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Effects of Nutritional Status on Academic Achievement Among Children With Thalassemia
Panchalee Poovichayasumlit1, Wilaiporn Chanpreecha2, Chanchai Traivaree1
1Division of Hematology-Oncology, Department of Pediatrics, Phramongkutklao College of Medicine and Phramongkutklao Hospital, Bangkok, Thailand.
Insights
Malnutrition is prevalent in children with thalassemia, significantly impacting their academic performance. Addressing nutritional status and socioeconomic factors is crucial for improving outcomes in these patients.
Area of Science:
- Pediatrics
- Nutrition Science
- Medical Research
Background:
- Children with thalassemia face risks of malnutrition and cognitive impairment.
- Chronic illness in thalassemia impacts overall child development.
- Understanding nutritional impacts is vital for managing pediatric thalassemia.
Purpose of the Study:
- To investigate the effect of nutritional status on academic performance in children with thalassemia.
- To assess the prevalence of malnutrition in pediatric thalassemia patients.
- To identify factors associated with malnutrition in this population.
Main Methods:
- Cross-sectional study involving 47 pediatric thalassemia patients (ages 7-18).
- Evaluation of growth parameters, laboratory data, academic performance (GPA), and nutritional intake.
- Nutritional status assessed using World Health Organization (WHO) classifications.
Main Results:
- High prevalence of malnutrition (55.3%) in children with thalassemia.
- Malnourished children showed significantly lower height-for-age (p<0.001) and GPA (p=0.002).
- Malnutrition and lower parental income were significantly associated with poorer academic performance.
Conclusions:
- Malnutrition is common and negatively affects academic achievement in children with thalassemia.
- Financial support and regular nutritional assessments are recommended for affected children and families.
- Interventions targeting nutritional status can improve academic outcomes in pediatric thalassemia.
Background:
Children with thalassemia carry a risk of malnutrition and cognitive impairment due to their underlying chronic disease. Our study aimed to investigate the effect of nutritional status on academic performance among children with thalassemia at Phramongkutklao Hospital.
Methods:
This cross-sectional study was performed on patients ages 7-18 years who were diagnosed with thalassemia. Growth parameters, basic laboratory data, academic performance, and daily nutritional intakes were obtained. Nutritional status was evaluated using World Health Organization classification.
Results:
Forty-seven thalassemia patients were enrolled in this study. The prevalence of malnutrition was 55.3% (57.1% in transfusion-dependent thalassemia and 50% in non-transfusion-dependent thalassemia). Percent height-for-age (%H/A) in the malnutrition group (92.0 + 5.37) was significantly lower than %H/A in the normal group (98.9 + 3.3) with p value of <0.001. Grade point average (GPA) in the malnutrition group (2.9 ± 0.6) was significantly lower than that in the normal group (3.5 ± 0.51) with p value 0.002. In multivariate analysis, GPA was significantly associated with malnutrition. In addition, parents' income was significantly lower in the malnutrition group (p valve 0.039).
Conclusion:
Malnutrition is common in children with thalassemia and has significant impact on their academic achievement. Exploration of financial situation and providing appropriate supports for patients and their families might decrease the burden of malnutrition. Additionally, regular assessment of nutritional status among these patients is warranted.
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