The evolution of nutritional care in children and young people with acute lymphoblastic leukaemia: a narrative review

This is the final version. Available on open access from Wiley via the DOI in this recordData availability statement: Data sharing is not applicable to this article as no new data were created or analysed in this study.Background: Acute lymphoblastic leukaemia (ALL) is the most common paediatric malignancy in the world. Advances in treatment protocols have resulted in survival rates of >80% in most high‐income countries (HIC); however, children and young people (CYP) with ALL continue to face significant nutrition‐related challenges during treatment. Methods: This narrative review outlines the changing landscape of treatment and survivorship for CYP with ALL and the advances in nutrition knowledge that call for changes to clinical nutrition practice. Results: The incidence of ALL has remained stable in HIC; however, there have been significant advances in survival over the past 30 years. Overweight and obesity are increasingly prevalent in CYP with ALL at diagnosis, during treatment and in survivorship. Coupled with poor diet quality, high‐energy and saturated fat intakes, altered eating behaviours and inactivity, this necessitates the need for a shift in nutrition intervention. Undernutrition remains a concern for CYP with high‐risk treatment protocols where oral or enteral nutrition support remains a cornerstone of maintaining nutrition status. Conclusions: With improved treatment protocols and high survival rates, a shift to focusing on diet quality, prevention of excessive weight gain and obesity during treatment and survivorship is necessary

Kirja fragment tundmatule

Brougham, Henry, 1778-1868, lord, inglise jurist ja poliiti

Giornale d'un viaggiatore inglese ossia Memorie ed aneddoti intorno a S.A.R. Carolina di Brunswick, principessa di Galles dal 1814 al 1816

tradotte in italiano da B.D., ed in francese da C.G.L'autore è Henry Brougha

The circle of the sciences : a cyclopaedia of experimental, chemical, mathematical, & mechanical philosophy, and natural history. The sections have been written by authors of great scientific eminence; amongst whom are: Professors Owen, Ansted, Tennant, and Young; Drs. Letheby, Bushnan, Scoffern, and others

ed. by James Wylde ; with an introductory discourse of the objects, pleasures, and advantages of science by Henry Lord BroughamBd. 1: XXVIII, 208 S., Frontispiz ; Bd. 2: S. 209-448, Frontispiz ; Bd. 3: S. 449-688, Frontispiz ; Bd. 4: S. 690-928, Frontispiz, Bd. 5: S. 929-1168, Frontispiz ; Bd. 6: [4] Bl., S. 1169-1216, VIII, 184 S. ; Bd. 7: [7] Bl., S. 185-408 ; Bd. 8: S. 409-608, 1218-1232, Frontispiz ; Bd. 9: [6] Bl., S. 609-808, S. 1233-1248 ; Bd. 10: [4] Bl., S. 809-1092, [13] Bl., S. 1249-125