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Updated: Jun 29, 2025

Author Spotlight: Exploring the Lifespan Dynamics of Healthy Human Hematopoiesis
Published on: December 8, 2023
[Advances in nutritional support for children undergoing hematopoietic stem cell transplantation]
1Department of Gastroenterology and Pediatric Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health/National Children's Regional Medical Center, Hangzhou 310052, China.
Insights
Hematopoietic stem cell transplantation (HSCT) in children requires careful nutritional support due to factors like chemotherapy and graft-versus-host disease. This review summarizes current progress to guide clinical practice in China, addressing a lack of established guidelines.
Area of Science:
- Pediatric Hematology and Oncology
- Stem Cell Transplantation
- Clinical Nutrition
Background:
- Hematopoietic stem cell transplantation (HSCT) is a vital treatment for pediatric malignant and non-malignant diseases.
- Nutritional status in children undergoing HSCT is compromised by treatments (radiotherapy, chemotherapy) and complications (gastrointestinal disorders, graft-versus-host disease).
- Malnutrition correlates with reduced survival and increased complications in pediatric HSCT patients, highlighting the need for effective nutritional interventions.
Approach:
- This review synthesizes current research and clinical advancements in nutritional support strategies for pediatric HSCT.
- It aims to consolidate existing knowledge and identify best practices.
- The focus is on providing evidence-based recommendations for clinical application.
Key Points:
- Nutritional support is critical for optimizing outcomes in pediatric HSCT.
- Multiple factors negatively impact nutritional status during HSCT.
- There is a significant need for standardized nutritional guidelines in China for this patient population.
Conclusions:
- Establishing clear guidelines for nutritional support in pediatric HSCT is essential for improving patient survival and reducing complications.
- This review provides a foundation for developing such guidelines in China.
- Further research and consensus-building are recommended to refine nutritional protocols.
Abstract:
Hematopoietic stem cell transplantation (HSCT) is a therapeutic option for various potentially life-threatening malignant and non-malignant diseases in children, such as malignancies, immunodeficiency syndromes, severe aplastic anemia, and inherited metabolic disorders. During transplantation, many factors can affect the nutritional status of the children, including radiotherapy, chemotherapy, gastrointestinal disorders, graft-versus-host disease, and medications. Malnutrition has been associated with decreased overall survival and increased complications in children undergoing HSCT, making nutritional support a crucial component of their management. However, currently, there is a lack of guidelines or consensus on nutritional support for children undergoing HSCT in China. Therefore, this review summarizes the progress in nutritional support for children undergoing HSCT, aiming to provide clinical guidance.
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