Obesity in Childhood Cancer Survivors: Call for Early Weight Management

被引:77
作者
Zhang, Fang Fang [1 ,2 ]
Parsons, Susan K. [3 ,4 ,5 ,6 ]
机构
[1] Tufts Univ, Friedman Sch Nutr Sci & Policy, Dept Nutr Sci, Boston, MA 02111 USA
[2] Tufts Univ, Jean Mayer USDA Human Nutr Res Ctr Aging, Boston, MA 02111 USA
[3] Tufts Med Ctr, Inst Clin Res & Hlth Policy Studies, Boston, MA USA
[4] Tufts Univ, Sch Med, Dept Med, Boston, MA 02111 USA
[5] Tufts Univ, Sch Med, Dept Pediat, Boston, MA 02111 USA
[6] Tufts Univ, Sch Med, Dept Publ Hlth & Community Med, Boston, MA 02111 USA
关键词
obesity; survivors; childhood cancer; nutrition; lifestyle; intervention; ACUTE LYMPHOBLASTIC-LEUKEMIA; LONG-TERM SURVIVORS; BODY-MASS-INDEX; HEALTH-RELATED BEHAVIORS; YOUNG-ADULT SURVIVORS; PHYSICAL-ACTIVITY GUIDELINES; CARDIOVASCULAR RISK-FACTORS; ENERGY-EXPENDITURE; A-REPORT; LIPID ABNORMALITIES;
D O I
10.3945/an.115.008946
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
A high prevalence of obesity and cardiometabolic conditions has been increasingly recognized in childhood cancer survivors. In particular, survivors of pediatric acute lymphoblastic leukemia have been found to be at risk of becoming overweight or obese early in treatment, with increases in weight maintained throughout treatment and beyond. Nutrition plays an important role in the etiology of obesity and cardiometabolic conditions and is among the few modifiable factors that can prevent or delay the early onset of these chronic conditions. However, nutritional intake in childhood cancer survivors has not been adequately examined and the evidence is built on data from small cohorts of survivors. In addition, the long-term impact of cancer diagnosis and treatment on survivors' nutritional intake as well as how survivors' nutritional intake is associated with chronic health conditions have not been well quantified in large-scale studies. Promoting family-based healthy lifestyles, preferably at a sensitive window of unhealthy weight gain, is a priority for preventing the early onset of obesity and cardiometabolic conditions in childhood cancer survivors.
引用
收藏
页码:611 / 619
页数:9
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