Assessment of Nutritional Status of Children With Congenital Heart Disease: A Comparative Study

Background: Malnutrition poses a great burden to children in the tropics. However, this seems to be accentuated in children with congenital heart disease.Objectives: The present study is therefore aimed at determining the nutritional status of children with congenital heart disease and to compare them with those without congenital heart disease.Methods: This is a cross-sectional study, where congenital heart disease was diagnosed by means of echocardiograph. Anthro software was used to calculate Z scores for weight for age (WAZ), height for age (HAZ), and weight for height (WHZ). Body mass index (BMI) was calculated by the formula BMI = Weight (Kg)/height (M2).Results: The body mass index-for-age z-score (BAZ) and height/length-for-age z-score (HAZ) were calculated for both subjects and controls to determine their nutritional status. It was observed that 38.5% (112/291) of the subjects were wasted (BAZ < −2SD) compared to 6.25% (16/256) of the controls and the difference was statistically significant (χ2 = 81.2, p < 0.001). Stunting (height/length-for-age z-score < −2SD) was also observed in a greater proportion of subjects than controls as 37.8% (107/291) of subjects were stunted compared with 7.0% (18/256) of the controls (χ2 = 69.9, p < 0.001). The under-five subjects had more cases of malnutrition than the controls of same age group as illustrated in Table 6. Whereas 42.9% (96/224) of the under-five subjects were wasted, only 6.2% (12/192) of the controls were wasted. On the other hand, 4.2% (8/192) of the under-five controls were obese compared to 0.9% (2/224) of the subjects of similar age group.Conclusion: Children with congenital heart disease present with varying degrees of malnutrition that is worse compared with children without congenital heart disease. The impact of malnutrition is worse among children under the age of five. Wasting is more prevalent in children with cyanotic heart disease compared with those with acyanotic congenital heart disease. Overweight and obesity were notable features of malnutrition in children with congenital heart disease, but this is worse in children without congenital heart disease.

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Body mass index stratification in hospitalized Italian adults with congenital heart disease in relation to complexity, diagnosis, sex and age

Nutrition Metabolism and Cardiovascular Diseases ◽

10.1016/j.numecd.2019.01.009 ◽

2019 ◽

Vol 29 (4) ◽

pp. 367-377 ◽

Cited By ~ 1

Author(s):

A.E. Malavazos ◽

G. Capitanio ◽

M. Chessa ◽

I.A. Matelloni ◽

V. Milani ◽

...

Keyword(s):

Body Mass Index ◽

Congenital Heart Disease ◽

Heart Disease ◽

Body Mass ◽

Congenital Heart

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Does obesity affect the short-term outcomes after cardiothoracic surgery in adolescents with congenital heart disease?

Cardiology in the Young ◽

10.1017/s1047951119003329 ◽

2020 ◽

Vol 30 (3) ◽

pp. 372-376 ◽

Cited By ~ 1

Author(s):

Richard U. Garcia ◽

Preetha L. Balakrishnan ◽

Sanjeev Aggarwal

Keyword(s):

Body Mass Index ◽

Congenital Heart Disease ◽

Heart Disease ◽

Body Mass ◽

Congenital Heart ◽

Adverse Outcome ◽

Normal Weight ◽

Adverse Outcomes ◽

Short Term ◽

The Impact

AbstractBackground:Obesity is a modifiable, independent risk factor for mortality and morbidity after cardiovascular surgery in adults. Our objective was to evaluate the impact of obesity on short-term outcomes in adolescents undergoing surgery for congenital heart disease (CHD).Methods:This retrospective chart review included patients 10–18 years of age who underwent CHD surgery. Our exclusion criteria were patients with a known genetic syndrome, heart transplantation, and patients with incomplete medical records. The clinical data collected included baseline demographics and multiple perioperative variables. Charting the body mass index in the Centers for Disease Control and Prevention growth curves, the entire cohort was divided into three categories: obese (>95th percentile), overweight (85th–95th percentile), and normal weight (<85th percentile). The composite outcome included survival, arrhythmias, surgical wound infection, acute neurologic injury, and acute kidney injury.Results:The study cohort (n = 149) had a mean standard deviation (SD), body mass index (BMI) of 22.6 ± 6.5 g/m2, and 65% were male. There were 27 obese (18.1%), 24 overweight (16.1%), and 98 normal weight (65.8%) patients. Twenty-seven (18%) patients had composite adverse outcomes. Overweight and obese patients had significantly higher adverse outcomes compared with normal weight patients (odds ratio (OR): 2.9; confidence interval (CI): 1–8.5, p = 0.04 and OR: 3; CI: 1–8.5, p = 0.03, respectively). In multivariate analysis, obesity was an independent predictor of adverse outcome in our cohort (p = 0.04).Conclusions:Obesity is associated with short-term adverse outcome and increased health resource utilisation in adolescents following surgery for CHD. Further studies should evaluate if intervention in the preoperative period can improve outcomes in this population.

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Body mass index (BMI) and weight loss in patients with congenital heart disease

Heart ◽

10.1136/heartjnl-2017-311219 ◽

2017 ◽

Vol 103 (16) ◽

pp. 1229-1230

Author(s):

Andrew Felix Burden

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Congenital Heart Disease ◽

Heart Disease ◽

Body Mass ◽

Congenital Heart

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Height, weight and body mass index in adults with congenital heart disease

International Journal of Cardiology ◽

10.1016/j.ijcard.2015.03.153 ◽

2015 ◽

Vol 187 ◽

pp. 219-226 ◽

Cited By ~ 17

Author(s):

Camilla Sandberg ◽

Daniel Rinnström ◽

Mikael Dellborg ◽

Ulf Thilén ◽

Peder Sörensson ◽

...

Keyword(s):

Body Mass Index ◽

Congenital Heart Disease ◽

Heart Disease ◽

Body Mass ◽

Congenital Heart

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Comparison of Nutritional Status between Kindergarten Groups in Split

Hrvatski časopis zdravstvenih znanosti ◽

10.48188/hczz.1.2.1 ◽

2021 ◽

Vol 1 (2) ◽

pp. 99-103

Author(s):

Nela Židić ◽

Nada Tomasović Mrčela

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Body Mass ◽

Age Groups ◽

The Body ◽

Age Group ◽

Average Value ◽

Percentile Curves ◽

Gender And Age ◽

Nutritional Status Of Children

AIM: to determine whether there is a difference in the level of nutritional status of children across age groups, which would indicate the need for a change in caloric values of daily menus that are currently the same for all age groups in kindergartens in Split. PARTICIPANTS AND METHODS: The study was conducted during June 2020 in “Grigor Vitez” kindergarten in Split. All parents were asked to voluntarily complete a questionnaire with a guarantee of anonymity. The data on height and weight of children were used to calculate the nutritional indicators: the body mass index (BMI) and the percentile curves of the body mass index (% BMI), defined by gender and age. RESULTS: Data for 128 children aged 3 - 6.99 of the kindergarten "Grigor Vitez" were analyzed. Children in the selected kindergartens did not differ significantly in relation to the level of their nutritional status across age groups (3 – 3.99 years, 4 – 4.99 years, 5 – 5.99 years, 6 – 6.99 years). The highest average percentile was determined (60.30) in the age group of children aged 6.00 - 6.99, which is 12.89 points higher than the average value of the percentile of children aged 3.00 - 3.99 years, while no difference was found by testing (F = 0.936; p = 0.426). CONCLUSION: Only percentile values were compared between kindergarten groups, and so it can be concluded that meals may have appropriate energy values, which should be checked by analyzing the menus, and comparing them with the recommendations.

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