Effect of honey on febrile neutropenia in children with acute lymphoblastic leukemia: A randomized crossover open-labeled study.

Mamdouh Abdulmaksoud Abdulrhman, Ahmad Alsaeed Hamed, Sahar Abdelmaksoud Mohamed, Nouran Abdel Aal Hassanen

Journal: Complementary therapies in medicine 2017;25():98-103

PMID: 27062956

Full Text on Elsevier Science View on PubMed

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.

Address: Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: [email protected].; Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: [email protected].; Faculty of Medicine, El-Azhar University, Egypt. Electronic address: [email protected].; Pediatric Department, Faculty of Medicine, Ain Shams University, Egypt. Electronic address: [email protected].

DOI: 10.1016/j.ctim.2016.01.009