Nutritional

Status among
Acute Lymphoblastic Leukemia (All) Survivors
in Indonesia
Permatami Herwansyah, Eka Satria Anandita, Stefanus Gunawan, Max Mantik
Department of Child health, Faculty of Medicine, Sam Ratulangi University
Prof. Dr. R.D. Kandou Hospital, Manado Indonesia

Background
In high High prevalence In low to middle
income of ALL survivors income countries.
countries were obese .

.
Objective
To assess the nutritional status of ALL survivors in Manado, Indonesia.

Methods

The weight and height were measured and plotted into

Medical records of children that had
Estella Pediatric ALL patients were weight-for-height curve from WHO (ages 1-5 y.o) or CDC
completed chemotherapy (Indonesia ALL
Cross-sectional Cancer Center, categorized into high risk (ages > 5 y.o) based on subjects age. From a total of 45 ALL
2006 or 2013 protocol) without cranial
study Manado, Indonesia (HR) or standard risk (SR) survivors, thirty-six subjects consented for examination.
irradiation

Results
Overall Nutrition Status
Obese
19% Underweight
Overweight
11%
6%
Mean age was 10,5 years old and the
duration of follow up was 3,1 years. The
nutritional status between the HR and SR
survivors was not different (p = 0.263).
Normal
65%

HR ALL Survivors Nutrition Status

SR ALL Survivors Nutrition Status
Obese Underweight Obese Underweight
Overweight 14% 7% 23% 5%
14%

Overweight
Normal 9%
65% Normal
63%

Conclusion
The majority of the ALL survivors in Manado, Indonesia have good
nutritional status. Obesity and overweight do occur, but not more
than in the general population. Noteworthy is that all patients
received dexamethasone, the HR patients more than the SR
patients. No patient received cranial irradiation.