Pediatric blood & cancer · 2026
Effects of Nutritional Status on Academic Achievement Among Children With Thalassemia.
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Poovichayasumlit Panchalee, Chanpreecha Wilaiporn, Traivaree Chanchai, Monsereenusorn Chalinee, Photi-A Apichat, Lertvivatpong Nawachai, Rujkijyanont Piya
Аннотация
BACKGROUND: Children with thalassemia carry a risk of malnutrition and cognitive impairment due to their underlying chronic disease. Our study aimed to investigate the effect of nutritional status on academic performance among children with thalassemia at Phramongkutklao Hospital.
METHODS: This cross-sectional study was performed on patients ages 7-18 years who were diagnosed with thalassemia. Growth parameters, basic laboratory data, academic performance, and daily nutritional intakes were obtained. Nutritional status was evaluated using World Health Organization classification.
RESULTS: Forty-seven thalassemia patients were enrolled in this study. The prevalence of malnutrition was 55.3% (57.1% in transfusion-dependent thalassemia and 50% in non-transfusion-dependent thalassemia). Percent height-for-age (%H/A) in the malnutrition group (92.0 + 5.37) was significantly lower than %H/A in the normal group (98.9 + 3.3) with p value of <0.001. Grade point average (GPA) in the malnutrition group (2.9 ± 0.6) was significantly lower than that in the normal group (3.5 ± 0.51) with p value 0.002. In multivariate analysis, GPA was significantly associated with malnutrition. In addition, parents' income was significantly lower in the malnutrition group (p valve 0.039).
CONCLUSION: Malnutrition is common in children with thalassemia and has significant impact on their academic achievement. Exploration of financial situation and providing appropriate supports for patients and their families might decrease the burden of malnutrition. Additionally, regular assessment of nutritional status among these patients is warranted.
METHODS: This cross-sectional study was performed on patients ages 7-18 years who were diagnosed with thalassemia. Growth parameters, basic laboratory data, academic performance, and daily nutritional intakes were obtained. Nutritional status was evaluated using World Health Organization classification.
RESULTS: Forty-seven thalassemia patients were enrolled in this study. The prevalence of malnutrition was 55.3% (57.1% in transfusion-dependent thalassemia and 50% in non-transfusion-dependent thalassemia). Percent height-for-age (%H/A) in the malnutrition group (92.0 + 5.37) was significantly lower than %H/A in the normal group (98.9 + 3.3) with p value of <0.001. Grade point average (GPA) in the malnutrition group (2.9 ± 0.6) was significantly lower than that in the normal group (3.5 ± 0.51) with p value 0.002. In multivariate analysis, GPA was significantly associated with malnutrition. In addition, parents' income was significantly lower in the malnutrition group (p valve 0.039).
CONCLUSION: Malnutrition is common in children with thalassemia and has significant impact on their academic achievement. Exploration of financial situation and providing appropriate supports for patients and their families might decrease the burden of malnutrition. Additionally, regular assessment of nutritional status among these patients is warranted.