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Updated: May 21, 2025

Assessment of the Metabolic Profile of Primary Leukemia Cells
Published on: November 21, 2018
[Clinical analysis of nutritional components in children with acute leukemia]
Li-Xia Shi1, Ming-Zhong Zhao, Fei-Fei Wang
1Department of Pediatrics, Shandong Provincial Hospital, Shandong University, Jinan 250012, China.
Insights
Children with acute leukemia (AL) experience significant body composition changes, especially during chemotherapy. Early nutritional screening is vital for intervention and recovery, as muscle mass and balance are affected.
Area of Science:
- Pediatric Oncology
- Nutritional Science
- Body Composition Analysis
Context:
- Acute leukemia (AL) significantly impacts pediatric patients' health.
- Body composition and nutritional status are critical during cancer treatment.
- Understanding these changes is essential for effective patient management.
Purpose:
- To evaluate body composition alterations in children with acute leukemia (AL) across different disease stages.
- To identify specific nutritional risks and challenges faced by these children.
- To compare body composition between AL patients and healthy children.
Summary:
- Bioelectrical impedance analysis and anthropometry revealed age-related increases in non-fat mass for both AL patients and controls.
- Older children with AL undergoing chemotherapy showed significantly lower body composition than healthy peers.
- Post-chemotherapy, muscle mass recovery was observed first, with reduced trunk fat and increased body composition imbalance in AL survivors.
Impact:
- Findings highlight the dynamic impact of AL and its treatment on pediatric body composition.
- Results underscore the need for tailored nutritional interventions based on early screening.
- This research provides a foundation for improving nutritional support and recovery strategies in pediatric oncology.
Objectives:
To assess the changes in body composition and nutritional risks faced by children with different stages of acute leukemia (AL).
Methods:
Bioelectrical impedance analysis combined with anthropometric measurements was used to detect body composition. This prospective study was conducted from August 2023 to July 2024 at Shandong Provincial Hospital, examining the body composition and physical balance of children with various stages of AL and healthy children.
Results:
The non-fat components of children with AL and healthy children both showed a linear increase with age. In the younger age group, there were no significant differences in body composition between children with AL and healthy children. However, in the older age group, the body composition of children undergoing chemotherapy for AL was significantly lower than that of healthy children (P<0.05), and muscle mass recovered first after the completion of AL chemotherapy. The proportion of children with increased trunk fat in AL children who completed chemotherapy was significantly lower than that in healthy children (P<0.05), while the incidence rate of severe left-right imbalance in body composition was significantly higher (P<0.05). Muscle distribution in children with AL primarily showed insufficient limb and overall muscle mass, whereas healthy children mainly exhibited insufficient upper limb muscle mass.
Conclusions:
The body composition of children with AL varies at different treatment stages, indicating that nutritional status is affected by both the disease itself and the treatment. Early screening can provide a basis for reasonable nutritional intervention.
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