Overweight and obesity: an emerging problem in patients with congenital heart disease

Andonian, Caroline; Langer, Fabian; Beckmann, Juergen; Bischoff, G.; Ewert, Peter; Freilinger, Sebastian; Kaemmerer, Harald; Oberhoffer, Renate; Pieper, Lars; Neidenbach, Rhoia

doi:10.21037/cdt.2019.02.02

Cited by 27 publications

(15 citation statements)

References 61 publications

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“…Many literature studies extensively identified that either irregular physical exercise or physical inactiveness [7,10,14,15,26,30], watching television or prolonged screen time [27,30], short sleep duration or shift work [15,24,30], stress, obesogenic environment (urbanization and industrialization) [31], smoking [10], and frequent use of a taxi for transportation [10,32] were determinant factors for overweight/obesity.…”

Section: Behavioral Factors (Feeding Habit and Life Style)mentioning

confidence: 99%

“…A review conducted in the USA population shows that the magnitude of obesity among coronary heart disease patients was increased [31]. e effect of obesity varies in different age groups; a systematic review identified that students with obesity in tertiary education have low academic performance and poor achievements either due to weight gain bias stigma or metabolic disorder [67].…”

Section: Health Impact Of Obesitymentioning

confidence: 99%

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Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

2020

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Background. Globally, obesity is becoming a public health problem in the general population. Various determinants were reported by different scholars even though there are inconsistencies. Different biomarkers of obesity were identified for the prediction of obesity. Even though researchers speculate the factors, biomarkers, consequences, and prevention mechanisms, there is a lack of aggregate and purified data in the area of obesity. Summary. In this review, the epidemiology, predisposing factors, biomarkers, consequences, and prevention approaches of obesity were reviewed. Key Messages. The epidemiology of obesity increased in low-, middle-, and high-income countries. Even if the factors vary across regions and socioeconomic levels, sociodemographic, behavioral, and genetic factors were prominent for the development of obesity. There are a lot of biomarkers for obesity, of which microRNA, adipocytes, oxidative stress, blood cell profile, nutrients, and microbiota were promising biomarkers for determination of occurrence of obesity. Since the consequences of obesity are vast and interrelated, multidimensional prevention strategy is mandatory in all nations.

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Section: Behavioral Factors (Feeding Habit and Life Style)mentioning

confidence: 99%

Section: Health Impact Of Obesitymentioning

confidence: 99%

Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

2020

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“…Health care for ACHD should encompass patient education as part of their disease management, individually adapted to the patients' medical counselling needs. There is increasing evidence that many ACHD need support concerning psychological difficulties, dietary patterns, and exercise capacity in their daily life (35,42,43). Therefore, it is of particular importance to individually advise ACHD on these demanding issues in order to prevent a high proportion of comorbidities that could be caused by unhealthy lifestyle habits, and to give ACHD the chance to take more responsibility in their own lives (44).…”

Section: Future Aspects Of Medical Care For Achdmentioning

confidence: 99%

Systematic assessment of health care perception in adults with congenital heart disease in Germany

Neidenbach¹,

Achenbach²,

Andonian³

et al. 2021

Cardiovasc Diagn Ther

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Background: The number of adults with congenital heart disease (ACHD) is steadily rising due to increased survival rate and improved medical resources. Accordingly, more than 330,000 ACHD are currently living in Germany. Almost all of them require lifelong specialized medical follow-up for their chronic heart disease, often accompanied by residua, sequelae, or comorbidities. Primary care physicians (PCPs) are a crucial factor in directing patients to ACHD specialists or specialized institutions, but despite all efforts, the number of ACHD under specialized care is low, the lost-to-follow-up rate is high, and the morbidity and mortality is substantial. The present cross-sectional study was designed to systematically characterize the health care of ACHD from a patient perspective, including (I) use of medical care by ACHD, (II) medical counselling needs, and (III) perceived satisfaction with health care. Methods:The German-wide analysis was based on a 25-item questionnaire designed to address different aspects of medical status and health issues of ACHD from their own perspective, performed between May of 2017 and July of 2020.Results: A total of 4,008 ACHD (52% female; mean age 41.9±17.2 years) completed the questionnaire. The majority of ACHD (3,524, 87.9%) reported, that they consulted their PCP for non-cardiac health problems, and 49.7% (n=1,991) consulted their PCP also for medical problems associated with the underlying CHD.Almost all ACHD reported a need for medical advice concerning exercise capacity and daily life activities, occupational skills, pregnancy, rehabilitation, genetic counselling, insurance, and retirement. A total of 1,840 (45.9%) patients were not aware of the existence of certified ACHD specialists or centers. Moreover, 2,552 (67.6%) of those surveyed were uninformed about patient organizations for ACHD. Conclusions:The present study demonstrates that ACHD are largely uninformed about the ACHD care structures available nationwide, although the patients have a great need for specialized follow-up, advice, and care.

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“…9 Concerns have been raised about the increased risk of being overweight and having additional cardiometabolic disease later in life in patients with CHD and the risk is even higher with more severe CHD. [10][11][12] Due to limitations in physical capacity, 6,7 but also because of restrictions from parents and caregivers and low selfefficacy, 8,13 it may be assumed that children and adolescents with CHD are less physically active than children and adolescents in general. This creates a need to focus on aspects of health-related quality of life, physical activity, and prevention of acquired cardiovascular disease in this group of patients.…”

Section: Take Home Messagementioning

confidence: 99%

Physical activity in children and adolescents with CHD: review from a measurement methodological perspective

2021

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Aim: To compile a literature overview of physical activity in children with CHD and to critically evaluate the methodology used for physical activity assessment. Methods: A review of the literature was performed using PubMed to identify studies examining accelerometer and subjectively assessed physical activity in children and adolescents with CHD. Result: A total of 15 studies were included (6 studies using subjective measures and 9 articles using accelerometers for the assessment of physical activity). The patients generally failed to meet the recommendations of physical activity. When compared to healthy controls, the results were widely divergent in the subjectively assessed measures and the accelerometer-based studies showed a tendency of no difference in physical activity. Neither subjective methods nor accelerometer-based studies reported any difference in physical activity in general, in relation to the severity of the heart disease. Conclusion: Methodological variation and limitations in the assessment of physical activity largely explain the divergent results and the inability to establish differences in physical activity between children with CHD of different severity and compared to healthy controls. Methodological knowledge and guidelines are provided for improved assessment of physical activity using accelerometers in clinical research.

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Overweight and obesity: an emerging problem in patients with congenital heart disease

Cited by 27 publications

References 61 publications

Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

Systematic assessment of health care perception in adults with congenital heart disease in Germany

Physical activity in children and adolescents with CHD: review from a measurement methodological perspective

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