{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:18:15Z","timestamp":1785907095330,"version":"3.56.0"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,7,30]],"date-time":"2008-07-30T00:00:00Z","timestamp":1217376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Malnutrition at diagnosis is found in 10\u201350% of children with cancer in industrialized countries. In developing countries a large proportion of the normal paediatric population is undernourished and children with cancer often present late with advanced disease. Therefore it would be expected that many children with cancer are malnourished at admission. Malnutrition is associated with more severe chemotherapy toxicity and infectious complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All new paediatric oncology patients admitted in the Queen Elizabeth Central Hospital, Blantyre, Malawi between 1, January 2007 and 1, January 2008 were included. We documented age, clinical diagnosis, HIV status, weight, height, mid\u2010upper\u2010arm\u2010circumference (MUAC) and triceps skinfold (TSF), and calculated arm muscle area (AMA). Nutritional data were compared with the 1978 NCHS growth curves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 128 children, 70 (55.1%) had an AMA for age &lt;5th percentile and 76 (59.3%) had a TSF and MUAC below the 5th percentile, both parameters indicating acute malnutrition. Fifty seven patients (44.5%) had a height for age &lt;\u22122 SD (indicative of stunting), and 22 patients (17.2%) had a weight for height (WFH) &lt;\u22122 SD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arm anthropometry shows that more than half of Malawian children with cancer are severely acutely malnourished at diagnosis. WFH, in children with large tumour masses, is less sensitive than arm anthropometry in detecting acute malnutrition. Forty\u2010five percent of paediatric oncology patients in Malawi are stunted, making interpretation of weight for age (WFA) very difficult. Pediatr Blood Cancer 2008;51:626\u2013628. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.21697","type":"journal-article","created":{"date-parts":[[2008,7,30]],"date-time":"2008-07-30T13:44:21Z","timestamp":1217425461000},"page":"626-628","source":"Crossref","is-referenced-by-count":60,"title":["Nutritional status at admission of children with cancer in Malawi"],"prefix":"10.1002","volume":"51","author":[{"given":"Trijn","family":"Isra\u00ebls","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chawanangwa","family":"Chirambo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huib N.","family":"Caron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Molyneux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,7,30]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11833"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197905)43:5 <2030::AID-CNCR2820430711>3.0.CO;2-S"},{"key":"e_1_2_5_4_2","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/S0002-8223(21)00139-5","article-title":"Nutritional parameters in children with cancer","volume":"82","author":"Carter P","journal-title":"J Am Diet Ass"},{"key":"e_1_2_5_5_2","unstructured":"Unicef.The state of the world's children.2006."},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/088800199277146"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.21399"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/088800199277579"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/34.11.2540"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-200011000-00005"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198305000-00011"},{"key":"e_1_2_5_12_2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1093\/ajcn\/32.3.607","article-title":"Physical growth: National Center for Health Statistics percentiles","volume":"32","author":"Hamill PVV","year":"1996","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_5_13_2","first-page":"66","article-title":"The growth of Malawian preschool children from different socioeconomic groups","volume":"49","author":"Quinn VJ","year":"1995","journal-title":"Eur J Clin Nutr"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.20917"}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpbc.21697","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pbc.21697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T19:55:58Z","timestamp":1697658958000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pbc.21697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,30]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1002\/pbc.21697"],"URL":"https:\/\/doi.org\/10.1002\/pbc.21697","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"value":"1545-5009","type":"print"},{"value":"1545-5017","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,30]]}}}