The calorie and protein requirements were studied in 6 pediatric patients with acute nonlymphocytic leukemia treated in a laminar air flow unit. Calorie and protein requirements were estimated from anthropometric data. Mean total caloric requirement for weight maintenance was 136% of estimated basal metabolic rate, which is much lower than the RDA for healthy children. The mean protein requirement was 108% RDA. Provision of intravenous nutrients depressed oral intake. Infection had a deleterious effect on visceral protein status as determined by serum albumin.
Get full access to this article
View all access options for this article.
References
1.
van Eys J.: Malnutrition in children with cancer. Cancer43:2030-2035, 1979
2.
Lanzotti VJ, Copeland EM, George SL, et al: Cancer chemotherapeutic response and intravenous hyperalimentation . Cancer Chemother Rep50:437-439, 1975
3.
Issell BF, Valdivieso M., Zaren HA, et al: Protection against chemotherapy toxicity by IV hyperalimentation . Cancer Treat Rep62: 1139-1143, 1978
4.
Copeland EM, MacFadyen BV, Lanzotti VJ, et al: Intravenous hyperalimentation as an adjunct to cancer chemotherapy . Am J Surg129:167-173, 1975
5.
Copeland EM, MacFadyen BV, Dudrick SJ: Effect of intravenous hyperalimentation on established delayed hypersensitivity in the cancer patient. Ann Surg184:60-64, 1976
6.
Joint FAO/WHO ad hoc expert committee on energy and protein requirements , No. 522, Geneva, World Health Organization Technical Report Series, 1973 , pp 107-108
7.
Food and Nutrition Board, National Research Council: Recommended dietary allowances, 8th ed, Washington, DC, National Academy of Sciences, 1974
8.
Brans YW, Summers JE, Dweck HS, et al: Feeding the low-birth-weight infant: orally or parenterally?: Corrected bromide space in parenterally supplemented infants. Pediatrics58:809-815, 1976
9.
Jelliffe DB: The assessment of the nutritional status of the community, Geneva, World Health Organization, Monograph No 53, 1966 , pp 225, 230-233
10.
Merritt RJ, Ennis CE, Andrassy RJ, et al: Use of Hickman right atrial catheter in pediatric oncology patients . JPEN5:83-85, 1981
11.
Elwyn DH, Gump FE, Munro HN, et al: Changes in nitrogen balance of depleted patients with increasing infusions of glucose. Am J Clin Nutr32:1597-1611, 1979