Nutritional status of children with congenital heart disease

Abstract

Objective: to characterize nutritional status and variables that predict nutritional changes in children with congenital heart disease. Method: a cross-sectional study undertaken in two health institutions between January and June 2009, using a questionnaire with questions about nutrition, applied to 132 children under two years of age who had congenital heart disease.Children who had additional serious illnesses were excluded. Result: the predominant percentile values and Z scores were concentrated within the range of normal levels. The Z scores, however, presented negative variations with a deviation to the left. In the analysis of predictive factors, the occurrence of immediate and acute malnutrition was related to a decrease in skinfold thickness (decrease in subscapular skinfold thickness, while immediate malnutrition was related to a high Apgar score. Chronic malnutrition was related to female children with higher ages. Conclusion: it is evidenced that it is necessary to carry out nutritional strategies which improve prognosis, so as to widen the nursing care directed at these children.Descriptors: Child; Heart Defects; Nutritional Status; Nursing. Entretanto, os valores de escores Z apresentaram variações negativas com desvio para a esquerda. Na análise de fatores preditores, a ocorrência de desnutrição imediata e aguda esteve relacionada à diminuição da prega cutânea subescapular, a desnutrição imediata relacionouse ao elevado escore de Apgar. A desnutrição crônica referiu-se às crianças do sexo feminino com idademaior. Conclusão: evidencia-se a necessidade de realizar estratégias nutricionais que possibilitem melhor prognóstico, na tentativa de ampliar os cuidados de enfermagem direcionados a essas crianças.Descritores: Criança; Cardiopatias Congênitas; Estado Nutricional; Enfermagem. Estado nutricional de niños con cardiopatías congénitasObjetivo: caracterizar el estado nutricional y verificar variables que predicen alteraciones nutricionales en niños portadoras de cardiopatías. Método: estudio transversal realizado en dos instituciones de salud de enero a junio de 2009, utilizando formulario con cuestiones nutricionales. Se seleccionaron 132 niños menores de dos años y presentando cardiopatía congénita, excluyéndose aquéllas con otras enfermedades graves. Resultado: los valores de percentiles y scores Z predominantes se concentraron dentro de la banda de normalidad.Mientras, los valores de scores Z presentaron variaciones negativas con desvío para la izquierda.En el análisis de factores predictores, la ocurrencia de desnutrición inmediata y aguda estuvo relacionada a la disminución del pliegue cutáneo subescapular, la desnutrición inmediata se relacionó al elevado score de Apgar. La desnutrición crónica se refirió a los niños del sexo femenino con edades mayores. Conclusión: se evidencia la necesidad de realizar estrategias nutricionales que posibiliten mejor pronóstico, en la tentativa de ampliar las atenciones de enfermería dirigidos a estos niños.

Genetic Variant in MTRR, but Not MTR, Is Associated with Risk of Congenital Heart Disease: An Integrated Meta-Analysis

“…In China, the prevalence increased sharply from 1.2 to 5.4 per 1,000 live births between 2000 and 2011, making it the number one among all birth defects [4]. Patients with CHD require treatments may be a clinical and economic burden as nearly a quarter of them will need surgery in the first year of life and they are also considered part of a neurological and psychomotor abnormalities and malnutrition high-risk group [5], [6], [7]. CHD has become a serious public-health issue and more efforts are needed to lucubrate.…”

The Relevance of Assessment of Nutritional Status in Children with Chronic Heart Failure

“…Задержка роста и дефицит массы тела являются характерными признаками болезни у детей с ВПС [23]. И хотя большая часть из них при рождении имеют нор-мальную для своего гестационного возраста массу тела (внутриутробная задержка роста отмечается только у 6% детей с ВПС), уже в раннем возрасте по мере про-грессирования гемодинамических нарушений развивает-ся значительная задержка массо-ростовых показателей [23].…”

“…И хотя большая часть из них при рождении имеют нор-мальную для своего гестационного возраста массу тела (внутриутробная задержка роста отмечается только у 6% детей с ВПС), уже в раннем возрасте по мере про-грессирования гемодинамических нарушений развивает-ся значительная задержка массо-ростовых показателей [23]. При этом риск развития недостаточности пита-ния и повышения энергетических потребностей зависит от анатомии и степени тяжести порока сердца [19].…”

Diagnósticos de Enfermagem em crianças com cardiopatias congênitas: mapeamento cruzado

“…Such situations were identified and characterized in the study primarily as dyspnea on exertion, which is one of the defining characteristics of activity intolerance. (12) Ineffective breathing pattern was one of the few diagnoses mapped by exact combination, from the term recorded in the chart, namely tachypneic, which is an important human response to congenital heart disease due to the imbalance between oxygen supply/demand. It was also the human response (88.5%) most commonly found in studies that analyzed this diagnosis in children with congenital heart disease.…”