Evaluation of Child Nutrirtion Programes: Some Practical Considerations

Jaiyesimi, F

doi:10.1093/tropej/28.5.223

Cited by 4 publications

(16 citation statements)

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“…but different from an earlier Ibadan report8 where it was the least common AHD and a more recent report from Lagos12 where it ranked third in frequency. These differences may reflect a geographic variation in the incidence of DCM within the country.…”

Section: Discussioncontrasting

confidence: 81%

“…Much fewer cases have been reported from other parts of Nigeria 811. This calls for further investigation, as it is possible that with the high altitude in our locality, the effects of relative hypoxia such as vasoconstriction may lead to an increase in pressure in the pulmonary vascular bed 35.…”

Section: Discussionmentioning

confidence: 93%

“…[3] The aortic valve was involved in only 3.6% of our patients, all of whom were aged 6 years and above. In contrast, Jaiyesimi8 in the early 1980s reported about double that figure (7.0%) from Ibadan, including a 4.5-year-old boy with aortic stenosis (AS). Isolated AS has been shown to be rare in RHD.…”

Section: Discussionmentioning

confidence: 98%

“…Similar patterns have been reported from other parts of the country. [828] The reason for this predominance is not completely clearly but has been attributed by some researchers to the dominance of the left heart. [3] The aortic valve was involved in only 3.6% of our patients, all of whom were aged 6 years and above.…”

Section: Discussionmentioning

confidence: 99%

“…The patterns of childhood AHD also vary in different parts of the world 34. Reports dating back three or four decades show that “idiopathic cardiomegaly,” endomyocardial fibrosis (EMF), rheumatic heart disease (RHD) and infective pericarditis were the most commonly encountered AHD among Nigerian children 5–8. More recent reports indicate that there may not only be geographical differences in patterns of disease within the country, but that some diseases, notably EMF, may be disappearing 9–11.…”

Section: Introductionmentioning

confidence: 99%

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Childhood acquired heart diseases in Jos, north central Nigeria

2013

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Background:The patterns of childhood acquired heart diseases (AHD) vary in different parts of the world and may evolve over time. We aimed to compare the pattern of childhood AHD in our institution to the historical and contemporary patterns in other parts of the country, and to highlight possible regional differences and changes in trend.Materials and Methods:Pediatric echocardiography records spanning a period of 10 years were reviewed. Echocardiography records of children with echocardiographic or irrefutable clinical diagnoses of AHD were identified and relevant data extracted from their records.Results:One hundred and seventy five children were diagnosed with AHD during the period, including seven that had coexisting congenital heart disease (CHD). They were aged 4 weeks to 18 years (mean 9.84΁4.5 years) and comprised 80 (45.7%) males and 95 (54.3%) females. Rheumatic heart disease (RHD) was the cause of the AHD in 101 (58.0%) children, followed by dilated cardiomyopathy (33 cases, 18.9%) which was the most frequent AHD in younger (under 5 years) children. Other AHD encountered were cor pulmonale in 16 (9.1%), pericardial disease in 15 (8.6%), infective endocarditis in 8 (4.6%) and aortic aneurysms in 2 (1.1%) children. Only one case each of endomyocardial fibrosis (EMF) and Kawasaki Disease were seen during the period.Conclusions:The majority of childhood acquired heart diseases in our environment are still of infectious aeitology, with RHD remaining the most frequent, particularly in older children. Community-based screening and multicenter collaborative studies will help to better describe the pattern of AHD in our country. More vigorous pursuit of the Millennium development goals will contribute to reducing the burden of childhood acquired heart diseases in the country.

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Section: Discussioncontrasting

confidence: 81%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Childhood acquired heart diseases in Jos, north central Nigeria

2013

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Echocardiographic pattern of acquired heart diseases in Nigeria

2015

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Background:Acquired heart diseases (AHDs) are present from childhood to old age, and the frequency of pathology differs according to age and the geographical region of the patients. The aim of this study was to document the echocardiographic patterns of AHDs in our setting.Materials and Methods:Retrospective analysis of echocardiographic diagnosis of AHD was done for age, sex, and echocardiographic pattern.Results:There were 190 diagnoses in the 163 patients with 27 patients having a double diagnosis, consisting of 88 (54%) males and 75 (46%) females. The mean age was 50.4 years (age range 9-85 years). Ten types of acquired heart pathologies were identified and they included hypertensive heart disease in 49.47%, rheumatic heart disease in 26.32%, cardiomyopathy in 11.05%, endomyocardial fibrosis in 4.74%, and pericarditis in 3.68%. Others were cor pulmonale, pulmonary hypertension, intracardiac thrombi, left atrial myxoma and degenerative heart disease which accounted for the remaining 4.74%.Conclusion:This study identifies 10 types of AHDs among the study population. The huge impact of hypertensive heart disease and rheumatic heart disease is a big indicator pointing to the existence of a sub-optimal level of healthcare in the country.

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Childhood acquired heart disease in Nigeria: an echocardiographic study from three centres

Wilson¹,

Chinyere²,

Daniels³

2014

Afr H. Sci.

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Introduction: Acquired heart diseases (AHD) are not uncommon in children. The current multi-center study aims to provide a more representative data of AHD in Nigeria. Methods: Over 42 months, children referred for echocardiographic evaluation who had confirmed AHD in three centers in Nigeria were recruited. The data was collected on biodata and types of AHD. Results: There were 116 children with 132 cases of AHD, with a mean age of 6.7 ± 5.7 years. The males were 63(54.3%). Myocarditis/ dilated cardiomyopathy (DCM) 38(28.8%) was the commonest AHD followed by pericarditis 34 (25.8%), rheumatic heart disease (RHD) 23 (17.4%) and hypertrophic cardiomyopathy 18(13.6%). Endomyocardial fibrosis (EMF) 3(2.3%) was uncommon. Conclusion: Nigerian children face a quadruped of AHD namely, myocarditis, DCM, pericardial disease and RHD. As other types of AHD other than RHD are becoming prevalent, there is need to improve the scope of intervention facilities in the country to meet with the demands of the growing afflictions.

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Evaluation of Child Nutrirtion Programes: Some Practical Considerations

Cited by 4 publications

References 0 publications

Childhood acquired heart diseases in Jos, north central Nigeria

Childhood acquired heart diseases in Jos, north central Nigeria

Echocardiographic pattern of acquired heart diseases in Nigeria

Childhood acquired heart disease in Nigeria: an echocardiographic study from three centres

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