Abstract
Background. A violation of nutritional status (obesity) and emotional-behavioral status (depression) is one of the urgent problems of modern health care. Often these two problems are at the same time. Particularly striking manifestations of a decrease in nutritional and emotional statuses are observed in children with oncological diseases of various origins.Objective: to assess the emotional-behavioral status and nutritional status in pediatric cancer and hematological diseases after treatment.Materials and methods. The study included 112 children with acute lymphoblastic leukemia (n = 49) and central nervous system tumors (n = 63) in remission. Age 6–18 years (median 11.5 years). 66 male (58.9 %). The Aachenbаch questionnaire was used to assess the behavioral and individual-personality characteristics. CDI (children depression inventory) questionnaire was used to assess the presence and level of depression. Body mass index (in percentile terms) and body tissue composition by bioimpedance analysis (body fat and lean body mass were evaluated) were used to assess nutritional status.Results. As a result, it was found that a significant proportion of children have delayed effects of treatment in the form of reduced nutritional status and emotional and behavioral difficulties. Children with brain tumors have an increased risk of nutritional and emotional-behavioral disorders compared to children who have survived acute lymphoblastic leukemia. The nutritional and emotional-behavioral statuses of children are related: the presence of excess fat mass increases the risk of emotional-behavioral disorders. According to questionnaires, parents identify detected problems much more often than patients themselves.Conclusion. In children who have experienced antitumor treatment and achieved remission, in case of excess body fat, the risk of emotionalbehavioral disorders increases. Emotional-behavioral disorders can have a negative effect on rehabilitation measures; therefore, before starting rehabilitation measures it is necessary to take into account the nutritional and emotional-behavioral status of patients.
Highlights
Striking manifestations of a decrease in nutritional and emotional statuses are observed in children with oncological diseases of various origins
It was found that a significant proportion of children have delayed effects of treatment in the form of reduced nutritional status and emotional and behavioral difficulties
Children with brain tumors have an increased risk of nutritional and emotional-behavioral disorders compared to children who have survived acute lymphoblastic leukemia
Summary
A violation of nutritional status (obesity) and emotional-behavioral status (depression) is one of the urgent problems of modern health care. Цель исследования – оценка эмоционально-пове денческого статуса и сравнение его с нутритивными показателями детей с онкологическими и гематологи ческими заболеваниями после окончания терапии. Для оценки эмоционально-поведенческого стату са использовали 2 опросника: Ахенбаха для оценки степени снижения эмоционального статуса и CDI (chil dren depression inventory, опросник детской депрессив ности) для оценки депрессивного фона настроения. Что существенная часть детей, перенесших лечение опухолей ЦНС и ОЛЛ, имеют эмоционально-поведенческие нарушения Полученные результаты согласно опроснику CDI свидетельствуют о том, что у значимой части детей наблюдается депрессивный фон настроения (общий балл 38,4 %). Таким обра зом, более трети обследованных детей имеют симптомы депрессивного фона настроения, а значит, изучение этой проблемы является актуальным при работе с деть ми, перенесшими онкологические заболевания, не только на ранних сроках после лечения. Comparison of Aachenbach questionnaire score (children’s and parent versions)
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