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We investigated the nutritional status of children with cancer and their serum albumin and prealbumin levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>At diagnosis and following induction therapies, weight, height, body mass index (BMI), mid\u2010upper arm circumference (MUAC), and triceps skin\u2010fold thickness (TSFT) were measured; serum albumin and prealbumin levels were determined. Prevalences of malnutrition defined by anthropometric indices were calculated. Correlations of anthropometric indices with each other, with serum albumin\/prealbumin levels, and clinicopathological parameters were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 81 patients, median age was 7.5\u00a0years (males\/females\u00a0=\u00a050\/31), tumors were located mostly in the abdomen, and abdominal tumors were more common under 5\u00a0years. Prevalence of malnutrition according to weight for age, BMI, MUAC, TSFT <jats:italic>z<\/jats:italic> scores were 14.8%, 23.5%, 27.2%, 21%, respectively. Defined by combined BMI\/MUAC\/TSFT measurements, 33\/81 cases (40.7%) had malnutrition (<jats:italic>z<\/jats:italic> scores\u00a0&lt;\u00a0\u22121, 23 mild; <jats:italic>z<\/jats:italic> scores\u00a0&lt;\u00a0\u22122, 10 moderate). Malnutrition was more prevalent under 5\u00a0years (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.03), also in abdominal tumors (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.03) and advanced disease (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Younger age and advanced disease were risk factors for malnutrition. At diagnosis, prevalences of low serum albumin and prealbumin levels were 7.4% and 54%, respectively. Cases with malnutrition had significantly lower survival rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nutritional status is assessed best by MUAC and TSFT measurements. Serum prealbumin levels can be used to identify patients at risk of undernutrition. Presence of malnutrition is a significant poor prognostic factor. All children with cancer should undergo nutritional evaluation and active nutritional support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.28752","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T02:37:16Z","timestamp":1602211036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Assessment of nutritional status in children with cancer: Significance of arm anthropometry and serum visceral proteins"],"prefix":"10.1002","volume":"68","author":[{"given":"Deniz S\u00fcl","family":"Yaprak","sequence":"first","affiliation":[{"name":"Department of Pediatric Oncology Hacettepe University Faculty of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2840-0308","authenticated-orcid":false,"given":"Bilgehan","family":"Yal\u00e7\u0131n","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology Hacettepe University Faculty of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asl\u0131 Akhun","family":"P\u0131nar","sequence":"additional","affiliation":[{"name":"Department of Medical Biochemistry Hacettepe University Faculty of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00fcnevver","family":"B\u00fcy\u00fckpamuk\u00e7u","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology Hacettepe University Faculty of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113479972"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.21689"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615600423"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11833"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2011.06.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4274\/jcrpe.1574","article-title":"Arm anthropometry indices in Turkish children and adolescents: changes over a three\u2010year period","volume":"6","author":"\u00c7i\u00e7ek B","year":"2014","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4274\/jcrpe.3482","article-title":"Comparison of updated weight and height percentiles with previous references in 6\u201017\u2010year\u2010old children in Kayseri, Turkey","volume":"9","author":"Zarars\u0131z G","year":"2017","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"112","DOI":"10.2399\/tahd.11.112","article-title":"Growth charts for 0\u201018 year old children and adolescents","volume":"15","author":"\u00d6zt\u00fcrk A","year":"2011","journal-title":"Turk J Fam Pract (Turk Aile Hek Derg)"},{"key":"e_1_2_10_10_1","first-page":"312","volume-title":"WHO Child Growth Standards: Length\/Height\u2010for\u2010Age, Weight\u2010for\u2010Age, Weight\u2010for\u2010Length, Weight\u2010for\u2010Height and Body Mass Index\u2010for\u2010Age: Methods and Development","author":"WHO Multicentre Growth Reference Study Group","year":"2006"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.08.026"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/08035250600652013"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737140.2020.1719834"},{"key":"e_1_2_10_15_1","volume-title":"Levels and Trends in Child Malnutrition: Key Findings of the 2019 Edition of the Joint Child Malnutrition Estimates","author":"United Nations Children's Fund (UNICEF), World Health Organization, International Bank for Reconstruction and Development\/The World Bank","year":"2019"},{"key":"e_1_2_10_16_1","unstructured":"Research Report for the Project of Growth Monitoring in School\u2010Age Children (Ages 6\u201010 years) in Turkey (TO\u00c7B\u0130).Ministry of Health General Directorate of Primary Health Care Services Hacettepe University Faculty of Health Sciences Nutrition and Dietetics Department; 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