Study of The Cardiac Function of Children Aged from 6 to 59 Months Suffering from Severe Acute Malnutrition in Yaounde Cameroon

Chelo, David; Nguefack, Félicitée; Ngate, Anicet; Um, Suzanne Ngo; Awa, Hubert Désiré Mbassi; Ndomb, Paul Olivier Koki

doi:10.33425/2689-1085.1009

Cited by 1 publication

(3 citation statements)

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“…8 Ocal et al also observed similar findings where the left ventricular mass was found to be decreased in severely malnourished children. [7][8][9][10] Kothari et al also found that there is a decreased myocardial mass in malnourished children. 11 Phornphatkul et al found a decrease in cardiac mass among malnourished children which recovered during nutritional supplementation.…”

Section: Discussionmentioning

confidence: 94%

“…6 Chelo et al found that 35% of participants had ejection fraction and fractional shortening less than the 3 rd centile in contrast to our study. 10 Left ventricular mass was found to be decreased in 64% of patients. Similar findings were recorded Bergman et al who found the cardiac muscle mass to be significantly reduced in severely malnourished children compared to age matched controls.…”

Section: Discussionmentioning

confidence: 96%

“…The participants were selected by convenient sampling technique and with SAM prevalence of about 7.7% based on NFHS-5 survey and an expected response rate of 60%, the study would require 50 participants for estimating the expected proportion with 10% absolute precision and 95% confidence interval. [5][6][7][8][9][10][11][12][13] The data was analysed by SPSS software.…”

Section: Methodsmentioning

confidence: 99%

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Study on the effect of severe acute malnutrition on various echocardiographic parameters of the heart

V.¹,

Ramanathan²

2023

Int J Contemp Pediatr

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Background: Malnutrition is a major cause for morbidity and mortality in children below 5 years of age in developing countries. According to National family health survey-5 (NFHS-5), stunting has reduced from 38.4% to 35.5%. Wasting has reduced from 21.0% to 19.3% and underweight prevalence has reduced from 35.8% to 32.1%. Acute malnutrition can lead to biochemical changes based on metabolic, hormonal and glucoregulatory mechanisms and can affect various organ systems. This study aims to determine the effect of malnutrition on various cardiac parameters by M mode echocardiography. Methods: A cross sectional observational study was conducted in 50 severe acute malnutrition children selected by convenient sampling between 6 months and 5 years of age of Government Cuddalore medical college for a period of 2 years and M mode echocardiography was done to assess various parameters of cardiac wall dimensions and cardiac mass and compared with age/body surface area specific values. Results: Among SAM children, 74% had decreased end diastolic diameter, 80% had decreased end systolic diameter and 88% had decreased posterior wall dimension. Ejection fraction and fractional shortening was in normal range for all children. 64% had decreased left ventricular mass and 56% had decreased left ventricular mass index. Conclusions: Dimensions of the heart and cardiac mass was reduced in majority of malnourished children. Systolic function of the heart was relatively preserved as demonstrated by normal ejection fraction and fractional shortening. Thus, echocardiography can serve as a valuable tool in detecting changes in cardiac structure and function in malnourished children.

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