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Are the children and adolescents with congenital heart disease living in Southwestern Ontario really overweight and obese?

Published online by Cambridge University Press:  25 September 2013

Eva Welisch ,
Ralf Rauch ,
Jamie A. Seabrook ,
MA Guido Filler  and
Kambiz Norozi
Eva Welisch
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
Ralf Rauch
Affiliation:
Department of Paediatrics, Rems-Murr Hospital, Waiblingen, Germany
Jamie A. Seabrook
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
MA Guido Filler
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
Kambiz Norozi*
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada Department of Paediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
*
Correspondence to: K. Norozi, Department of Paediatrics, Division of Paediatric Cardiology, Western University, 800 Commissioners Rd E, P.O. Box 5010, London, Ontario, Canada N6A 5W9. Tel: +1 519 685 8500, ext. 56062; Fax: +1 519 685 8156; E-mail: [email protected]
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Abstract

Objective

To assess the prevalence of overweight and obesity in children with congenital heart disease and compare them with age-matched healthy children in Southwestern Ontario, Canada.

Methods

We compared the Center of Disease Control weight and body mass index z-scores of 1080 children, aged 2 to 18 years, who presented to our paediatric cardiology outpatient clinic from 2008 to 2010 for congenital heart disease with 1083 healthy controls.

Results

In all, 18.2% of the children with congenital heart disease and 20.8% of healthy children were identified to be either overweight or obese. Overall, the weight category distribution had been similar between the congenital heart disease and healthy control groups, as well as between the congenital heart disease subgroups. There was no difference in normal weight and overweight/obese categories between children with congenital heart disease and healthy children. The underweight category, however, showed a significantly higher prevalence in congenital heart disease compared with healthy children (6.8 and 4.5%, respectively, p = 0.03).

Conclusion

The prevalence of overweight/obesity did not differ in children with congenital heart disease compared with age-matched healthy children; however, it is still high (18.2%). Obesity may represent an additional risk factor for the long-term cardiovascular health of congenital heart disease patients aside from the underlying heart defect.

Keywords

Child obesitycongenital heart defectsprevalence
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 5 , October 2014 , pp. 848 - 853
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Tremblay, MS, Katzmarzyk, PT, Willms, JD. Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes Relat Metab Disord 2002; 26: 538–543.Google Scholar
2. Ogden, CL, Carroll, MD, Curtin, LR, McDowell, MA, Tabak, CJ, Flegal, KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006; 295: 1549–1555.Google Scholar
3. Shields, M. Overweight and obesity among children and youth. Health Rep 2006; 17: 27–42.Google ScholarPubMed
4. Galli-Tsinopoulou, A, Kyrgios, I, Maggana, I, et al. Insulin resistance is associated with at least threefold increased risk for prothrombotic state in severely obese youngsters. Eur J Pediatr 2011; 170: 879–886.Google Scholar
5. Berenson, GS, Srinivasan, SR, Bao, W, Newman, WP III, Tracy, RE, Wattigney, WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med 1998; 338: 1650–1656.CrossRefGoogle Scholar
6. Cohen, MS. Clinical practice: the effect of obesity in children with congenital heart disease. Eur J Pediatr 2012; 171: 1145–1150.Google Scholar
7. Hoffman, JI, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890–1900.Google Scholar
8. Pemberton, VL, McCrindle, BW, Barkin, S, et al. Report of the National Heart, Lung, and Blood Institute's Working Group on obesity and other cardiovascular risk factors in congenital heart disease. Circulation 2010; 121: 1153–1159.Google Scholar
9. Pinto, NM, Marino, BS, Wernovsky, G, et al. Obesity is a common comorbidity in children with congenital and acquired heart disease. Pediatrics 2007; 120: e1157–e1164.CrossRefGoogle ScholarPubMed
10. Shustak, RJ, McGuire, SB, October, TW, Phoon, CK, Chun, AJ. Prevalence of obesity among patients with congenital and acquired heart disease. Pediatr Cardiol 2012; 33: 8–14.Google Scholar
11. Chen, CA, Wang, JK, Lue, HC, Hua, YC, Chang, MH, Wu, MH. A shift from underweight to overweight and obesity in Asian children and adolescents with congenital heart disease. Paediatr Perinat Epidemiol 2012; 26: 336–343.CrossRefGoogle ScholarPubMed
12. Kavey, RE, Allada, V, Daniels, SR, et al. Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association Expert Panel on Population and Prevention Science; the Councils on Cardiovascular Disease in the Young, Epidemiology and Prevention, Nutrition, Physical Activity and Metabolism, High Blood Pressure Research, Cardiovascular Nursing, and the Kidney in Heart Disease; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics. Circulation 2006; 114: 2710–2738.Google Scholar
13. Perloff, JK, Child, JS. Congenital Heart Disease in Adults. Saunders, Philadelphia, 1998.Google Scholar
14. Hedley, AA, Ogden, CL, Johnson, CL, Carroll, MD, Curtin, LR, Flegal, KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004; 291: 2847–2850.Google Scholar
15. Bray, GA. Medical consequences of obesity. J Clin Endocrinol Metab 2004; 89: 2583–2589.Google Scholar
16. Freedman, DS, Dietz, WH, Srinivasan, SR, Berenson, GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 1999; 103 (Pt 1): 1175–1182.CrossRefGoogle ScholarPubMed
17. Mehta, SK, Holliday, C, Hayduk, L, Wiersma, L, Richards, N, Younoszai, A. Comparison of myocardial function in children with body mass indexes >/=25 versus those <25 kg/m2 . Am J Cardiol 2004; 93: 1567–1569.Google Scholar
18. Daniels, SR, Loggie, JM, Khoury, P, Kimball, TR. Left ventricular geometry and severe left ventricular hypertrophy in children and adolescents with essential hypertension. Circulation 1998; 97: 1907–1911.Google Scholar
19. Kaufman, L, Karpati, A. Understanding the sociocultural roots of childhood obesity: food practices among Latino families of Bushwick, Brooklyn. Soc Sci Med 2007; 64: 2177–2188.CrossRefGoogle ScholarPubMed
20. Crawford, PB, Gosliner, W, Anderson, C, et al. Counseling Latina mothers of preschool children about weight issues: suggestions for a new framework. J Am Diet Assoc 2004; 104: 387–394.Google Scholar
21. Snethen, JA, Hewitt, JB, Petering, DH. Addressing childhood overweight: strategies learned from one Latino community. J Transcult Nurs 2007; 18: 366–372.Google Scholar
22. Longmuir, PE, Russell, JL, Corey, M, Faulkner, G, McCrindle, BW. Factors associated with the physical activity level of children who have the Fontan procedure. Am Heart J 2011; 161: 411–417.CrossRefGoogle ScholarPubMed
23. Reybrouck, T, Mertens, L. Physical performance and physical activity in grown-up congenital heart disease. Eur J Cardiovasc Prev Rehabil 2005; 12: 498–502.Google Scholar
24. Massin, MM, Hovels-Gurich, HH, Gerard, P, Seghaye, MC. Physical activity patterns of children after neonatal arterial switch operation. Ann Thorac Surg 2006; 81: 665–670.Google Scholar
25. Lunt, D, Briffa, T, Briffa, NK, Ramsay, J. Physical activity levels of adolescents with congenital heart disease. Aust J Physiother 2003; 49: 43–50.Google Scholar
26. Ray, TD, Green, A, Henry, K. Physical activity and obesity in children with congenital cardiac disease. Cardiol Young 2011; 21: 603–607.CrossRefGoogle ScholarPubMed
27. Majnemer, A, Limperopoulos, C, Shevell, M, Rohlicek, C, Rosenblatt, B, Tchervenkov, C. Health and well-being of children with congenital cardiac malformations, and their families, following open-heart surgery. Cardiol Young 2006; 16: 157–164.Google Scholar
28. Cheuk, DK, Wong, SM, Choi, YP, Chau, AK, Cheung, YF. Parents’ understanding of their child's congenital heart disease. Heart 2004; 90: 435–439.Google Scholar
29. Lentzner, BJ, Connolly, DM, Phoon, CK. Do paediatric cardiologists discuss cardiovascular risk factors with patients and their families? Cardiol Young 2003; 13: 551–558.Google Scholar
30. Moola, F, McCrindle, BW, Longmuir, PE. Physical activity participation in youth with surgically corrected congenital heart disease: devising guidelines so Johnny can participate. Paediatr Child Health 2009; 14: 167–170.Google Scholar
31. Cohen, MI, Bush, DM, Ferry, RJ Jr, Spray, TL, Moshang, T Jr, Wernovsky, G. Somatic growth failure after the Fontan operation. Cardiol Young 2000; 10: 447–457.Google Scholar
32. Anderson, JB, Kalkwarf, HJ, Kehl, JE, Eghtesady, P, Marino, BS. Low weight-for-age z-score and infection risk after the Fontan procedure. Ann Thorac Surg 2011; 91: 1460–1466.Google Scholar
33. Pasquali, SK, Marino, BS, Pudusseri, A, et al. Risk factors and comorbidities associated with obesity in children and adolescents after the arterial switch operation and Ross procedure. Am Heart J 2009; 158: 473–479.Google Scholar