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Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia.

Publication ,  Journal Article
Winkler, MR; Hockenberry, MJ; McCarthy, KS; Silva, SG
Published in: Oncology nursing forum
July 2015

To describe the trajectories of obesity/overweight rates by age group among survivors of childhood acute lymphoblastic leukemia (ALL) from diagnosis through several years post-therapy.Longitudinal, descriptive.Hematology/oncology clinic in the southwestern United States.62 child and adolescent ALL survivors receiving treatment and follow-up care from 1999-2013.Retrospective chart review of height, weight, and body mass index.Annual obesity/overweight rates and developmental age groups.Different trajectories of obesity/overweight rates existed among age groups. Forty-seven percent of adolescents met the Centers for Disease Control and Prevention criteria for obesity/overweight status at some point following diagnosis, compared to 68% of school-age and 73% of preschool children. Preschool children demonstrated the most rapid rate increase following diagnosis, with a particularly susceptible period in the years immediately following therapy. Obesity/overweight persistence was most characteristic of school-age children.Important variations in rate and pattern of weight status trajectories exist by age group, demonstrating that children diagnosed with ALL during the preschool and school-age developmental years have the greatest vulnerability of developing obesity/overweight status.Obesity/overweight prevention efforts are greatly needed in children with ALL, and efforts should occur before ALL treatment completion in preschool and school-age children.

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Published In

Oncology nursing forum

DOI

EISSN

1538-0688

ISSN

0190-535X

Publication Date

July 2015

Volume

42

Issue

4

Start / End Page

E287 / E293

Related Subject Headings

  • Survivors
  • Southwestern United States
  • Retrospective Studies
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • Pediatric Obesity
  • Obesity
  • Nursing
  • Male
  • Longitudinal Studies
  • Humans
 

Citation

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ICMJE
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Winkler, M. R., Hockenberry, M. J., McCarthy, K. S., & Silva, S. G. (2015). Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia. Oncology Nursing Forum, 42(4), E287–E293. https://doi.org/10.1188/15.onf.e287-e293
Winkler, Megan R., Marilyn J. Hockenberry, Kathy S. McCarthy, and Susan G. Silva. “Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia.Oncology Nursing Forum 42, no. 4 (July 2015): E287–93. https://doi.org/10.1188/15.onf.e287-e293.
Winkler MR, Hockenberry MJ, McCarthy KS, Silva SG. Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia. Oncology nursing forum. 2015 Jul;42(4):E287–93.
Winkler, Megan R., et al. “Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia.Oncology Nursing Forum, vol. 42, no. 4, July 2015, pp. E287–93. Epmc, doi:10.1188/15.onf.e287-e293.
Winkler MR, Hockenberry MJ, McCarthy KS, Silva SG. Trajectories of Obesity and Overweight Rates Among Survivors of Childhood Acute Lymphoblastic Leukemia. Oncology nursing forum. 2015 Jul;42(4):E287–E293.

Published In

Oncology nursing forum

DOI

EISSN

1538-0688

ISSN

0190-535X

Publication Date

July 2015

Volume

42

Issue

4

Start / End Page

E287 / E293

Related Subject Headings

  • Survivors
  • Southwestern United States
  • Retrospective Studies
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • Pediatric Obesity
  • Obesity
  • Nursing
  • Male
  • Longitudinal Studies
  • Humans