title: Accurate determination of energy needs in children and adolescents with cancer.
abstract: Studies on children with cancer have suggested that energy expenditure may indeed be greater than predicted for healthy children. Nutritional assessment is important for intervention and for the prevention of complications associated with malnutrition. The present study aimed to describe the nutritional status, energy expenditure, and substrate utilization of children and adolescents with cancer compared to healthy children matched for age, sex, and body mass index. Subjects were evaluated by anthropometry, food intake pattern, and body composition analysis. Energy expenditure and substrate oxidation were measured by indirect calorimetry. Indirect calorimetry data, energy, and macronutrient intake, anthropometry, and body composition parameters showed no significant differences between groups. There was no evidence of increased energy expenditure or of a change in substrate utilization in children with cancer compared to the healthy group. The data regarding usual food consumption showed no significant differences between groups.
authors.affiliation: Nutrition and Metabolism Graduation Course, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Paula Cristina
authors.initials: PC
authors.lastname: Galati
authors.forename: Cristina Maria Mendes
authors.initials: CM
authors.lastname: Resende
authors.forename: Roberta Garcia
authors.initials: RG
authors.lastname: Salomão
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Scridelli
authors.forename: Luiz Gonzaga
authors.initials: LG
authors.lastname: Tone
authors.forename: Jacqueline Pontes
authors.initials: JP
authors.lastname: Monteiro
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001823:Body Composition; D015992:Body Mass Index; D002153:Calorimetry, Indirect / Q000379:methods*; D002648:Child; D003430:Cross-Sectional Studies; D004435:Eating; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition; D009369:Neoplasms / Q000378:metabolism; D015596:Nutrition Assessment; D009752:Nutritional Status; D011795:Surveys and Questionnaires