Nutritional status of children with congenital heart disease (CHD) attending university of Nigeria teaching hospital ituku – ozalla, Enugu

Arodiwe, Ijeoma; Chinawa, Josephat M; Ukoha, Mildred; Ujunwa, Fortune A; Adiele, Ken; Onukwuli, Vivian Ozoemena; Obidike, Egbuna; Eze, JC

doi:10.12669/pjms.315.6837

Cited by 50 publications

(81 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The characteristic of subjects in this study were comparable between C-CHD and NC-CHD. This study found most subjects were age 27 months, similar to the study conducted in Jakarta with most subjects in the age range from 0.49 to 24 months, likewise a study conducted in Turkey (Sjarif et al, 2011;Arodiwe et al, 2015). Age is an important factor for CHD natural history that would affect the progression of complications of CHD.…”

Section: Resultssupporting

confidence: 85%

“…Pulmonary hypertension had impact on growth and nutrition, both in cyanotic and acyanotic CHD. Patients with cyanotic and pulmonary hypertension were more affected than patients with acyanotic and pulmonary hypertension (Arodiwe, 2015). Cyanotic patients without pulmonary hypertension and acyanotic patients with pulmonary hypertension had significantly lower weight, height, and head circumference compared to CHD children.…”

Section: Resultsmentioning

confidence: 85%

“…Choudhury (2018) in Bangladesh also found no signifi cant diff erence in sex distribution children with cyanotic and acyanotic CHD. Low birth weight and prematurity are the important risk factors for the occurence of nutritional disorder (Arodiwe et al, 2015). Malnutrition in children is one of the global health problems, most in poor family.…”

Section: Resultsmentioning

confidence: 99%

“…The signifi cant contributing factors are mean age at presentation and age appropriate dietary adequacy. However pulmonary hypertension appear to be the most important factor, and cyanotic patients with pulmonary hypertension are the most severely aff ected (Arodiwe et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anthropometric Profile of Children With Cyanotic and Noncyanotic Congenital Heart Disease

Rahman

Utamayasa

Hidayat

et al. 2020

MGI

View full text Add to dashboard Cite

Impaired nutritional status is a frequent complication of congenital heart disease (CHD). Non cyanotic congenital heart disease (NC-CHD) have problem with lung overfl ow and heart failure. Consequences of Cyanotic congenital heart disease (C-CHD) are decrease pulmonary blood fl ow and prolong hypoxia. These conditions can have eff ect on nutritional status and outcome of surgery. This study aimed to compare anthropometric profi les of children with C-CHD and NC-CHD. Cross-sectional study conducted in 66 children, age 3 months until 5 years old who met inclusion criteria in Pediatric Cardiology Outpatient Unit Dr. Soetomo Hospital Surabaya in November 2012. A total of 66 children, consisted of 26 children with C-CHD and 40 children NC-CHD included in study. We measure weight, length/height, head circumference, upper arm circumference, and skin fold thickness. We used Chi Square test for statistical analysis with Confi dence Interval 95%. Mean age of both groups was 27.82 ± 16.63 months. Majority of NC-CHD was Ventricular Septal Defect (28.6%) and C-CHD was Tetralogy of Fallot (21.4%). There were no signifi cant diff erence from weight for age, length for age weight for length, head circumference for age, mid upper arm circumference for age, mid upper arm circumference for age, and skin fold thickness for age between children with C-CHD and NC-CHD (p= 0.80; 0.98;0.54 0.29; 0.80; 0.53 respectively). There were no diff erence in anthropometric profi les among children with cyanotic congenital heart disease and non-cyanotic congenital heart disease in this study.

show abstract

Section: Resultssupporting

confidence: 85%

Section: Resultsmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anthropometric Profile of Children With Cyanotic and Noncyanotic Congenital Heart Disease

Rahman

Utamayasa

Hidayat

et al. 2020

MGI

View full text Add to dashboard Cite

show abstract

“…The prevalence of underweight, stunting and wasting in the study of Hassan et al (26) in 2015 in Egypt reported to be 14.3%, 61.9% and 23.8%; but the prevalence of the aforementioned variables in the study of Okoromah et al (9) in 2011 in Nigeria were 20.5%, 28.8% and 41.1%, and the relative proportions of the underweight, stunting and wasting in the study of the Ratanachu-Ek (27) in 2011 in Thailand were 28%, 16% and 22%, respectively. Arodiwe et al (28) found that 66% of the patients had severe malnutrition, and they also found that stunting was more common than wasting. The prevalence of underweight, stunting and wasting in the current study is 70.9%, 46.1%, and 72.3%, respectively, which is remarkably higher than those of other countries.…”

Section: Discussionmentioning

confidence: 98%

Nutritional Status in Non-Syndromic Cyanotic Congenital Heart Diseases Patients: A Single Tertiary Center Study in Iran

et al. 2020

View full text Add to dashboard Cite

Background:Patients with congenital heart disease (CHD) are susceptible to mild malnutrition up to failure to thrive. The prevalence of malnutrition among patients with CHD is higher in developing countries. Many factors are considered to affect the nutritional status such as cyanosis.Objectives: This study aims to assess the prevalence and severity of malnutrition in patients with CHD prior to the surgical corrective or palliative repair. Methods: This study was performed by reviewing inpatient medical records and cardiac surgery databases of children with cyanotic CHD who underwent palliative or corrective surgery between March 2011 and March 2017. Patients' age and height at the time of surgery, birth weight, duration of intensive care unit (ICU) stay and 30-day mortality were extracted and weight for age z score (WAZ), weight for length z score (WLZ) and length for age z score (LAZ) were calculated. Z scores above -1 were considered as normal, between -1 and -2 as mild, between -2 and -3 as moderate and below -3 as severe malnutrition. Results:In a total number of 639, the average age, weight and height were 16.688 ± 24.859 months, 7.509 ± 5.629 kilograms and 73.759 ± 95.869 centimeters, respectively. The average length of ICU stay was 8.36 ± 6.254 days and the 30-day mortality was 36 (5.7%). The average WAZ, LAZ, WLZ and BMI Z was -1.5 ± 1.69, -0.9 ± 2.38, -1.2 ± 3.97 and -1.4 ± 2.11, respectively. Regarding WAZ, LAZ, WLZ and BMI Z, 62.2%, 46.1%, 72.3% and 70.9% of patients had mild to severe forms of malnutrition, since the rate of malnutrition based on WAZ (P = 0.001), LAZ (P < 0.0001), WLZ (P < 0.0001) and BMI Z (P = 0.007), was significantly higher than normal subjects. Conclusions: The prevalence of mild to severe forms of malnutrition, based on different growth indices, for both cyanotics and acyanotics are higher than those reported in the other previous studies. These findings reflect the fact that cultural, genetic and racial differences of Iranians compared to others, cause malnutrition to be more frequent in Iranian CHD children. This calls for higher requirement of nutritional support for these patients.

show abstract

Tolerability and Effects of the Use of Energy‐Enriched Infant Formula After Congenital Heart Surgery: A Randomized Controlled Trial

Scheeffer

Ricachinevsky

Freitas

et al. 2019

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Background Undernutrition is a common problem among children with congenital heart disease (CHD) and may lead to poorer surgical outcomes. A higher intake of energy during the postoperative period of CHD surgery seems to be associated with better outcomes. This study aimed to investigate the effect of the use of energy‐enriched formula (EE‐formula) compared with normocaloric formula during 30 days after CHD surgery. Methods A randomized controlled trial with patients undergoing heart surgery in a tertiary hospital in southern Brazil from March 2017 to December 2017 was performed. The intervention group received EE‐formula (1 kcal/mL), and the control group received normocaloric formula (0.67 kcal/mL). The researcher in charge of anthropometric evaluation was blinded to the randomization. Results Fifty‐nine patients were included; 30 in control group and 29 in intervention group. There were no statistically significant differences between groups regarding age, gender, anthropometry, and surgical risk classification after randomization. A statistically significant difference in z‐score of weight for age and in weight gain variation rate between groups after intervention was observed. Antibiotic use was less frequent in the intervention group, and hospital length of stay was shorter. General gastrointestinal side effects were similar between groups, whereas diarrhea was more frequent in the intervention group. However, this side effect was limited and had spontaneous resolution in 4 out of 6 cases. Conclusion This study demonstrates that EE‐formula use after heart surgery of patients with CHD is well tolerated and may improve short‐term nutrition outcome, decrease hospital stay, and reduce antibiotic use.

show abstract

Nutritional status of children with congenital heart disease (CHD) attending university of Nigeria teaching hospital ituku – ozalla, Enugu

Cited by 50 publications

References 12 publications

Anthropometric Profile of Children With Cyanotic and Noncyanotic Congenital Heart Disease

Anthropometric Profile of Children With Cyanotic and Noncyanotic Congenital Heart Disease

Nutritional Status in Non-Syndromic Cyanotic Congenital Heart Diseases Patients: A Single Tertiary Center Study in Iran

Tolerability and Effects of the Use of Energy‐Enriched Infant Formula After Congenital Heart Surgery: A Randomized Controlled Trial

Contact Info

Product

Resources

About