诊断急性淋巴细胞白血病时的营养不良会对儿童的存活率产生负面影响
Ingrid Garduño-Sánchez1, Diana Ávila-Montiel2, Elisa Dorantes-Acosta3
1Facultad de Medicina, Universidad Nacional Autónoma de México.
Boletin medico del Hospital Infantil de Mexico
|December 26, 2025
概括
营养状况显著影响儿童急性淋巴细胞白血病 (ALL) 的存活率. 患有ALL的营养不良儿童面临着更高的死亡风险,这凸显了早期营养干预的必要性.
科学领域:
- 儿科瘤学 儿科瘤学
- 临床营养学 临床营养学
- 流行病学 流行病学
背景情况:
- 急性淋巴细胞白血病 (ALL) 是最常见的儿科癌症.
- 营养状况是影响ALL患者死亡风险的关键因素.
- 以前的研究还没有完全探索营养状况对ALL结果的影响.
研究的目的:
- 用身体质量指数Z-分数 (Z-BMI) 评估儿科ALL患者的营养状况.
- 评估诊断,诱导和监测阶段的营养状况与死亡率之间的关系.
- 确定营养状况对ALL儿童死亡率的预测值.
主要方法:
- 在2015-2020年期间接受治疗的94名2-18岁患者的回顾性队列研究.
- 在诊断,诱导和监测时使用Z-BMI评估营养状况.
- 衡量的主要结局是全因死亡率.
主要成果:
- 与营养不良患者相比,在诊断时体重正常的患者的生存率更高 (p=0.045).
- 诊断时的营养不良与12.5倍高的死亡风险相关 (p=0.032).
- 诊断时的超重/肥胖也表明死亡风险增加 (4.95倍,p=0.30).
结论:
- 诊断时的营养状况是儿科ALL死亡率的重要预测因素.
- 早期识别和对营养状况的干预对于改善生存率至关重要.
- 为了应对ALL儿童的营养挑战,需要进行多学科的干预.
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