Assessment of Nutrition State in Children with Heart Diseases

Abdelmoneim, Hanan M.; Hawary, Bahaa; Soliman, A

doi:10.21608/ejhm.2019.48880

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Similar to the current study, studies done in India, Egypt, Nigeria and Ethiopia found a significant association between malnutrition and pulmonary hypertension, low SPO2 and low Hgb [ 11 , 12 , 15 , 18 , 20 , 21 , 24 ]. These reports are in line with our study the plausible explanation for the similarity is as oxygen and hemoglobin are useful in the metabolism of nutrients in a human body so decreasing of this two in the cells may cause disturbance in normal metabolism which may lead to malnutrition.…”

Section: Discussionsupporting

confidence: 90%

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Nutritional status and associated factors among children with congenital heart disease in selected governmental hospitals and cardiac center,Addis Ababa Ethiopia

et al. 2021

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Background Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. The aim of this study was to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia. Method Institutional based cross sectional study among 373 children aged under15 years was conducted from February to March; 2021G.c. Data was collected using structured questionnaire and chart review. Z-scores based on WHO reference ranges were used. Anthropometric z-scores based on WHO 2007 reference ranges were generated for each child. Weight-for-age z-scores for children 0–10 years and height-for-age and BMI-for-age z-scores for all children. Binary logistic regression was used for associated factors. Result A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10 years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13 months-5 years were associated with wasting and underweight [AOR = 0.434, 95%CI: (0.231, 0.816)] and [AOR = 0.360, 95%CI: (0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR = 1.885, 95%CI: (1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1 and 18.6%[AOR = 0.869, 95%CI: (0.792, 0.955)] and [AOR = 0.869, 95%CI: (0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR = 0.970, 95%CI: (0.943, 0.998)] and [AOR = 0.970, 95%CI: (0.943, 0.998)] respectively. Conclusion The prevalence of malnutrition in children with CHD is pretty high. Decreased level of hemoglobin and SPO2 was found to be associated factors for malnutrition in this case. There need to be a new strategy about including different health professional while care giving.

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Section: Discussionsupporting

confidence: 90%

“…The prevalence of wasting in the present study is 144(38.6%) 95%CI (33.64, 43.57%). In consistent with this a study done in Egypt and Nigeria the prevalence was 37.5%,and 41.1% respectively [ 11 , 15 ]. But in contrast to the present study a study in the Chile found only 12.1% [ 16 ].…”

Section: Discussionsupporting

confidence: 88%

Nutritional status and associated factors among children with congenital heart disease in selected governmental hospitals and cardiac center,Addis Ababa Ethiopia

et al. 2021

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“…The high prevalence of malnutrition in our study can be explained by several factors including hemodynamic factors related to the cardiac defect, the presence of CCF (21.4%), reversible PHT (60.7%), recurrent respiratory infections requiring hospitalization prior to surgery (62.5%), inadequate nutritional intake due to FSDs (25%), and LBW (25%). The contributing factors are consistent with those reported in previous studies from LMICs [ 14 , 30 , 32 , 33 , 35 , 37 , 39 , 98 , 99 ]. Older age at first cardiac surgery in the current study (median age of 7.4 months) may also have pronounced the extent of the malnutrition (undernutrition) preoperatively [ 30 , 31 , 97 ].…”

Section: Discussionsupporting

confidence: 91%

“…The high prevalence of both underweight and stunting in children with CHD in central SA is consistent with the prevalence reported in other studies in Africa [ 14 , 34 , 36 , 97 , 98 ] and other LMICs [ 31 , 38 , 39 ], affirming that the presence of CHD not only increases the likelihood of malnutrition (undernutrition), but also increases its severity in children living in low-income environments [ 11 , 31 , 34 ]. Moreover, this is corroborated by a recent systematic review and meta-analysis that concluded that there are significant differences in the prevalence of underweight and stunting in children with CHD across continents, with Africa having the highest rates of underweight and stunting [ 17 ].…”

Section: Discussionsupporting

confidence: 89%

“…Growth outcomes for children with cyanotic and acyanotic defects in our study were comparable. Likewise, several studies report insignificant differences in the growth outcomes for children with cyanotic and acyanotic defects [ 17 , 18 , 34 , 98 ]. Nevertheless there are also several studies that have reported poorer growth outcomes for children with cyanotic defects [ 7 , 14 , 37 , 97 ].…”

Section: Discussionmentioning

confidence: 99%

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Undernutrition in young children with congenital heart disease undergoing cardiac surgery in a low-income environment

Robyn,

Veronica,

Stephen

et al. 2024

BMC Pediatr

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Background Malnutrition (undernutrition) in children with congenital disease (CHD) is a notable concern, with preoperative and persistent growth failure post-cardiac surgery contributing to poorer outcomes. Poor growth in children with CHD in low-income environments is exacerbated by feeding difficulties, poverty, delayed diagnosis, and late corrective surgery. This study describes and compares the growth of young children with CHD undergoing cardiac surgery in central South Africa from before to 6-months after cardiac surgery. Methods Children 30 months and younger, with their mothers, were included in this prospective observational descriptive study. Weight- height-, and head circumference-for-age z-scores were used to identify children who were underweight, stunted and microcephalic. Z-scores for growth indices were compared from baseline to 3-months and 6-months post-cardiac surgery. Changes in growth over time were calculated using a 95% confidence interval on the difference between means. Linear regression was used to determine the association between growth and development, health-related quality of life and parenting stress respectively. Results Forty mother-child pairs were included at baseline. Most children (n = 30) had moderate disease severity, with eight children having cyanotic defects. A quarter of the children had Down syndrome (DS). Twenty-eight children underwent corrective cardiac surgery at a median age of 7.4 months. Most children (n = 27) were underweight before cardiac surgery [mean z-score − 2.5 (±1.5)], and many (n = 18) were stunted [mean z-score − 2.2 (±2.5)]. A quarter (n = 10) of the children had feeding difficulties. By 6-months post-cardiac surgery there were significant improvements in weight (p = 0.04) and head circumference (p = 0.02), but complete catch-up growth had not yet occurred. Malnutrition (undernutrition) was strongly associated (p = 0.04) with poorer motor development [Mean Bayley-III motor score 79.5 (±17.5)] before cardiac surgery. Growth in children with cyanotic and acyanotic defects, and those with and without DS were comparable. Conclusion Malnutrition (undernutrition) is common in children with CHD in central South Africa, a low-income environment, both before and after cardiac surgery, and is associated with poor motor development before cardiac surgery. A diagnosis of CHD warrants regular growth monitoring and assessment of feeding ability. Early referral for nutritional support and speech therapy will improve growth outcomes.

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The effect of individualized nutrition training of children with congenital heart disease (CHD) on their growth and development a randomized controlled trial

Yuruk,

Cetinkaya

2024

Current Problems in Cardiology

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Assessment of Nutrition State in Children with Heart Diseases

Cited by 4 publications

References 10 publications

Nutritional status and associated factors among children with congenital heart disease in selected governmental hospitals and cardiac center,Addis Ababa Ethiopia

Nutritional status and associated factors among children with congenital heart disease in selected governmental hospitals and cardiac center,Addis Ababa Ethiopia

Undernutrition in young children with congenital heart disease undergoing cardiac surgery in a low-income environment

The effect of individualized nutrition training of children with congenital heart disease (CHD) on their growth and development a randomized controlled trial

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