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Children 2014, 1(2), 107-118; doi:10.3390/children1020107

Nutritional Counseling in Survivors of Childhood Cancer: An Essential Component of Survivorship Care

1
Division of Pediatric Hematology/Oncology/Stem Cell Transplant Columbia University Medical Center, 161 Ft. Washington, New York, NY 10032, USA
2
Institute of Human Nutrition, Columbia University Medical Center, 630 West 168th St., #1512. New York, NY 10032, USA 
Received: 4 June 2014 / Revised: 31 July 2014 / Accepted: 1 August 2014 / Published: 14 August 2014
(This article belongs to the Special Issue Acute and Long-Term Sequelae of Childhood Cancer Therapy)
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Abstract

There is a growing body of evidence suggesting that nutritional status during treatment for cancer has a significant impact on treatment-related toxicities and outcomes among children and adolescents with cancer. The effects of nutritional status appear to extend into survivorship with a large proportion of survivors at risk for a variety of nutrition-related morbidities. The influence of dietary intake on overall treatment outcomes and long-term morbidities is largely unknown. In adults, evidence suggests that greater adherence to cancer prevention dietary guidelines improves long-term health outcomes among survivors of cancer. Surveys describing dietary intake among survivors of childhood cancer have found that most survivors are not meeting the recommended guidelines for many dietary nutrients and this may have an unfavorable effect on nutrition-related outcomes. However, more research is needed in this area so that well-designed clinical trials may be developed and tested. This review presents an overview of the existing literature describing dietary intake among survivors of childhood cancer, the clinical implications of reported dietary behaviors among survivors, and identifies areas for future research. View Full-Text
Keywords: nutrition; dietary intake; pediatric oncology; survivorship; dietary guidelines nutrition; dietary intake; pediatric oncology; survivorship; dietary guidelines
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Ladas, E.J. Nutritional Counseling in Survivors of Childhood Cancer: An Essential Component of Survivorship Care. Children 2014, 1, 107-118.

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