Avaliação do consumo alimentar de crianças de 0 a 24 meses com cardiopatia congênita

Vieira, Tais Cleto Lopes; Trigo, Marlene; Alonso, Rosiris Roco; Ribeiro, Regina Helena Cunha; Cardoso, Maria Regina Alves; Cardoso, Antonio Carlos Alves; Cardoso, Maria Aparecida Alves

doi:10.1590/s0066-782x2007001600002

Cited by 16 publications

(12 citation statements)

References 20 publications

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“…Similar growth patterns seen in infants without CHD are associated with obesity and a greater risk of adult cardiovascular disease 27, 28. In addition, although most children have normal nutritional requirements after surgical palliation, medical providers and parents may continue to stress weight gain as a goal 29. Further studies are warranted to examine the relation of feeding protocols and growth patterns seen in infants with complex CHD and acquired cardiovascular risk factors.…”

Section: Discussionmentioning

confidence: 98%

Metabolic Syndrome in Adults With Congenital Heart Disease

Deen

Krieger

Slee

et al. 2016

JAHA

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BackgroundMetabolic syndrome increases risk for atherosclerotic coronary artery disease, and its prevalence increases with increasing age and body mass index. Adults with congenital heart disease (ACHD) are now living longer and accruing coronary artery disease risk factors. However, the prevalence of metabolic syndrome in ACHD patients is unknown.Methods and ResultsWe conducted a retrospective cohort study of ACHD patients at our center to quantify the prevalence of metabolic syndrome in an ACHD population. Using case‐control matching, we constructed a comparable control group from a population‐based sample of 150 104 adults. International Diabetes Federation criteria were used to define metabolic syndrome. We used logistic regression to compare the risk of metabolic syndrome across the resulting cohorts, which were composed of 448 ACHD patients and 448 controls matched by age and sex. Mean age of both groups was 32.4±11.3 years, and 51.3% were female. Obesity was present in 16.1% of the ACHD patients and 16.7% of the controls. Metabolic syndrome was more common in ACHD patients than in controls (15.0% versus 7.4%; odds ratio 1.82, 95% CI 1.25–2.65).ConclusionsOur data suggest that metabolic syndrome is more common among adults with congenital heart disease than in the general population. Thus, patients with congenital heart disease should be screened for metabolic syndrome and risk factors mitigated where possible to prevent atherosclerotic coronary artery disease. Preventive cardiology should be included during routine ACHD care.

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Section: Discussionmentioning

confidence: 98%

Metabolic Syndrome in Adults With Congenital Heart Disease

Deen

Krieger

Slee

et al. 2016

JAHA

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“…Cases of cyanosis, strain and lack of coordination of the SDR 15 functions are common. The association of other factors, such as congestive heart failure and pulmonary hypertension, can undermine growth and weight and stature development resulting in higher nutritional harm 16 . Given this pattern that leads to the risk of bronchoaspiration, the work of speech therapy is important to indicate a safe way of feeding.…”

Section: Introductionmentioning

confidence: 99%

Revisão integrativa: atuação fonoaudiológica com recém-nascidos portadores de cardiopatia em unidade de terapia intensiva neonatal

et al. 2016

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This study aims to identify and analyze, through literature, speech therapy care in the Neonatal Intensive Care Unit (NICU) for congenital heart disease newborns. The source data is from Latin American and Caribbean Health Sciences (LILACS), Medical Literature Analysis and Retrieval Sistem Online (MEDLINE), SciELO and the search engine of the National Library of Medicine in the databases PubMed, also the Google Scholar search system (http // scholar.google.com.br). The integrative review leads to knowledge on speech therapy studies with the population of the NICU, however, it does not describe the features of newborns with congenital heart disease, not even the exclusion factors on the research. The speech therapies in NICU are already consolidated and presented as assessment procedures and stimulator of the sensory-motor-oral system, using techniques of non-nutritive and nutritive sucking and hearing screening. The care of patients with congenital heart disease should be differentiated as it has particular features that can compromise the performance concerning feeding. The insertion of the speech therapist in cardiac neonatal ICU is not mentioned and even less are described the goals and practice of this professional. There was found the need for apparatus and investment on staff training to better management of cases in NICUs and specialized units in congenital heart disease, what makes this issue subject for further studies. Foram pesquisados trinta e dois trabalhos, sendo a atuação fonoaudiológica em UTINs descrita em vinte e oito deles, os quais apresentam como procedimentos avaliação e estimulação do sistema sensório-motor-oral, com uso de técnicas de sucção não-nutritiva e nutritiva, além de triagem auditiva. Porém, as características dos neonatos com cardiopatia congênita e a inserção do fonoaudiólogo em UTIN cardíaca não são citadas, pouco se caracterizando os objetivos e a prática desse profissional. Apenas uma publicação obedeceu aos critérios de inclusão do presente estudo. Trata-se de um trabalho que descreve a transição da alimentação enteral direta para o seio materno em recém-nascidos pré-termo cardiopatas, com idade corrigida, em um centro de terapia intensiva neonatal. Foi possível constatar então a escassez de trabalhos publicados sobre intervenção fonoaudiológica com RN cardiopatas, o que indica a necessidade de novos estudos sobre o tema, já que a atenção a esses pacientes deve ser diferenciada, visto que apresentam particularidades que podem comprometer o desempenho na alimentação.

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“…However, it is known that several causes are associated with their occurrence, such as prenatal and genetic factors, as well as maternal age ( 2 ) . Congenital heart diseases may be classified and divided into two groups: acyanotic and cyanotic, based on pulmonary circulation conditions, such as blood volume, flow, venocapillary pressure, and resistance ( 3 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Contudo, sabe-se que diversas variáveis associam-se à sua ocorrência, como fatores pré-natais e genéticos, além da idade materna ( 2 ) . As cardiopatias congênitas podem ser classificadas e divididas em dois grupos: acianóticas e cianóticas, com base nas condições de circulação pulmonar, como volemia, fluxo, pressão venocapilar e resistência ( 3 ) .…”

Section: Introductionunclassified

Manual vibrocompression and nasotracheal suctioning in post-operative period of infants with heart deffects

Assumpção

Gonçalves

Krygierowicz³

et al. 2013

Rev. paul. pediatr.

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OBJECTIVE: To evaluate the impact of manual vibrocompression and nasotracheal suctioning on heart (hr) and respiratory (rr) rates, peripheral oxygen saturation (SpO2), pain and respiratory distress in infants in the postoperative period of a cardiac surgery. METHODS: Randomized controlled trial, in which the assessments were performed by the same physiotherapist in two moments: before and after the procedure. The infants were randomly divided into two groups: Intervention (IG), with manual chest vibrocompression, nasotracheal suctioning and resting; and Control CG), with 30 minutes of rest. Cardiorespiratory data (SpO2; hr; rr) were monitored and the following scales were used: Neonatal Infant Pain Scale (NIPS), for pain evaluation, and Bulletin of Silverman-Andersen (BSA), for respiratory distress assessment. The data were verified by analysis of variance (ANOVA) for repeated measures, being significant p<0.05. RESULTS: 20 infants with heart disease, ten in each group (seven acyanotic and three cyanotic) were enrolled, with ages ranging from zero to 12 months. In the analysis of the interaction between group and time, there was a significant difference in the variation of SpO2 (p=0.016), without changes in the other variables. Considering the main effect on time, only rr showed a significant difference (p=0.001). As for the group main effect, there were no statistical differences (SpO2 - p=0.77, hr - p=0.14, rr - p=0.17, NIPS - p=0.49 and BSA - p=0.51 ). CONCLUSIONS: The manual vibrocompression and the nasotracheal suctioning applied to infants in postoperative of cardiac surgery did not altered SpO2 and rr, and did not trigger pain and respiratory distress. [Brazilian Registry of Clinical Trials (ReBEC): REQ: 1467].

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Avaliação do consumo alimentar de crianças de 0 a 24 meses com cardiopatia congênita

Cited by 16 publications

References 20 publications

Metabolic Syndrome in Adults With Congenital Heart Disease

Metabolic Syndrome in Adults With Congenital Heart Disease

Revisão integrativa: atuação fonoaudiológica com recém-nascidos portadores de cardiopatia em unidade de terapia intensiva neonatal

Manual vibrocompression and nasotracheal suctioning in post-operative period of infants with heart deffects

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