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

Гандаева, Л. А.; Боровик, Т Э; Басаргина, Е. Н.; Звонкова, Н. Г.; Скворцова, В. А.; Семёнова, Н. Н.; Степанова, Т. Н.; Bushueva, Tatyana

doi:10.15690/vsp.v14i6.1479

“…Undernutrition, or malnutrition, is formed due to quantitative and especially due to qualitative in adequacy of nutrients and nutritional energy, in conditions of depletion of their internal reserves and compensatory metabolic pathways (Bashun et al, 2020). Undernutrition can be subdivided on the basis of a number of criteria, including anthropometry data, dynamics of growth and development, its etiology and pathogenesis, influence on development and function, severity (Gandaeva, 2015). Some examples of different types of undernutrition are wasting, thinness, child stunting, vitamin deficiencies, mineral deficiencies (FAO et al, 2019), as well as pathological conditions and diseases caused by them (anemia, scurvy, goiter, etc.)…”

Section: Introductionmentioning

confidence: 99%

Modern Methods of Non-Invasive Assessment of the State of Provision of Particular Nutrients

Bashun,

Sychevskaya

2023

Technogenesis, Green Economy and Sustainable Development

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An analysis of recent studies on non-invasive technologies for assessing the state of provision of particular nutrients as key factors of human health and physical development is provided. The peculiarities of determining the nutritional status, the role of environmental factors, and the features of assessment in conditions of nutrients emitting toxicity are being given. While generalizing various approaches to the analysis of the provision of particular nutrients, several conclusions regarding the prospects for the further development of non-invasive assessment was given. These prospects include a new complex-systemic approach based on laboratory studies, application of standard clinical assessment schemes and functional tests. They also include the assessment of environmental factors and instrumental methods for assessing actual nutrition, designed to answer the results of the latest scientific research and to increase the efficiency of determining determining the nutritional status in order to achieve effective prevention of non-communicable diseases and prolong longevity.

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Prognostic role of brain natriuretic peptide in children of the first year of life with congenital heart defects: a prospective cohort study

Вахлова

¹

,

Саперова

²

2020

jour

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Background. Congenital heart defects (CHD) are the most common type of developmental anomalies in children. At present the early diagnosis of congestive heart failure (CHF) and CHF-associated pathologic conditions is becoming increasingly important for optimization of protocols for following up pediatric patients in the primary health care settings.Objective. The study aimed at determining the prognostic role of brain natriuretic peptide (BNP) as a diagnostic marker of CHF progression and development of CHF-associated pathological conditions in babies with CHD during the first year of life.Methods. A prospective cohort study was carried out in a total of 114 children of the first year of life. The main study group was comprised of 61 children with confirmed diagnosis of CHD, and the control group of 53 health status group I–IIA children without CHD.Results. Diagnostic role of BNP elevation > 30 pg/mL was determined. At this BNP level the risk for developing stage 2A CHF increased 7-fold (OR 7.5 [1.8–31.5]), for developing functional class (FC) 2 CHF — nearly 5-fold (OR 4.6 [1.3–16.0]), and for FC 3 CHF such risk increased 9-fold (OR 9.2 [2.3–36.1]). Our results demonstrated that the BNP level measurements can be used in clinical practice to determine the likelihood of persistence of symptoms of perinatal CNS injuries during the first year of life (OR 7.6 [1.7–34.5]) and protein and energy deficit (PED) (OR 9.5 [2.5–35.5]) in children with CHD.

show abstract

Prognostic role of brain natriuretic peptide in children of the first year of life with congenital heart defects: a prospective cohort study

Вахлова

¹

,

Саперова

²

2020

jour

0

View full text Add to dashboard Cite

Background. Congenital heart defects (CHD) are the most common type of developmental anomalies in children. At present the early diagnosis of congestive heart failure (CHF) and CHF-associated pathologic conditions is becoming increasingly important for optimization of protocols for following up pediatric patients in the primary health care settings.Objective. The study aimed at determining the prognostic role of brain natriuretic peptide (BNP) as a diagnostic marker of CHF progression and development of CHF-associated pathological conditions in babies with CHD during the first year of life.Methods. A prospective cohort study was carried out in a total of 114 children of the first year of life. The main study group was comprised of 61 children with confirmed diagnosis of CHD, and the control group of 53 health status group I–IIA children without CHD.Results. Diagnostic role of BNP elevation > 30 pg/mL was determined. At this BNP level the risk for developing stage 2A CHF increased 7-fold (OR 7.5 [1.8–31.5]), for developing functional class (FC) 2 CHF — nearly 5-fold (OR 4.6 [1.3–16.0]), and for FC 3 CHF such risk increased 9-fold (OR 9.2 [2.3–36.1]). Our results demonstrated that the BNP level measurements can be used in clinical practice to determine the likelihood of persistence of symptoms of perinatal CNS injuries during the first year of life (OR 7.6 [1.7–34.5]) and protein and energy deficit (PED) (OR 9.5 [2.5–35.5]) in children with CHD.

show abstract

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

Cited by 6 publications

References 13 publications

Modern Methods of Non-Invasive Assessment of the State of Provision of Particular Nutrients

Modern Methods of Non-Invasive Assessment of the State of Provision of Particular Nutrients

Prognostic role of brain natriuretic peptide in children of the first year of life with congenital heart defects: a prospective cohort study

Prognostic role of brain natriuretic peptide in children of the first year of life with congenital heart defects: a prospective cohort study

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