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The prevalence of overweight and obesity in pediatric survivors of cancer.
Nathan, Paul C; Jovcevska, Vesna; Ness, Kirsten K; Mammone D'Agostino, Norma; Staneland, Patricia; Urbach, Stacey L; Barron, Mary; Barrera, Maru; Greenberg, Mark L.
Afiliação
  • Nathan PC; Division of Haematology/Oncology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada. paul.nathan@sickkids.ca
J Pediatr ; 149(4): 518-25, 2006 Oct.
Article em En | MEDLINE | ID: mdl-17011325
OBJECTIVE: To compare the prevalence of overweight in a cohort of pediatric survivors of cancer with that in the general population. STUDY DESIGN: We reviewed the charts of 441 cancer survivors followed at a Canadian tertiary care pediatric hospital and calculated their most recent body mass index. We compared this cohort with population data generated from the Canadian Community Health Survey. RESULTS: At a median age of 14.7 years (range, 3.4 to 19.5 years) and a median time from diagnosis of 9.7 years (range, 3.4 to 19.2 years), 140 of 441 patients (31.7%) were overweight or obese. Only 12 of the 441 patients (2.7%) were underweight. Males age 6 to 11 years (odds ratio [OR] = 2.29; 95% confidence interval [CI] = 1.36 to 3.86; P < .001) and male survivors of acute lymphoblastic leukemia (OR = 1.55; 95% CI = 1.03 to 2.52; P = .04) were more likely to be overweight than the general population. No other age or diagnostic group had an increased risk of overweight. CONCLUSIONS: The prevalence of overweight was not increased in this cohort compared with the general population. However, almost 1/3 of these patients are overweight, necessitating a clinical and research focus on preventing and combating overweight in childhood cancer survivors.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sobreviventes / Sobrepeso / Neoplasias / Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Canadá País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sobreviventes / Sobrepeso / Neoplasias / Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Canadá País de publicação: Estados Unidos