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.
Abstract

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