A Pilot Study of Nutrition Management in the Department of Pediatric Oncology Department of a Hospital in Kazakhstan

Zhandulla Nakipov; Anar Tursynbekova; Gaukhar Dauletova; Akmaral Mussakhanova; Gulzhan Dossybayeva; Zakira Kerimbayeva; Gaukhar Saurbayeva; Aigul Kaliyeva; Assiya Turgambayeva; Mei Yen Talamona Chan

doi:10.3889/oamjms.2022.8190

Authors

Zhandulla Nakipov Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan
Anar Tursynbekova Clinical Hospital, Almaty, Kazakhstan https://orcid.org/0000-0002-0248-5174
Gaukhar Dauletova Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan
Akmaral Mussakhanova Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan https://orcid.org/0000-0002-0399-5045
Gulzhan Dossybayeva Department of General Practitioner N2, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
Zakira Kerimbayeva Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan https://orcid.org/0000-0003-2618-3151
Gaukhar Saurbayeva Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan https://orcid.org/0000-0002-8614-0033
Aigul Kaliyeva Corporate Fund, University Medical Center, Nur-Sultan, Kazakhstan
Assiya Turgambayeva Department of Public Health and Management, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan https://orcid.org/0000-0002-2300-0105
Mei Yen Talamona Chan School of Medicine, Nazarbayev University, Nur- Sultan, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2022.8190

Keywords:

Nutritional support, Pediatric oncology, Nutrition

Abstract

Maintaining optimal nutritional status is important for children with cancer because it can affect clinical outcomes. This study aimed to prospectively study clinical practices in children's cancer departments to improve the nutritional health of children and adolescents receiving cancer treatment. Currently, there are no unified and harmonized protocols for assessing the nutritional status and nutritional support of children in pediatric wards in Kazakhstan. According to WHO research, most of the children admitted to hospitals already have significant nutritional status disorders, such as exhaustion and malnutrition, lipid metabolism disorders, hypovitaminosis and anemia. 200 children with cancer aged 6 months to 17 years (n=200) were recruited. Dietary data and other relevant anthropometric and biochemical data were collected using a data collection form validated and developed by the researchers. Data processing is still in progress. They were randomly allocated either to a treatment group or a control group (age-matched and gender matched). The treatment group received nutritional advice and support and the control group received the standard treatment. A significant decrease in the intake of protein and energy with the consumed diets, which are prescribed by doctors in daily practice, was revealed, which is a risk factor for the development of severe nutritional disorders (p>0.5). Patients who were assigned nutritional support in addition to the General diets during the study had higher nutrient intake. Comparing week zero with subsequent weeks of nutritional support, children in the main group showed significant improvements in the thickness of the triceps skin fold (P<0.001), the circumference of the middle shoulder (P<0.001), and the circumference of the arm muscles (P<0.001), showing that performing nutritional support is better for the evolution of nutrition (P<0.01). Proper use of nutritional support in children with cancer can prevent the development of nutritional deficiencies and associated risks. To improve nutrition management, attention should be paid to nutrition education and assessment tools for doctors and nurses.

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