Nutritional Support of Children with Cancer
The association between malnutrition and poor prognosis in cancer patients is well known [1–3]. Nutritional support of children with cancer has become more sophisticated, paralleling the increasing complexities of oncological therapy. Data from several studies of children with cancer demonstrated the need to integrate nutritional staging, assessment, and support in treatment protocols [4–7]. Most notably, parenteral nutritional support effectively reversed or prevented protein energy malnutrition (PEM) [4–10] and improved tolerance to chemotherapy in children with certain tumor types, such as advanced neuroblastoma . It was documented that benefits from an improved nutritional status in children with cancer improved immune competence [7, 8], decreased the incidence of Pneumocystis carinii  and other opportunistic infections , decreased the incidence of anthracycline-induced cardiotoxicity , and improved prognosis . PEM frequently occurs in children with cancer and relates both to the disease and therapy. It may also affect the general well-being and quality of life of the patients and their families. It is important to adequately evaluate the nutritional status and provide proper nutritional support to patients with cancer.
KeywordsNutritional Status Parenteral Nutrition Total Parenteral Nutrition Nutritional Support Total Lymphocyte Count
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