Taste alteration, Food Habits and Nutritional Status of Childhood Cancer Survivors

Year 2024, Volume: 14 Issue: 6, 309 - 314, 30.11.2024

Dilan Sülger Biçici Elif Bilsin Kocamaz

https://doi.org/10.16899/jcm.1555091

Abstract

Aim: This study was carried out to examine the taste alteration, food habits, and nutritional status of childhood cancer survivors.
Materials and Methods: The research is descriptive and cross-sectional. The study sample was formed by children between the ages of 8 and 18 who ended cancer treatment between March 2021 and 2022, followed by the pediatric hematology and oncology outpatient clinic of a University Medical Faculty Oncology Hospital. Child Introduction Form, Taste Alteration Scale for Children with Cancer Receiving Chemotherapy (TAS-CRC), Mediterranean Diet Quality Index (MDQI), and Subjective Total Taste Acuity Scale (STTA) were used to collect data.
Results: It was determined that 80.4% of children had a Body Mass Index (BMI) score between -2 and +2 (normal), 9.8% were above ≥+2 (obese) and 7.6% were under ≤-2 (malnutrition). Analysis showed that 18.5% of the children had a very low nutrition quality (≤3), while nutrition quality was moderate in 48.9% (4-7) and good in 32.6% (≥8).
Conclusion: It was found that there was no statistically significant difference between the weight Z score of the children, the current height Z score and the BMI Z score, and the average score TAS-CRC.

Keywords

Childhood cancer survivors, food habits, nutritional status, nursing

Ethical Statement

Written permission were obtained before commencement from the University clinical research ethical committee (no. 2021/295) and the institution where the research was carried out. Since the research data were collected online, verbal consent was obtained from the parent and children once these had been informed about the research over the telephone. Permission was also obtained from the authors of the scales employed during the data collection.

Supporting Institution

Extramural funding hasn’t been used in this study.

Kanserden Hayatta Kalan Çocukların Tat Alma Değişikliği, Beslenme Alışkanlığı ve Durumu

Abstract

Amaç: Bu araştırma kanserden hayatta kalan çocukların tat alma değişikliği, beslenme alışkanlığı ve durumunu incelemek amacıyla yapılmıştır.
Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipte bir araştırmadır. Araştırmanın evrenini bir üniversitesinin tıp fakültesi onkoloji hastanesi pediatri hematoloji ve onkoloji polikliniğinde Mart 2021-2022 tarihleri arasında izlenen, 8-18 yaş arasındaki kanser tedavisi biten çocuklar oluşturmuştur. Verilerin toplanmasında Çocuk Tanıtım Formu, Kemoterapi Alan Çocuklar İçin Tat Alma Değişikliği Ölçeği (KAÇ-TADÖ), Akdeniz Diyet Kalitesi Ölçeği (ADKİ) ve Subjektif Total Tat Keskinliği Ölçeği (STTKÖ) kullanılmıştır.
Bulgular: Çocukların Beden Kitle İndeksi (BKİ) Z skoru %80.4'ünde -2 ile +2 arasında (normal), %9.8'inde ≥+2’nin üstünde (obez) ve %7.6'sında ≤-2’nin altında (yetersiz beslenme) olduğu belirlenmiştir. Çocukların %18.5'inin çok düşük (≤3), %48.9'unun orta (4-7) ve %32.6'sının iyi beslenme kalitesine (≥8) sahip olduğu saptanmıştır.
Sonuç: Çocukların KAÇ-TADÖ puan ortalaması ile kilo, boy ve BKİ Z skoru arasında istatiksel olarak anlamlı fark olmadığı saptanmıştır (p>0.05).

Keywords

Beslenme alışkanlığı, beslenme durumu, hemşirelik, kanserden hayatta kalan çocuk

References

• 1. Belin CHS, Bueno MC, Cruz LB et al. Changes in nutritional status in adolescents surviving leukemia and lymphoma. Rev Nutr. 2020; 33: 190-194. http://dx.doi.org/10.1590/16678-9865202033e190194
• 2. World Health Organization. WHO. Cancer in Children. 2018. https://www.who.int/news-room/fact-sheets/detail/cancer-in-children
• 3. Van Den Brink M, IJpma I, Belkom BV et al. Smell and taste function in childhood cancer patients: A feasibility study. Support Care Cancer. 2020; 29: 1619–1628. https://doi.org/10.1007/s00520-020-05650-3
• 4. Naomi Belle F, Popopvic MB, Ansari M et al. Nutritional assessment of childhood cancer survivors (the Swiss Childhood Cancer Survivor Study-Nutrition). Jmır Research Protocols. 2019; 8(11): 14427. http://www.researchprotocols.org/2019/11/e14427/
• 5. Cohen J, Wakefield CE, Tapsell LC et al. Exploring the views of parents regarding dietary habits of their young cancer-surviving children. Support Care Cancer. 2015; 23: 463–471. https://doi.org/10.1007/s00520-014-2394-x
• 6. Murphy AJ, White M, Elliott SA et al. Body composition of children with cancer during treatment and in survivorship. Am J Clin Nutr. 2015; 891–896. https://doi.org/10.3945/ajcn.114.099697
• 7. Van Den Brink M, IJpma I, Van Belkom B et al. Smell and taste function in childhood cancer patients: a feasibility study. Supportive Care in Cancer. 2021-c; 29: 1619–1628. https://doi.org/10.1007/s00520-020-05650-3
• 8. Goddard E, Cohen J, Cohen L. Dietary intake and diet quality in children receiving treatment for cancer. Nutrition Reviews. 2019; 77(5): 267–277. doi: 10.1093/nutrit/nuy069.
• 9. Raber M, Swartz MC, Maria DS et al. Parental involvement in exercise and diet interventions for childhood cancer survivors: A systematic review. Pediatr Res. 2016; 80: 338–346. https://doi.org/10.1038/pr.2016.84
• 10. Tel Adıgüzel K, Gürsel O, Gökmen Özel H. Nutritional status in leukemia: Is there a difference between treatment period and post-treatment period? Bes Diy Derg. 2017; 45(2): 99-106.
• 11. Cohen J, Wakefield CE, Fleming CAK et al. Dietary ıntake after treatment in child cancer survivors. Pediatr Blood Cancer. 2012; 58: 752–757.
• 12. Zhang FF, Saltzman E, Kelly MJ et al. Comparison of childhood cancer survivors’ nutritional intake with US dietary guidelines. Pediatr Blood Cancer. 2015; 62: 1461–1467. DOI: 10.1002/pbc.25521.
• 13. Fleming CAK, Murphy-Alford AJ, Cohen J et al. Poor diet quality and adverse eating behviors in young survivors of childhood cancer. Pediatr Blood Cancer. 2021. https://doi.org/10.1002/pbc.29408
• 14. Cohen J, Collins L, Gregerson L et al. Nutritional concerns of survivors of childhood cancer: A “First World” perspective. Pediatr Blood Cancer. 2020; https://doi.org/10.1002/pbc.28193
• 15. Cohen J, Laing DG, Wilkes FJ et al. Taste and smell dysfunction in childhood cancer survivors. 2014; 135–140. https://doi.org/10.1016/j.appet.2014.01.001
• 16. Power determination: means. http://sampsize.sourceforge.net/iface/.
• 17. Teixeira JFC, Maia-Lemos PDS, Pisani LP. Nutritional characteristics of the diets of child and adolescent cancer survivors. Journal of Adolescent And Young Adult Oncology. 2017; DOI: 10.1089/jayao.2017.0052.
• 18. Bilsin E and Bal Yılmaz H. Development and validation of the taste alteration scale for children receiving chemotherapy. Journal of Research in Nursing. 2018; 23(7): 568–580.
• 19. Serra-Majem L, Ribas L, Ngo J et al. Food, youth and the Mediterranean Diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition. 2004; 7: 931-935.
• 20. Akar Şahingöz S, Özgen L, Yalçın E. Validity and reliability of the Mediterranean Diet Quality Scale (KIDMED). In Proceedings Book of 5th International Eurasian Congress on Natural Nutrition, Healthy Life & Sport. 2019; (pp. 1078-1088). Malatya Turgut Ozal University Scientific Publication.
• 21. Epstein JB, Andrade Silva SM, Epstein GL et al. Taste disorders following cancer treatment: report of a case series. Supportive Care in Cancer. 2019. https://doi.org/10.1007/s00520-019-04758-5
• 22. Rubin P, Constıne LS, Fajardo LF et al. Overvıew: late effects of normal tıssues (lent) sconng system. Int. J Radiation oncology Biol Phys. 1995. Doi:10.1016/0360-3016(95)00056.PMID:77713774
• 23. Glatt D, Hughes C, McCarthy O et al. Nutritional screening and assessment of paediatric cancer patients: A quality improvement project (baseline results). 2020. https://doi.org/10.1016/j.clnesp.2020.04.003
• 24. Hansen JA, Stancel HH, Klesges LM et al. Eating behavior and bmı in adolescent survivors of brain tumor and acute lymphoblastic leukemia. Journal of Pediatric Oncology Nursing. 2014; 31(1): 41–50. DOI: 10.1177/1043454213515548
• 25. Kumbargere Nagraj S, Nares, S, Srinivas K et al. Interventions for themanagement of taste disturbances. Cochrane Database of Systematic Reviews. 2014. DOI: 10.1002/14651858.CD010470.pub2.
• 26. Van Den Brink M, IJpma I, Tissing WJE et al. Taste dysfunction in children—a clinical perspective and review of assessment methods. Chemical Senses. 2021-a; 46: 1–10. https://doi.org/10.1093/chemse/bjab035
• 27. Bomben D, Bin A, Venturini M et al. The experience of dysgeusia in allogeneic haematopoietic cell transplantation survivors: a qualitative study. Supportive Care in Cancer. 2019. https://doi.org/10.1007/s00520-019-04769-2
• 28. McLaughlin L, Mahon SM. Understanding taste dysfunction in patients with cancer. Clinical Journal of Oncology Nursing. 2012; 16(2): 171-178.
• 29. Kudubeş AA and Bektaş M. Nutrition in pediatric oncology patients: A systematic review. J Pediat Res. 2016; 3(1): 1-6. DOI: 10.4274/jpr.94695.