28 February 2023 – Combined Meeting of the SIOP Global Health Network Nutrition and Pharmocology Working Groups

Educational Meeting: Changes in anthropometrical status and body composition during initial chemotherapy in South African children

The role of Malnutrition in the Care of children with cancer in LIC’s

Nutritional Conditions and Challenges of Children with Cancer in Limited Resources Countries

Video of Feb Educational Session: Review of body composition in children with cancer

Video of combined Meeting 26 January 2022

SIOP Global Health Nutrition Working Group Objectives

Pediatric Oncology Nutritional Supplement

Published Papers

Symposium – 1st International SIOP-PODC Nutrition Workshop Published Papers



This page provides information, documents and events from the SIOP Global Health Nutrition Group.

The SIOP Global Health Nutrition working group is always looking for new members and for people to get involved. If you are interested please e-mail co-chairs Ligia Fu ( and Judy Schoeman  ( for more information.

This page is regularly updated and contains information about the next meeting.


Combined Meeting of the SIOP Global Health Network Nutrition and Pharmacology Working Groups

Nthongase Makamo, Pediatric Hematology Oncology Pharmacist, Baylor College of Medicine Childrens Foundation Malawi/Global Hematology Oncology Pediatric Excellence (Global HOPE)

Nthongase Makamo is a Pediatric Hematology Oncology Pharmacist in the Global HOPE program in Malawi.

She obtained her Bachelor in Pharmacy from University of Malawi-College of Medicine (now Kamuzu University of Health Sciences) in 2015 and a Master of Philosophy in Cancer Science from Stellenbosch University in 2019.

She has worked as a pediatric hematology oncology pharmacist for the past 3 years and enjoys doing clinical work. She is also interested in being a cancer researcher and is currently working on understanding the Pharmacokinetics of chemotherapy in children with cancer and factors that may affect that.


Combined Meeting of the SIOP Global Health Network Nutrition and Traditional & Complementary Medicine Working Groups

  • Topic: Survey of the Use of Traditional and Complementary Medicine (T&CM) Among Children with Cancer at three hospitals in Cameroon
  • Audience: Anyone interested in nutrition & alternative medicine in children with cancer.
  • Presenter: Dr Glenn Mbah Afungchwi, Paediatric oncology nurse, Cameroon Baptist Convention Health Services
  • Date: Tuesday 26 July 2022

Dr Afungchwi is a specialist nurse in the paediatric oncology programme of the Cameroon Baptist Convention Health Services for 12 years and is currently the coordinator of this twinning programme with Stellenbosch University South Africa, Leeds Children’s Hospital, UK and World Child Cancer UK. His research seeks to provide an understanding of the problems contributing to late diagnosis and low survival rates for children with cancer. He will be sharing findings from a Survey on the use of traditional and complementary medicine among children with cancer at three hospitals in Cameroon.


SIOP Global Health Nutrition Working Group Educational Meeting: Changes in anthropometrical status and body composition during initial chemotherapy in South African children

IIlder Kerrman

Ilde Kellerman is a dietician working at Tygerberg Academic Hospital, South Africa. A proud member of their paediatric oncology unit since 2011, she is passionate about advocating for optimised nutrition support within the childhood cancer context. A firm believer in the power of nutritional support to “Help them thrive, not just survive”, she is excited to share her research findings and join the conversation on how to overcome the impact of anti-cancer treatment on the body with fellow colleagues and researchers alike (publication pending).


SIOP Global Health Nutrition Working Group Educational Meeting: The role of Malnutrition in the Care of children with cancer in LIC’s

  • Topic: The role of Malnutrition in the Care of children with cancer in LIC’s
  • Audience: Anyone with an interest in malnutrition in children with cancer in LIC
  • Presenter: Dr Minke Huibers, Princess Maxima Centre for Paediatric oncology, Utrecht, Netherlands
  • Date: Wednesday, 25 May 2022
  • Video:

Dr Huibers

Dr Huibers is also part of the Global Paediatric Oncology, outreach department at Princess Maxima Centre for Paediatric Oncology, Utrecht, Netherlands & gained extensive experience in Nutrition-related problems during her time in Malawi, as part of Global HOPE (Hematology-Oncology-Pediatric-Excellence). She obtained her PhD in HIV, with the title ‘HIV in sub-Saharan Africa, from quantity to quality of care Global Child Health.


SIOP Global Health Nutrition Working Group Educational Meeting: Nutritional Conditions and Challenges of Children with Cancer in Limited Resources Countries

  • Topic: Nutritional Conditions and Challenges of Children with Cancer in Limited Resources Countries
  • Date: Wednesday, 27 April 2022
  • Time: 3 pm Johannesburg, South Africa
  • Presenters: Dr. Ligia Fu, Paediatric Oncologist, and Ms. Stephany Zelaya Sagastizado, Hospital Escuela Tegucigalpa, Honduras

Dr. Ligia Fu

Dr. Ligia Fu is a SIOP Member and serves as the Co-Chair of the GHN Nutrition Working Group. She is also the Medical Director of Honduras/St Jude Global Program. She has a research collaboration with IIPAN and is an active member of AHOPCA, which seeks to improve the survival rate of children with cancer in the Central American region.

Ms. Sagastizado

Ms. Sagastizado is a Registered Dietitian with a special interest in Pediatric Nutrition-INCAP. She has 3 years of experience in cancer nutrition, and is the author of scientific articles with Columbia University.


SIOP Global Health Nutrition Working Group Educational Session: Review of body composition in children with cancer

  • Topic: Review of body composition in children with cancer
  • Audience: Anyone with an interest in the body composition of children with cancer
  • Presenter: Dr Ronnie Barr from McMaster University, Canada
  • Date: Wednesday 23 Feb 2022

Dr. Ronald (Ronnie) Barr

Dr. Ronald (Ronnie) Barr is Professor Emeritus in the Departments of Pediatrics and Medicine at McMaster University in Canada. He is a graduate of the University of Glasgow, Scotland. Previously he held Faculty appointments at the University of Nairobi, Kenya and the University of Aberdeen, Scotland and he has been a Visiting Scientist at the National Cancer Institute in the US. He has been interested in international child health for 50 years and has had a particular focus on nutrition in children with cancer, especially those in low- and middle- income countries. Dr Barr’s research on nutrition in children with cancer includes studies of body composition.


SIOP Global Health: Combined meeting – Nutrition & Palliative Care & Nursing & Supportive Care working groups

  • Topic: Palliative care/feeding at the end of life
  • Presenter: Dr Megan Doherty, Children’s Hospital of Eastern Ontario, Ottawa, Canada. See below for details.
    Information session for dieticians, nutritionists, doctors, palliative care teams, nurses, allied health care workers.
  • Date: Wednesday 26 January 2022

Dr Megan Doherty

Dr. Doherty spearheaded the curriculum development and facilitation of the Project ECHO Pediatric Palliative Care program – an innovative online education program.
In Bangladesh, she work as a paediatric palliative care physician, making physicians and health care providers more aware of children’s palliative care with education and training, both through teaching sessions and hands-on training. She divides her time between her work in Canada, India and Bangladesh.

SIOP Global Health Nutrition Working Group Objectives

The objectives of the SIOP PODC nutrition working group are:

  1. Education & Training:  Establish and create nutrition resources and training programs for institutions to learn about nutrition assessment and intervention.
  2. Research: Perform research to further understand the prevalence of under- and over-nutrition, examine nutrition indices classifying nutrition status, and examine the efficacy of interventions in LMIC.
  3. Collaboration: Facilitate research and educational collaborations, mentoring (study design, implementation, and analysis), and scientific communication between HIC and LMIC.
  4. Advocacy: Assist in the identification of funding and resources to improve access to nutrition resources and support for nutrition interventions.


Pediatric Oncology Nutritional Supplement

Pediatric Blood & Cancer – Volume 67, Issue S3

Publication of this supplement is made possible by an educational grant to SIOP by the Sanofi Espoir Foundation ‘My Child Matters’ Program and reflects the work of the SIOP Nutrition Network.

The Pediatric Oncology Nutritional Supplement is made up of the following articles:

The relevance of nutrition to pediatric oncology: A cancer control perspective

Assessment of nutritional status in children with cancer: A narrative review

Review of nutritional status, body composition, and effects of antineoplastic drug disposition

The influence of nutrition on clinical outcomes in children with cancer

The importance of enteral nutrition to prevent or treat undernutrition in children undergoing treatment for cancer

Nutritional traditional and complementary medicine strategies in pediatric cancer: A narrative review

Nutritional concerns of survivors of childhood cancer: A “First World” perspective


Published Papers

The papers listed below came from the collaborative work of the SIOP PODC Nutrition group. Click here for published papers relating to paediatric oncology in low and middle income countries.


Presentation of a framework for establishing and monitoring of nutritional care based on the infrastructure of institutions in Low- and Middle-Income Countries.

A Framework for Adapted Nutritional Therapy for Children With Cancer in Low- and Middle-Income Countries: A Report From the SIOP PODC Nutrition Working Group.

Ladas EJ, Arora B, Howard SC, Rogers PC, Mosby TT, Barr RD.

Pediatr Blood Cancer. 2016 Aug;63(8):1339-48. doi: 10.1002/pbc.26016.


Study on the nutritional status of pediatric patients with cancer at diagnosis and evaluation of its association with overall survival.

Nutritional status at diagnosis among children with cancer referred to a nutritional service in Brazil.

Viani K, Barr RD, Filho VO, Ladas EJ.

Hematol Transfus Cell Ther. 2020 Jun 20:S2531-1379(20)30069-9. doi: 10.1016/j.htct.2020.04.008.


Systematic review describing nutrition-related publications on children and adolescents diagnosed with cancer in Brazil.

Nutrition of Children With Cancer in Brazil: A Systematic Review.

Viani K, Albuquerque L, Barr RD, Ladas EJ.

JCO Glob Oncol. 2020 Feb;6:242-259. doi: 10.1200/JGO.19.00285.


Randomized controlled trial that aimed to validate a nutritional algorithm with specific application to low- and middle-income countries, which resulted in significant improvement in nutritional status, as measured by mid-upper arm circumference.

Validation of an algorithmic nutritional approach in children undergoing chemotherapy for cancer.

Totadri S, Trehan A, Mahajan D, Viani K, Barr R, Ladas EJ.

Pediatr Blood Cancer. 2019 Dec;66(12):e27980. doi: 10.1002/pbc.27980.


The authors present a proposal of a partnership between the Sociedade Brasileira de Oncologia Pediátrica (SOBOPE) and the International Society of Pediatric Oncology (SIOP) to promote the standardization and improvement of nutritional care of kids under cancer treatment in Brazil.

Partnership of the Sociedade Brasileira de Oncologia Pediátrica and International Society of Pediatric Oncology to improve nutritional care for children with cancer in Brazil.

Viani K, Filho VO, Ferman S, Fonseca TCC, Oliveira VDC, Lemos PDSM, Barr RD, Ladas EJ.

Rev Bras Hematol Hemoter. 2017 Jul-Sep;39(3):266-268. doi: 10.1016/j.bjhh.2016.10.003.


Presentation of results from an online survey to paediatric oncology units in Africa regarding nutritional assessment and care.

Unmet Needs in Nutritional Care in African Paediatric Oncology Units.

Schoeman J, Ladas EJ, Rogers PC, Aryal S, Kruger M.

J Trop Pediatr. 2019 Aug 1;65(4):397-404. doi: 10.1093/tropej/fmy068.



Symposium – 1st International SIOP-PODC Nutrition Workshop

The publications below are from Symposium – 1st International SIOP=PODC Nutrition Workshop.;year=2015;volume=52;issue=2;month=April-June 


The development, testing, and preliminary feasibility of an adaptable pediatric oncology nutrition algorithm for low-middle income countries.

Fleming C, Viani K, Murphy AJ, Mosby TT, Arora B, Schoeman J, Ladas EJ.
Indian J Cancer. 2015 Apr-Jun;52(2):225-8. doi: 10.4103/0019-509X.175834.



Nutritional status in survivors of childhood cancer: Experience from Tata Memorial Hospital, Mumbai.

Prasad M, Arora B, Chinnaswamy G, Vora T, Narula G, Banavali S, Kurkure P.
Indian J Cancer. 2015 Apr-Jun;52(2):219-23. doi: 10.4103/0019-509X.175814.


Nutritional status at presentation, comparison of assessment tools, and importance of arm anthropometry in children with cancer in India.

Shah P, Jhaveri U, Idhate TB, Dhingra S, Arolkar P, Arora B.
Indian J Cancer. 2015 Apr-Jun;52(2):210-5. doi: 10.4103/0019-509X.175838.


Nutritional profile of pediatric cancer patients at Cancer Institute, Chennai.

Radhakrishnan V, Ganesan P, Rajendranath R, Ganesan TS, Sagar TG.
Indian J Cancer. 2015 Apr-Jun;52(2):207-9. doi: 10.4103/0019-509X.175841.


The impact of weight for age on survival in acute lymphoblastic leukemia: Report from a tertiary care center in North India.

Trehan A, Prabhu V, Bansal D.
Indian J Cancer. 2015 Apr-Jun;52(2):203-6. doi: 10.4103/0019-509X.175835.


A survey of nutritional practices for children with cancer in India.

Sharma A, Negi EF, Arora B, Pradhan D, Khurana M, Bagai P, Arora RS.
Indian J Cancer. 2015 Apr-Jun;52(2):191-3. doi: 10.4103/0019-509X.175831.


Nutritional assessment and intervention in a pediatric oncology unit.

Schoeman J.
Indian J Cancer. 2015 Apr-Jun;52(2):186-90. doi: 10.4103/0019-509X.175832.


Parenteral and enteral nutrition for pediatric oncology in low- and middle-income countries.

Viani K.
Indian J Cancer. 2015 Apr-Jun;52(2):182-4. doi: 10.4103/0019-509X.175837.


Importance of nutrition in pediatric oncology.

Rogers PC.
Indian J Cancer. 2015 Apr-Jun;52(2):176-8. doi: 10.4103/0019-509X.175830.


Nutritional status in children with cancer: Before, during and after therapy.

Barr RD.
Indian J Cancer. 2015 Apr-Jun;52(2):173-5. doi: 10.4103/0019-509X.175827.


International nutrition capacity building – A global SIOP-PODC model from India.

Arora B, Ladas EJ.
Indian J Cancer. 2015 Apr-Jun;52(2):163-6. doi: 10.4103/0019-509X.175836. No abstract available.


Indicators of malnutrition in children with cancer: A study of 690 patients from a tertiary care cancer center.

Srivastava R, Pushpam D, Dhawan D, Bakhshi S.
Indian J Cancer. 2015 Apr-Jun;52(2):199-201. doi: 10.4103/0019-509X.175825.


Adiponectin correlates with obesity: A study of 159 childhood acute leukemia survivors from India.

Srivastava R, Batra A, Tyagi A, Dhawan D, Ramakrishnan L, Bakhshi S.
Indian J Cancer. 2015 Apr-Jun;52(2):195-7. doi: 10.4103/0019-509X.175824.


Approach to metabolic syndrome in childhood cancer survivors.

Scott JX, Latha MS, Aruna R.
Indian J Cancer. 2015 Apr-Jun;52(2):169-72. doi: 10.4103/0019-509X.175840.