Prevalence of malnutrition in children with congenital heart disease
Keywords:
CHD, Malnutrition, PIC, PHAbstract
Objectives: To determine the prevalence of malnutrition in children with congenital heart disease (CHD). Methods: A cross-sectional study was conducted among 300 children diagnosed with CHD who were being managed in pediatric cardiology clinics. As part of the study, various anthropometric measurements such as height, weight, and mid-upper arm circumference (MUAC) were recorded for each child. The assessment of malnutrition was determined based on the Z score, where a Z score below -2 denoted moderate to severe malnutrition, and a Z score below -1 indicated mild malnutrition. Results: There were 300 participants in the research who had been diagnosed with congenital cardiac disease, and 59% of them were men. The median age ranged from 17.8 to 14 months. The study population had an overall malnutrition prevalence of 86.7%. 13.3% of the total individuals were malnourished-free, 27% had minor malnutrition, 36.6% had middle-range malnutrition, and 23% had severe malnutrition. Analysis of group 1, which included patients with cyanotic illness and pulmonary hypertension, revealed that all of the patients were malnourished. 6.6% of the individuals in this category had moderate malnutrition, whereas 93.3% had severe malnutrition. Patients in Group 2 had cyanotic illness but no pulmonary hypertension.
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van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011;58(21):2241-2247.
Elia M. Defining, Recognizing, and Reporting Malnutrition. Int J Low Extrem Wounds. 2017;16(4):230-237.
Schuetz P, Seres D, Lobo DN, Gomes F, Kaegi-Braun N, Stanga Z. Management of disease- related malnutrition for patients being treated in hospital. Lancet. 2021;398(10314):1927-1938.
Sethasathien S, Silvilairat S, Sittiwangkul R, Makonkawkeyoon K, Kittisakmontri K, Pongprot Y. Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes. Nutr Health. 2022:2601060221082382.
Vaidyanathan B, Nair SB, Sundaram KR, Babu UK, Shivaprakasha K, Rao SG, et al. Malnutrition in children with congenital heart disease (CHD) determinants and short term impact of corrective intervention. Indian Pediatr. 2008;45(7):541-546.
Zhang M, Wang L, Huang R, Sun C, Bao N, Xu Z. Risk factors of malnutrition in Chinese children with congenital heart defect. BMC Pediatr. 2020;20(1):213.
Bigras JL. Cardiovascular Risk Factors in Patients With Congenital Heart Disease. Can J Cardiol. 2020;36(9):1458-1466.
Diao J, Chen L, Wei J, Shu J, Li Y, Li J, et al. Prevalence of Malnutrition in Children with Congenital Heart Disease: A Systematic Review and Meta-Analysis. The Journal of Pediatrics. 2022;242:39-47.e34.
Hassan BA, Albanna EA, Morsy SM, Siam AG, Al Shafie MM, Elsaadany HF, et al. Nutritional status in children with un-operated congenital heart disease: an Egyptian center experience. 2015;3:53.
Batte A, Lwabi P, Lubega S, Kiguli S, Otwombe K, Chimoyi L, et al. Wasting, underweight and stunting among children with congenital heart disease presenting at Mulago hospital, Uganda. 2017;17(1):1-7.
Blasquez A, Clouzeau H, Fayon M, Mouton J, Thambo J, Enaud R, et al. Evaluation of nutritional status and support in children with congenital heart disease. 2016;70(4):528-531.
Marino LV, Magee AJCitY. A cross-sectional audit of the prevalence of stunting in children attending a regional paediatric cardiology service. 2016;26(4):787-789.
Varan B, Tokel K, Yilmaz G. Malnutrition and growth failure in cyanotic and acyanotic congenital heart disease with and without pulmonary hypertension. Arch Dis Child. 1999;81(1):49- 52.
Tabib A, Aryafar M, Ghadrdoost B. Prevalence of Malnutrition in Children with Congenital Heart Disease. 2019;10(4):e84274.
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