32. Nutritional Assessments and Nutritional Supplementation for Long-Term Transplant Survivors: Multivitamins, Vitamin D, Calcium, Antioxidants, and Minerals

  1. Bipin N Savani MD
  1. Lauren Zatarain1,
  2. LaQuisa Hill2,
  3. Daniel R Thomas3 and
  4. Stacey A Goodman4

Published Online: 6 SEP 2013

DOI: 10.1002/9781118473306.ch32

Blood and Marrow Transplantation Long-Term Management: Prevention and Complications

Blood and Marrow Transplantation Long-Term Management: Prevention and Complications

How to Cite

Zatarain, L., Hill, L., Thomas, D. R. and Goodman, S. A. (2013) Nutritional Assessments and Nutritional Supplementation for Long-Term Transplant Survivors: Multivitamins, Vitamin D, Calcium, Antioxidants, and Minerals, in Blood and Marrow Transplantation Long-Term Management: Prevention and Complications (ed B. N. Savani), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118473306.ch32

Editor Information

  1. Professor of Medicine,Director, Long Term Transplant Clinic, Hematology and Stem Cell Transplantation Section, Vanderbilt University Medical Center, Nashville, TN, USA

Author Information

  1. 1

    Division of Hematology/Oncology, Vanderbilt University, Nashville, TN, USA

  2. 2

    Department of Medicine, Vanderbilt University, Nashville, TN, USA

  3. 3

    Vanderbilt University Medical Center, Nashville, TN, USA

  4. 4

    Hematology and Stem Cell Transplant, Vanderbilt University, Nashville, TN, USA

Publication History

  1. Published Online: 6 SEP 2013
  2. Published Print: 1 OCT 2013

ISBN Information

Print ISBN: 9781118473405

Online ISBN: 9781118473306

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Keywords:

  • nutrition;
  • supplements;
  • vitamins;
  • body composition alterations;
  • vitamin D;
  • antioxidants;
  • minerals;
  • calcium;
  • nutrients;
  • long-term transplant survivors

Summary

Nutritional problems remain prevalent beyond the acute post-hematopoietic stem cell transplant (HCT) period. At 1 year, weight loss, anorexia, and altered taste affect 25% of long-term survivors, with quality-of-life implications. Altered body composition, with muscle mass loss and adipose gain, occurs in all posttransplant groups, with a greater extent seen in chronic graft-versus-host disease (CGVHD). Long-term follow-up clinic visits should include basic nutritional screening through a review of systems (including supplement use), laboratory testing and vital signs (weight and body mass index). A more detailed nutritional screening questionnaire and consultation with an HCT-trained dietitian is recommended for patients at risk for malnutrition and CGVHD. In this chapter, we review the published data on this topic and make recommendations on the use of multivitamins, vitamin D, calcium, antioxidants, and minerals in long-term HCT survivors.