Underweight, Stunted, and Wasted among Children with Congenital Heart Disease: Acyanotic versus Cyanotic

Agustini, Wiwik; Yantie, Ni Putu Veny Kartika; Gunawijaya, Eka; Sidiartha, Gusti Lanang; Pratiwi, Gusti Ayu Eka

doi:10.3889/oamjms.2022.8424

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…In addition to being severely underweight, children with cyanotic CHD also tended to suffer from stunting, whereas children with acyanotic CHD were more likely to have a normal length or height-for-age curve. These results were in accordance with the findings of a previous investigation conducted at Sanglah Hospital, Denpasar, Indonesia, which suggested a higher prevalence of stunting in cyanotic CHD compared to acyanotic CHD groups [ 17 ]. The cause of stunting in children with CHD has been linked to chronic hypoxia that possesses a direct or indirect effect on decreasing the insulin-like growth factor I (IGF-I) hormone [ 18 ].…”

Section: Discussionsupporting

confidence: 92%

“…The disruption of the IGF-I mechanism will affect bone growth in children. Children with cyanotic CHD often present with abnormal length/height [ 17 ]. In addition, a lack of nutritional intake, high energy needs, and pulmonary hypertension are among other suggested factors influencing the incidence of growth failure in children with CHD [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia

Amelia,

Yosephine,

Tobing

et al. 2023

Narra J

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Congenital heart disease (CHD) is a congenital disorder primarily affecting newborns and children. Children with CHD have a greater risk of experiencing growth delays or disorders compared to healthy children. CHD also affects various aspects of a child’s development. The aim of this study was to determine the association of CHD types (cyanotic and acyanotic) with the growth and development status of children. A cross-sectional study was conducted among CHD patients at a national reference hospital in Sumatra, H. Adam Malik General Hospital in Medan, Indonesia. The children's growth status was assessed using the WHO growth chart, and the developmental condition was evaluated through the Denver Developmental Screening Test-II. Chi-squared test and Fisher’s exact test were used to assess the association between the type of CHD with growth and development status in children. Using a consecutive sampling method, a total of 53 individuals were included in this study. Almost half of CHD patients (48.1%) were within the age group of 0–2 years and more than half (61.1%) were girls. Acyanotic CHD (74.1%) was more prevalent than cyanotic CHD (25.9%), with ventricular septum defect (VSD) as the most common diagnosis. A total of 37% of children with CHD suffered from malnutrition, whereas the remaining 62.9% had good nutrition. The Denver Developmental Screening Test-II indicated that 81.4% of the children were normal, whereas 18.5% had developmental disorders. Our data suggested a significant association between cyanotic CHD and poor growth status in children based on weight-for-age, weight-for-length, and body mass index (BMI)-for-age. However, there was no association between the type of CHD and developmental status in children. This study highlights that the type of CHD is significantly associated with the growth status of children, but not with their developmental status.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia

Amelia,

Yosephine,

Tobing

et al. 2023

Narra J

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“…In this study, delays in language and gross motor development occurred more often in CCHD children than in normal children. These ndings were in line with the 3 Indonesia studies by Maya et al 20207 , Amelia et al 202033 , and Agustini et al 202234 . Similarly, Aghaei-Moghadam et al 2019 in Iran35 reported consistent results in this study.…”

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confidence: 90%

Assessment of Quality of Life and Socioeconomic Inequality in Children with Cyanotic Congenital Heart Disease in Sulaimaniyah, Iraq

Kamal

Salih

Ali

2023

Preprint

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Background: The concept of quality of life (QoL) covers physical/psychological health, level of independence, social relations, environmental factors, and individual beliefs. Objective: This study aimed to investigate health-related QoL in children with cyanotic congenital heart disease (CCHD) and to determine socioeconomic inequality in CCHD. Patients and Methods: This case-control study was conducted at Children’s Heart Hospital and Primary Healthcare Centers on 400 children (200 healthy and 200 with CCHD) from December 01, 2021, to May 01, 2022, in Sulaimaniyah, Iraq. For this purpose, a 5 Likert Scale QoL questionnaire was used to collect the data of patients and their parents through a direct face-to-face interview. Then, children's sociodemographic data and parents' socioeconomic status (SES) was investigated together with another 22 items in 6 domains. Results: Studied children had equal gender and age distribution. CCHD was more prevalent in families with low SES, and ECI was - 0.44. Children with CCHD had significantly lower mean scores for the overall QoL dimension (Mean rank=124) compared to healthy children (Mean rank=277) (P≤0.001). About 91.5% of CCHD patients had poor QoL compared to 7.5% of healthy children. The mean SpO2 levels of healthy children were 9 % higher than CCHD children (P<0.001). Moreover, parents with CCHD children stated that 57% of their children had moderate to excellent health, while those with healthy children reported 98% (P=0.001). Conclusions: Significant deficits in all QoL dimensions were found in CCHD children. Also, we discovered an inequality distribution of CCHD in families with lower SES.

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“…Hal ini disebabkan anak dengan PJB berisiko untuk terjadi penurunan asupan gizi dan peningkatan kebutuhan energi. Pada anak dengan PJB yang mengalami gagal jantung, terjadi peningkatan pengeluaran energi akibat kerja jantung yang bekerja lebih keras dalam memompa darah untuk metabolisme tubuh [16]. Kondisi PJB juga menyebabkan anak mengalami peningkatan konsumsi oksigen, peningkatan aktivitas saraf simpatis, sampai dengan kesulitan pemberian makan [17].…”

Section: Hasilunclassified

Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito

Arsyad,

Nurani,

Indrawanti

2023

Jurnal Gizi Klinik Indonesia

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Predictors of pediatric hospital acquired malnutrition in a Sardjito HospitalBackground: In hospitalized children, nutrition is essential for the healing process as well as for reaching adequate growth. Hospital-acquired malnutrition (HAM) is declining in children’s body weight during hospitalization. The impact of undetected HAM including an increase in length of stay, increase in mortality, slowing of healing process, and increasing in hospital bills.Objectives: This study aims to determine the predictive factors of HAM.Method: A prospective study was performed. Samples were 1-month-old – 18-years-old children who hospitalized in pediatric ward of Sardjito Hospital in Yogyakarta from February 2023 to April 2023. Samples were taken using a consecutive sampling method. The relationship between variables was presented as odds ratio (OR), confidence intervals of 95%, the score for each variable, and statistical significance levels p < 0.05.Results: 21 of 196 patients were diagnosed as HAM, with a male-to-female ratio of 1.1: 1. The prevalence of HAM was 10.9%. Bivariate analysis showed that maternal education (OR=2.27; CI 95% 1.02 – 5.05; p=0.041), comorbid of congenital heart disease (CHD) (RR=3.31; CI 95% 1.30 – 8.42; p=0,037), and 3rd degree of severity disease (RR=6.00; CI 95% 2.87 – 12.56; p=0.001) was significantly related to HAM. Multivariate analysis showed that comorbid of CHD (OR=5.33; CI 95% 1.34 – 20.7; p=0.017) and 3rd degree of severity disease (OR=11.54; CI 95% 3.52 – 37.86; p=0.000) increased the odds of developing of HAM.Conclusion: Comorbid of CHD and 3rd degree of severity disease increased the odds of developing HAM during hospitalization.

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Underweight, Stunted, and Wasted among Children with Congenital Heart Disease: Acyanotic versus Cyanotic

Cited by 4 publications

References 15 publications

Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia

Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia

Assessment of Quality of Life and Socioeconomic Inequality in Children with Cyanotic Congenital Heart Disease in Sulaimaniyah, Iraq

Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito

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