Growth and nutritional intake of infants with congenital heart disease

Salzer, Hans; Haschke, Ferdinand; Wimmer, M; Heil, M; Schilling, Ray

doi:10.1007/bf02328630

Cited by 66 publications

(46 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A previous study (14) did not find any difference in anthropometric indicators among groups of children with cyanotic and acyanotic heart disease. It should be clarified that we did not find such a difference in this study either.…”

Section: Silva Vm Lopes Mvo Araujo Tlmentioning

confidence: 62%

Evaluation of the growth percentiles of children with congenital heart disease

Silva

Lopes

Araújo

2007

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

Section: Silva Vm Lopes Mvo Araujo Tlmentioning

confidence: 62%

Evaluation of the growth percentiles of children with congenital heart disease

Silva

Lopes

Araújo

2007

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…On the other hand, different studies have shown contradictory results on the role of low caloric intake as a contributor to failure to thrive in patients with CHD. In a longitudinal study over a 6-mo period, Salzer et al (18) followed 21 infants with CHD with and without cyanotic heart and a control group of patients with innocent cardiac murmur (18). Weight, length, and combined skinfold thickness were significantly lower in the two groups with CHD compared with the control group from 183 through 365 d of age.…”

Section: Discussionmentioning

confidence: 99%

Malabsorption in Infants with Congenital Heart Disease under Diuretic Treatment

Vaisman

Leigh²,

Voet³

et al. 1994

Pediatr Res

View full text Add to dashboard Cite

Intestinal absorption and its relationship to increased total body water was studied in seven infants with congenital heart disease receiving regular diuretics due to congestive heart failure. All infants and six age-matched healthy controls were studied for a 3-d period during which time all food intake was recorded, stools were collected, and total body water content (TBW) and extracellular water were measured. All the anthropometric measurements were lower in the infants with congenital heart disease compared with healthy controls. Energy and fat excretion in the stools were significantly increased in the group of patients, but when expressed as a percentage of daily caloric intake or as a percentage of the specific intake (e.g. fat excretion1 fat intake x 100). no statistical differences were found. TBW as a percentage of body weight was increased in our patients compared with our controls (84.95 + 5.82% versus 68.65 .t 4.60%;~ = 0.01) and so was extracellular water as a percentage of predicted (200.0 2 18.6% versus 100.9 .t Failure to thrive is commonly observed in infants with CHD (1,2). Different causes have been suggested to play a role in this process, among which are poor caloric intake, increased energy expenditure, and intestinal malabsorption due to intestinal congestion (3). Some patients with CHD fail to gain weight or gain weight insufficiently, in spite of increased energy intake. The question then arises whether one should further increase their energy intake or should look for other causes involved in this process, such as increased malabsorption due to increased caloric content or malabsorption due to congested intestinal wall.The present study was designed to study intestinal absorption in infants with CHD who are on diuretic treatment due t o previous status of congestive heart failure and t o try to correlate intestinal malabsorption with different degrees of increased body water content and different caloric intakes. Increased water content, 7.2%; p = 0.001). A positive correlation was found between energy and fat excretion as a percentage of the intake and TBW as a percentage of predicted; energy and fat malabsorption did not exceed 8% in the patients with the highest body water content (120% of predicted). It is concluded that malabsorption is not a significant factor in failure to thrive of patients with congenital heart disease who are receiving regular diuretics. Based on the significant negative correlation between excess body water and fat and calorie absorption, however, it is suggested to monitor TBW in patients who fail to gain weight. (Pediatr Res 36: [545][546][547][548][549]1994) Abbreviations CHD, congenital heart disease TBW, total body water content ECW, extracellular water reflected by increased TBW and ECW in patients with significant intestinal malabsorption, may indicate a possible relationship between these parameters. METHODSThe study population consisted of seven infants with CHD and six age-matched normal controls. Patients' characteristics are given in Table 1....

show abstract

“…(36) siyanotik hastalarda boy ve kilonun asiyanotiklere göre fazla etkilendiğini, bu çalışmanın aksine Salzer ve ark. (37) asiyanotik hastaların kilo alımının siyanotiklere göre daha azalmış olduğunu bildirmişlerdir. Çalışmamızda tüm hastaların kilolarının boylarına göre daha fazla etkilendiğini tespit ettik.…”

Section: Discussionunclassified

“…Daha önceki çalışmalarda PAH ile büyüme geriliği arasında anlamlı bir ilişki olduğu bildirilmiştir (12,17,37,41). Yüksek pulmoner dirence karşı çalışarak hipertrofiye olan sağ ventrikülün oksijen gereksiniminin artması ve oluşan kronik hücresel hipoksiye bağlı daha fazla enerji tüketimi sonucunda PAH'lı hastalarda malnütrisyon daha da ağırlaşmaktadır (19).…”

Section: Discussionunclassified

The association between pulmonary arterial hypertension and malnutrition in children who had acyanotic congenital heart diseases with left to right shunt: an observational study

Altın¹,

Karataş²,

Şap³

et al. 2012

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

Sol-sağ şantlı doğuştan kalp hastalığı olan çocuklarda pulmoner arteriyel hipertansiyonla malnütrisyonun ilişkisi: Gözlemsel bir çalışmaThe association between pulmonary arterial hypertension and malnutrition in children with congenital heart diseases with left-to-right shunt: an observational study Özgün Araşt›rma Original Investigation ABSTRACTObjective: To evaluate the association between the degree of pulmonary arterial hypertension (PAH) and the level of malnutrition in children with acyanotic congenital heart diseases and left-to-right shunt, and especially to evaluate the development rates of malnutrition in patients with borderline PAH. Methods:The study was performed with data of 327 patients with acyanotic congenital heart diseases and left-to-right shunt and underwent cardiac catheterization between January 2001-February 2011. The design of the study was retrospective and observational. All patients were evaluated with anthropometric measurements, echocardiography and cardiac catheterization. They were classified according to the mean pulmonary artery pressure and level of malnutrition. Chi-square, ANOVA and Kruskal-Wallis tests were used for statistical analysis. Normally and abnormally distributed data were analyzed with Pearson and Spearman correlation tests respectively. Results: Malnutrition was detected in 94.8% of patients with PAH and 17.2% of no PAH patients according to Gomez classification (p<0.001). In addition, malnutrition was detected in 23.5% (16/68) of borderline PAH group. A negative association was detected between mean pulmonary arterial pressure and body weight for age (Gomez) and z scores of weight (p<0.001 for all). Z scores of weight and height were significantly decreased in patients with PAH in contrast to no PAH group (p<0.001, p<0.01 respectively). There was no statistical difference between no PAH and borderline PAH groups according to Gomez classification and relative body weight formula, however z scores of weight in borderline PAH group were decreased compared with no PAH group (p<0.001). . Sınırda PAH'ı olanların ise %23.5'inde (16/68) malnütrisyon tespit edildi. Ortalama pulmoner arter basıncı ile yaşa göre vücut ağırlığı (Gomez) ve kilo z skorları arasında negatif ilişki mevcuttu (her ikisi için p<0.001). Kilo ve boy z skorları da PAH olanlarda olmayanlara göre belirgin düşüktü (sırasıyla p<0.001, p<0.01). Gomez sınıflaması ve rölatif vücut ağırlığına göre PAH olmayan ve sınırda PAH olan gruplar arasında fark yoktu, ancak sınırda PAH grubunun kilo z skorları PAH olmayan gruba göre düşüktü (p<0.001). Sonuç: Asiyanotik sol-sağ şantlı DKH'lı çocuklarda PAB arttıkça, beraberinde malnütrisyon derecesinin de ağırlaştığı görüldü. Sınırda PAH'ı olan hastaların olmayanlara göre malnütrisyona daha fazla eğilimli olduğu izlendi, ancak bu konuda daha geniş kapsamlı araştırmaların yapılması gerektiği düşünüldü. (Anadolu Kardiyol Derg 2012; 12: 150-9) Anahtar kelimeler: Çocuk, malnütrisyon, doğuştan kalp hastalığı, pulmoner arteriyel hipertansiyon

show abstract

Growth and nutritional intake of infants with congenital heart disease

Cited by 66 publications

References 27 publications

Evaluation of the growth percentiles of children with congenital heart disease

Evaluation of the growth percentiles of children with congenital heart disease

Malabsorption in Infants with Congenital Heart Disease under Diuretic Treatment

The association between pulmonary arterial hypertension and malnutrition in children who had acyanotic congenital heart diseases with left to right shunt: an observational study

Contact Info

Product

Resources

About