned and to determine its barriers and facilitators. The study objective was to describe the implementation process of a nutrition education and cooking workshop program for families of children actively treated for cancer in a non-randomized non-controlled feasibility study. Methods: Six open-to-all in-hospital workshops were offered on a weekly basis during a one-year implementation phase. We collected qualitative and quantitative data using field notes and activity reports completed by the registered dietician facilitator; surveys and questionnaires fulfilled by the workshop participants and by the families enrolled in the VIE study. Field notes were used to collect only qualitative data. Survey respondents (n=26) were mostly mothers (n=19, 73%). Children’s mean age was 7.80 (± 4.99) years and the mean time since diagnosis was 7.98 (± 0.81) months. Qualitative data were codified using hybrid content analysis. The first deductive analysis was based on the Steckler & Linnan concepts. Subthemes were then identified inductively. Quantitative data were presented with descriptive statistics. Results: Workshop attendance was low (17 participants over 1 year) and 71% of the planned workshops were cancelled due to lack of participants. The principal barriers to participation referred the child’s medical condition, parental presence required at the child’s bedside and challenges related to logistics and time management. The level of interest in the topics addressed was found high or very high for 92% of the participants. The themes that were perceived as the most useful by parents were related to the child’s specific medical condition. Conclusions: Despite high interest, workshops delivered in a face-to-face format were poorly feasible in our sample population. This supports the need to develop educational programs in pediatric oncology using strategies and delivery formats that address the major barriers for participation encountered by families.

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Early Nutrition Intervention Attenuates Weight Gain for Pediatric Acute Lymphoblastic Leukemia Patients in Maintenance Therapy

Cited by 20 publications

References 27 publications

Food habits during treatment of childhood cancer: a critical review

Food habits during treatment of childhood cancer: a critical review

Nutrition education and cooking workshops for families of children with cancer: a feasibility study

Nutrition education and cooking workshops for families of children with cancer: a feasibility study

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