TITLE

Prevalence, profile and predictors of malnutrition in children with congenital heart defects: a case-control observational study

AUTHOR(S)
Okoromah, Christy A. N.; Ekure, Ekanem N.; Lesi, Foluso E. A.; Okunowo, Wahab O.; Tijani, Bolande O.; Okeiyi, Jonathan C.
PUB. DATE
April 2011
SOURCE
Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, p354
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective To investigate the prevalence, profile and predictors of severe malnutrition in children with congenital heart defects (CHDs). Design Case-control, observational study. Setting Tertiary teaching hospital in Lagos, Nigeria (March 2006 to March 2008). Participants Children aged 3-192 months with uncorrected symptomatic CHD and healthy controls, frequency matched for age and sex. Main outcome measures Prevalence of malnutrition based on WHO/National Center for Health Statistics/Centers for Disease Control and Prevention z score ≤⇔'2; weight for age, weight for height/length and height for age; proportions of underweight, wasting and stunting in cases and controls, and in acyanotic and cyanotic CHD; and predictors of malnutrition using multivariate logistic analysis. Results 90.4% of cases and 21.1% of controls had malnutrition (p=0.0001), and 61.2% and 2.6%, respectively, had severe malnutrition (p=0.0001). Wasting, stunting and underweight were identified in 41.1%, 28.8% and 20.5%, and 2.6%, 3.9% and 14.5% of cases and controls, respectively. Wasting was significantly higher (58.3%) in acyanotic CHD (p=0.0001), and stunting (68.0%) in cyanotic CHD (p=0.0001). Age at weaning was significantly lower in cases than controls (3.24±0.88 and 7.04±3.04 months, respectively; p=0.0001) and in acyanotic than cyanotic CHD (2.14±0.33 and 5.33±1.22 months, respectively; p=0.004). Predictors of malnutrition in CHD were anaemia, moderate to severe congestive heart failure (CHF), poor dietary intake of fat and prolonged unoperated disease. Conclusion Severe malnutrition in association with anaemia and moderate to severe CHF is highly prevalent in CHD preoperatively in these children. Early weaning may be a marker of feeding difficulties in heart failure.
ACCESSION #
61211337

 

Related Articles

  • GFP Reports On Chronic Wasting Disease.  // Dakota Country;Sep2011, Vol. 32 Issue 8, p35 

    The article reports that the South Dakota Department of Game, Fish & Parks tested more than 1700 deer and elk for chronic wasting disease in 2010-2011 and found a very low rate of incidence of the disease.

  • Test for chronic wasting disease.  // Texas Agriculture Magazine;11/1/2013, Vol. 29 Issue 7, p4 

    The article informs that the Texas Parks and Wildlife Department (TPWD) has developed a management plan for testing of Chronic Wasting Disease (CWD) in West Texas and also informs that check stations located within the containment zone have been established for CWD sampling.

  • Remaining Deer Samples Negative for CWD.  // Dakota Country;May2011, Vol. 32 Issue 5, p38 

    The article reports that the North Dakota Game and Fish Department announced that samples from 3.600 deer killed by hunters in the state which were tested for chronic wasting disease found no indication of that disease.

  • Infectious Airborne Prions. Hampton, Tracy // JAMA: Journal of the American Medical Association;3/2/2011, Vol. 305 Issue 9, p876 

    This article focuses on a study published in a 2011 issue of "PLoS Pathogens" which found that airborne prions are infectious and can induce transmissible spongiform encephalopathies.

  • Variants in One Gene 'Twist and Turn' to Forms of CHD. Breindl, Anette // BioWorld Today;6/1/2010, Vol. 21 Issue 104, p1 

    The article looks at a study about the genetic causes of congenital heart disease (CHD) conducted by senior author Peter Gruber and colleagues. He speculates that the heart twisted and turned in a way under the influence of genetic variations, leading to different types of congenital heart...

  • Focusing on Cor Triatriatum Dexter and Atrial Septal Defects. Martínez-Quintana, Efrén; Rodríguez-González, Fayna // Texas Heart Institute Journal;Sep2014, Vol. 41 Issue 5, p567 

    A letter to the editor is presented in response to an article by P. M. Vukovic about cor triatriatum dexter and atrial septal defects.

  • Genetic variant raises risk of CHD.  // Infectious Diseases in Children;Jul2010, Vol. 23 Issue 7, p39 

    The article focuses on a study affirming the link between a genetic variant on chromosome 5 and the risk of congenital heart disease by Dr. Peter J. Gruber and Dr. Stephen B. Gruber, published in an issue of the "Public Library of Science One."

  • Managing Heart Failure in Transposition of the Great Arteries. Shah, Sangeeta; Gupta, Tripti; Ahmad, Raza // Ochsner Journal;Fall2015, Vol. 15 Issue 3, p290 

    Background: Transposition of the great arteries (TGA) is a congenital heart defect that is associated with congestive heart failure, tricuspid regurgitation, and arrhythmias. Methods: This review identifies and critiques the existing methods of assessing and managing TGA with a focus on right...

  • Children with congenital heart disease at increased risk for developmental disorders. Bryla, Suzanne; Calabro, Anthony; Costa, Samantha; DuBosar, Ryan; Foster, Melissa; Kalvaitis, Katie; Schoen, John; Talercio, Adam // Cardiology Today;Oct2012, Vol. 15 Issue 10, p59 

    The article discusses research on the risk for developmental disorders of children with congenital heart disease, referencing a study by B. S. Marino, published in a 2012 issue of "Circulation."

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics