Table 3.
ethods to detect and analyze nutritional status and alterations in the pediatric oncology population
Methods | Screening | Comments |
Body weight | Daily, weekly | Alone; no information of nutritional status |
Height/length | Daily, weekly | Alone; no information of nutritional status |
Head circumference | Monthly | Especially in infants under 3 y; brain development |
BMI | Biannually | Body weight (kg) divided by height in meters squared; inaccurate |
Body composition tools | Monthly | |
Bioelectrical impedance | Rapid, easy, inexpensive, portable but sensitive to hydration and temperature | |
Dual X-ray absorptiometry | Accurate, but exposure to radiation | |
Isotope dilution method | Expensive | |
Energy expenditure | Weekly, monthly | Determine noninvasive resting energy expenditure. |
Indirect calorimetry | Provide understanding of energy and substrate requirements | |
Stool analysis | Weekly, monthly | Analyses of carbohydrates and protein stool losses. |
Determination of energy losses using bomb-calorimetry |