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Nutritional status of children with congenital heart disease
Flávia Paula Magalhães Monteiro1, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes
1Universidade Federal do Ceará, Brazil. flaviapmm@yahoo.com.br
Insights
Nutritional status in children with congenital heart disease (CHD) is generally normal but shows negative Z-score variations. Malnutrition is linked to skinfold thickness, Apgar scores, and demographics, necessitating targeted nutritional interventions for better outcomes.
Area of Science:
- Pediatrics
- Cardiology
- Nutrition Science
Background:
- Congenital heart disease (CHD) can significantly impact a child's nutritional status and overall health.
- Understanding nutritional variations is crucial for managing children with CHD.
Purpose of the Study:
- To characterize the nutritional status of children under two years old with CHD.
- To identify predictive variables associated with nutritional changes in this population.
Main Methods:
- A cross-sectional study was conducted between January and June 2009.
- Data were collected from 132 children with CHD using a nutritional questionnaire.
- Exclusion criteria included children with other serious illnesses.
Main Results:
- Predominant percentile values and Z scores were within normal ranges, though Z scores showed negative variations.
- Immediate/acute malnutrition correlated with decreased skinfold thickness and higher Apgar scores.
- Chronic malnutrition was associated with female gender and older age.
Conclusions:
- Nutritional strategies are essential for improving the prognosis of children with CHD.
- Enhanced nursing care is recommended to address nutritional needs in this vulnerable group.
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.
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