Mamdouh Abdulmaksoud Abdulrhman1, Ahmad Alsaeed Hamed2, Sahar Abdelmaksoud Mohamed3, Nouran Abdel Aal Hassanen4. 1. Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: mamdouh565@hotmail.com. 2. Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: ahmadalsaeed2014@hotmail.com. 3. Faculty of Medicine, El-Azhar University, Egypt. Electronic address: arafaah@yahoo.com. 4. Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: nouran2300@yahoo.com.
Abstract
OBJECTIVES:Febrile neutropenia (FN) is a common adverse effect of chemotherapy. Current management of FN is expensive and may induce side effects. Honey, as a natural honeybee product, has antioxidant, antimicrobial, immunomodulator and anticancer effects. Additionally, honey is not expensive. The aim of this study is to test the effects of a 12-week honey consumption on children with acute lymphoblastic leukemia (ALL) particularly with regard to FN. DESIGN: A randomized crossover clinical trial. Forty patients of both sexes, aged 2.5-10 years, were randomized into two equal groups [intervention to control (I/C) and control to intervention (C/I)]. SETTING:Children Hospital of Ain Shams University-Cairo-Egypt. The dietary intervention consisted of honey in a dose of 2.5 g//kg body weight per dose twice weekly for 12 weeks. MAIN OUTCOME MEASURE: Febrile neutropenia in terms of frequency and duration of hospital admission. RESULTS: The intervention resulted in a significant decrease of FN episodes, the number of patients admitted with FN and the duration of hospital stay. Also, honey consumption improved the levels of hemoglobin and did not produce any serious side effect. As a possible effect of honey withdrawal in the I/C group, the Hb%, the absolute neutrophil count and the platelet count decreased. CONCLUSION:Honey intervention in a group of children with ALL resulted in positive effects on FN and hematologic parameters. Further studies that include a larger number of patients are recommended to confirm that honey, has beneficial effects, as a complementary agent, in children with ALL.
RCT Entities:
OBJECTIVES:Febrile neutropenia (FN) is a common adverse effect of chemotherapy. Current management of FN is expensive and may induce side effects. Honey, as a natural honeybee product, has antioxidant, antimicrobial, immunomodulator and anticancer effects. Additionally, honey is not expensive. The aim of this study is to test the effects of a 12-week honey consumption on children with acute lymphoblastic leukemia (ALL) particularly with regard to FN. DESIGN: A randomized crossover clinical trial. Forty patients of both sexes, aged 2.5-10 years, were randomized into two equal groups [intervention to control (I/C) and control to intervention (C/I)]. SETTING:Children Hospital of Ain Shams University-Cairo-Egypt. The dietary intervention consisted of honey in a dose of 2.5 g//kg body weight per dose twice weekly for 12 weeks. MAIN OUTCOME MEASURE: Febrile neutropenia in terms of frequency and duration of hospital admission. RESULTS: The intervention resulted in a significant decrease of FN episodes, the number of patients admitted with FN and the duration of hospital stay. Also, honey consumption improved the levels of hemoglobin and did not produce any serious side effect. As a possible effect of honey withdrawal in the I/C group, the Hb%, the absolute neutrophil count and the platelet count decreased. CONCLUSION: Honey intervention in a group of children with ALL resulted in positive effects on FN and hematologic parameters. Further studies that include a larger number of patients are recommended to confirm that honey, has beneficial effects, as a complementary agent, in children with ALL.
Authors: Andrea L Radossi; Katherine Taromina; Stacey Marjerrison; Caroline J Diorio; Raquel Similio; Festus Njuguna; Glenn M Afungchwi; Elena J Ladas Journal: Support Care Cancer Date: 2017-10-13 Impact factor: 3.603