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Published on: July 18, 2014
Overweight and Obesity in Patients with Congenital Heart Disease: A Systematic Review
Laura Willinger1, Leon Brudy1, Michael Meyer1
1Department of Congenital Heart Disease and Pediatric Cardiology, Deutsches Herzzentrum München, Technische Universität München, 80636 Munich, Germany.
Insights
Overweight and obesity prevalence in children and adults with congenital heart disease (CHD) mirrors the general population. This growing pandemic also impacts individuals with CHD, highlighting a significant public health concern.
Area of Science:
- Cardiology
- Public Health
- Pediatrics
Background:
- Overweight and obesity are significant public health issues.
- Congenital heart disease (CHD) patients face increased health risks.
- Understanding weight trends in CHD is crucial for management.
Purpose of the Study:
- To systematically review the prevalence of overweight and obesity in children and adults with CHD.
- To examine the longitudinal development of overweight and obesity in this population.
Main Methods:
- A systematic literature search was performed across PubMed, Cochrane, and Scopus.
- Studies published between January 2010 and December 2020 were included.
- Data from 30 studies involving over 22,000 patients were analyzed.
Main Results:
- Overweight prevalence in children with CHD ranged from 9.5-31.5%; obesity from 9.5-26%.
- In adults with CHD (ACHD), overweight prevalence was 22-53%; obesity was 7-26%.
- Prevalence rates were comparable to the general population and increased with age.
Conclusions:
- Overweight and obesity are prevalent in both pediatric and adult CHD populations.
- These weight issues are as common in CHD patients as in the general population.
- The global obesity pandemic affects individuals with CHD, necessitating focused attention.
Background:
Overweight and obesity have become a major public health concern in recent decades, particularly in patients with chronic health conditions like congenital heart disease (CHD). This systematic review elaborates on the prevalence and the longitudinal development of overweight and obesity in children and adults with CHD.
Methods:
A systematic literature search was conducted in PubMed, Cochrane, and Scopus from January 2010 to December 2020 on overweight and obesity prevalence in children and adults with CHD.
Results:
Of 30 included studies, 15 studies evaluated 5680 pediatric patients with CHD, 9 studies evaluated 6657 adults with CHD (ACHD) and 6 studies examined 9273 both pediatric patients and ACHD. Fifteen studies received the quality rating "good", nine studies "fair", and six studies "poor". In children with CHD, overweight prevalence was between 9.5-31.5%, and obesity prevalence was between 9.5-26%; in ACHD, overweight prevalence was between 22-53%, and obesity was between 7-26%. The prevalence of overweight and obesity was thereby similar to the general population. Overweight and obesity have been shown to increase with age.
Conclusion:
The prevalence of overweight and obesity in children and adults with CHD is similar to the general population, demonstrating that the growing obesity pandemic is also affecting the CHD population.
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