Congenital Heart Disease: Growth Evaluation and Sport Activity in a Paediatric Population

Zoller, Thomas; Prioli, Maria Antonia; Clemente, María; Pilati, Mara; Sandrini, Camilla; Luciani, Giovanni Battista; Saccomani, Marco Deganello; Ficial, Benjamim; Gaffuri, Michele; Piacentini, Giorgio; Calciano, Lucia; Pietrobelli, Angelo

doi:10.3390/children9060884

Cited by 3 publications

(2 citation statements)

References 35 publications

(68 reference statements)

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“…Despite the fact that mild and moderate congenital heart disease has a similar prevalence of obesity, the probability is lower in patients with severe lesions. [15] That trend has been observed in various ethnic groups.…”

Section: Discussionmentioning

confidence: 78%

Obesity and underweight in children who undergo catheterization for congenital heart disease: a retrospective study

Anagnostopoulou,

Eleftherakis,

Karanasios

2024

European Journal of Preventive Cardiology

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Background Τhe number of overweight and obesity in the pediatric population has increased dramatically, a trend that is followed by a corresponding increase in the pediatric population with congenital heart disease. Notwithstanding , children with congenital heart disease seem to follow abnormal growth patterns. The aim of the present study is to determine the prevalence of obesity and underweight in children who undergo cardiac catheterization. Methodology This is a retrospective study conducted in the cardiac catheterization laboratory of a large pediatric hospital. in the years 2011-2019. The children’s anthropometric data were collected and the body mass index was calculated, according to the Centers for Diseases Control and Prevention definition. The chi -square test was used to identify any associations between catheterization, heart disease, body habitus, sex and age groups, after which a one way analysis of variance was performed to investigate the effects of the above variables on obesity. Results The participants included 378 children from 2 to19 years old who underwent cardiac catheterization in the years 2011-2019. Cumulatively, 18.7% of the children in the study were underweight, 54.76% were normal weight, 11.64% were overweight and 14.81% were children classified as with obesity. Overall, 26.45% of the children weighed more than the 85th centile. The Kolmogorov Smirnoff test was used to test form normality and only the height in cms had a normal distribution. Children with acyanotic heart disease had a mean median age of 8 years old (IQR 6 years). The percentages of underweight were 16.6%, the ones with healthy weight 53.58%, 12.08% overweight and 17.47% with obesity. Children with cyanotic heart disease had a mean median age of 6.51 6 years (IQR 6) while the respective percentages of underweight, healthy weight, overweight and with obesity were 27.7%, 56.63%, 9.05% and 6.02%. These differences were statistically significant. However, the children who underwent a catheterization for other causes had a median age of 8 years old (IQR 8) and their percentages of underweight were 13.3%, the ones with healthy weight 60% and the ones with overweight or obesity 13.3% each. Conclusions There is a significant discrepancy in the rate of obesity between the children with acyanotic and cyanotic heart disease. However, the differences between the children with acyanotic heart disease and children who underwent cardiac catheterization for other causes is not statistically significant.

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Section: Discussionmentioning

confidence: 78%

Obesity and underweight in children who undergo catheterization for congenital heart disease: a retrospective study

Anagnostopoulou,

Eleftherakis,

Karanasios

2024

European Journal of Preventive Cardiology

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“…The mean BMI in preschoolers with CHD was insignificantly lower than that of the healthy controls. Previous studies reported that the risk of obesity in children with CHD increased over time, especially in patients with mild CHD [ 27 , 28 ]. Adipose composition varies among countries and age groups.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Fitness of Preschoolers with Congenital Heart Disease: An Observational Study

Chen

Kao²,

Tuan³

et al. 2023

Metabolites

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With advancements in cardiopulmonary rehabilitation over the past few decades, the survival rate of patients with congenital heart disease (CHD) has increased. However, the Cardiopulmonary fitness (CPF) of these patients is poor. Here, we aimed to investigate CPF in preschoolers with CHD (aged 4 to 6 years) using cardiopulmonary exercise testing. We retrospectively compared 102 healthy preschoolers with 80 preschoolers with CHD. The latter had lower peak oxygen consumption, oxygen consumption at anaerobic threshold and metabolic equivalent at anaerobic threshold. The same result was observed in boys with CHD, but not in girls, when sex was sub-analyzed. Considering the body composition, children with CHD had a lower fat-free mass index (FFMI) than their healthy peers. Healthy preschoolers with a normal body mass index (BMI) had higher anaerobic threshold and peak metabolic equivalent values than overweight or underweight children. This was categorized under the BMI reference of the Ministry of Health and Welfare in Taiwan. In conclusion, the CPF difference between the CHD and healthy groups was identified as early as in preschool age, and better CPF in healthy preschoolers within the normal BMI range suggests the importance of weight control in young children.

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Obesity and Underweight in Children Who Undergo Catheterization for Congenital Heart Disease: A Retrospective Study

Anagnostopoulou,

Eleftherakis,

Karanasios

2023

Preprint

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Background Τhe number of overweight and obesity in the pediatric population has increased dramatically, a trend that is followed by a corresponding increase in the pediatric population with congenital heart disease. Notwithstanding, children with congenital heart disease seem to follow abnormal growth patterns. The aim of the present study is to determine the prevalence of obesity and underweight in children who undergo cardiac catheterization Methodology This is a retrospective study conducted in the cardiac catheterization laboratory of a large pediatric hospital in the years 2011–2019. The children’s anthropometric data were collected and the body mass index was calculated, according to the Centers for Diseases Control and Prevention definition. The chi -square test was used to identify any associations between catheterization, heart disease, body habitus, sex and age groups, after which a one way analysis of variance was performed to investigate the effects of the above variables on obesity. Results The participants included 378 children from 2 to19 years old who underwent cardiac catheterization in the years 2011–2019. Cumulatively, 18.7% of the children in the study were underweight, 54.76% were normal weight, 11.64% were overweight and 14.81% were children classified as with obesity. Overall, 26.45% of the children weighed more than the 85th centile. The Kolmogorov Smirnoff test was used to test form normality and only the height in cms had a normal distribution. Children with acyanotic heart disease had a median age of 8 years old (IQR 6 years). The percentages of underweight were 16.6%, the ones with healthy weight 53.58%, 12.08% overweight and 17.47% with obesity. Children with cyanotic heart disease had a median age 6 years (IQR 6) while the respective percentages of underweight, healthy weight, overweight and with obesity were 27.7%, 56.63%, 9.05% and 6.02%. These differences were statistically significant. However, the children who underwent a catheterization for other causes had a median age of 8 years old (IQR 8) and their percentages of underweight were 13.3%, the ones with healthy weight 60% and the ones with overweight or obesity 13.3% each. Conclusions There is a significant discrepancy in the rate of obesity between the children with acyanotic and cyanotic heart disease. However, the differences between the children with acyanotic heart disease and children who underwent cardiac catheterization for other causes is not statistically significant.

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Congenital Heart Disease: Growth Evaluation and Sport Activity in a Paediatric Population

Cited by 3 publications

References 35 publications

Obesity and underweight in children who undergo catheterization for congenital heart disease: a retrospective study

Obesity and underweight in children who undergo catheterization for congenital heart disease: a retrospective study

Cardiopulmonary Fitness of Preschoolers with Congenital Heart Disease: An Observational Study

Obesity and Underweight in Children Who Undergo Catheterization for Congenital Heart Disease: A Retrospective Study

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