{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T13:06:11Z","timestamp":1779541571963,"version":"3.53.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with thalassemia carry a risk of malnutrition and cognitive impairment due to their underlying chronic disease. Our study aimed to investigate the effect of nutritional status on academic performance among children with thalassemia at Phramongkutklao Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was performed on patients ages 7\u201318 years who were diagnosed with thalassemia. Growth parameters, basic laboratory data, academic performance, and daily nutritional intakes were obtained. Nutritional status was evaluated using World Health Organization classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010seven thalassemia patients were enrolled in this study. The prevalence of malnutrition was 55.3% (57.1% in transfusion\u2010dependent thalassemia and 50% in non\u2010transfusion\u2010dependent thalassemia). Percent height\u2010for\u2010age (%H\/A) in the malnutrition group (92.0\u00a0+\u00a05.37) was significantly lower than %H\/A in the normal group (98.9\u00a0+\u00a03.3) with\n                      <jats:italic>p<\/jats:italic>\n                      value of &lt;0.001. Grade point average (GPA) in the malnutrition group (2.9\u00a0\u00b1\u00a00.6) was significantly lower than that in the normal group (3.5\u00a0\u00b1\u00a00.51) with\n                      <jats:italic>p<\/jats:italic>\n                      value 0.002. In multivariate analysis, GPA was significantly associated with malnutrition. In addition, parents' income was significantly lower in the malnutrition group (\n                      <jats:italic>p<\/jats:italic>\n                      valve 0.039).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Malnutrition is common in children with thalassemia and has significant impact on their academic achievement. Exploration of financial situation and providing appropriate supports for patients and their families might decrease the burden of malnutrition. Additionally, regular assessment of nutritional status among these patients is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70233","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T05:57:12Z","timestamp":1773640632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Nutritional Status on Academic Achievement Among Children With Thalassemia"],"prefix":"10.1002","volume":"73","author":[{"given":"Panchalee","family":"Poovichayasumlit","sequence":"first","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilaiporn","family":"Chanpreecha","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5635-1238","authenticated-orcid":false,"given":"Chanchai","family":"Traivaree","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chalinee","family":"Monsereenusorn","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apichat","family":"Photi\u2010a","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawachai","family":"Lertvivatpong","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piya","family":"Rujkijyanont","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology, Department of Pediatrics Phramongkutklao College of Medicine and Phramongkutklao Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31822-6"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3184"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.54052\/jhds.v2n1.p39-52"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPH.0000000000002291"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2016-05-712695"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1096\/fasebj.25.1_supplement.lb217"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874350101912010076"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2019.077"},{"issue":"4","key":"e_1_2_12_10_1","first-page":"211","article-title":"A Descriptive Study on Quality of Life Among Adolescents With Beta\u2010Thalassemia Major in the Maldives","volume":"25","author":"Mansoor S. 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