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Updated: Mar 25, 2026

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
Published on: February 19, 2021
Diet quality and functional nutritional assessment in children and adolescents with cancer
Priscilla Faria Goretti1, Raiane Marques Barbosa1, Anke Bergmann2
1Graduate Program in Rehabilitation Sciences and Physical and Functional Performance, Faculty of Physical Therapy, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil.
Abstract:
IntroductionMalnutrition and changes in body composition are common in pediatric cancer patients and are often underestimated during outpatient care. Simple anthropometric tools and functional assessments may enhance nutritional screening and clinical monitoring in this population. This study aims to investigate the relationship between anthropometric indicators, handgrip strength (HGS), and dietary intake in children and adolescents undergoing cancer treatment, compared to healthy peers.MethodsA cross-sectional study was conducted with 45 participants (15 cancer patients and 30 age- and sex-matched controls). Assessments included arm and calf circumferences, tricipital skinfold, arm muscle circumference, HGS via dynamometry, and a 3-day dietary record classified using the NOVA system.ResultsThe cancer group reported significantly lower consumption of ultra-processed foods compared to controls (p = 0.039). Anthropometric indicators and HGS were significantly lower in the cancer group (p < 0.05). A strong positive correlation was found between HGS and calf circumference (r > 0.80). In the total sample, 42.2% were eutrophic, while 51.1% were classified as overweight or obese.ConclusionHGS and basic anthropometric measurements may serve as supportive tools for early identification of nutritional risk. Integrating these indicators into routine outpatient care may support targeted interventions and promote dietary quality in children with chronic illnesses.
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