Wasting, underweight and stunting among children with congenital heart disease presenting at Mulago hospital, Uganda

BMC Pediatrics

Research Article

Anthony Batte¹  Sarah Kiguli²  Charles Karamagi³  Violette Nabatte⁴  Kennedy Otwombe⁵  Lucy Chimoyi⁶  Sulaiman Lubega⁷  Peter Lwabi⁷ 

[1] Child Health and Development Centre, Makerere University College of Health Sciences, P.O.Box 6717, Kampala, Uganda;Department of Pediatrics and Child Health, Makerere University College of Health Sciences, P.O.Box 7072, Kampala, Uganda;Department of Pediatrics and Child Health, Makerere University College of Health Sciences, P.O.Box 7072, Kampala, Uganda;Clinical Epidemiology Unit, Makerere University College of Health Sciences, P.O.Box 7072, Kampala, Uganda;Nakaseke Hospital, Nakeseke, Uganda;Perinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;The Aurum Institute, Johannesburg, South Africa;Uganda Heart Institute, P.O. Box 7051, Kampala, Uganda;

关键词: Congenital heart disease;    Malnutrition;    Uganda;    Africa;   

DOI  :  10.1186/s12887-017-0779-y

 received in 2016-08-01, accepted in 2017-01-03,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundChildren with congenital heart disease are at increased risk of malnutrition. The aim of this study was to describe the prevalence of wasting, underweight and stunting among children with congenital heart disease attending Mulago National Referral Hospital, Uganda.MethodsA cross-sectional study among 194 children aged 0–15 years was conducted between August 2013 and March 2014. Anthropometric measurements and clinical assessments were carried out on all children. Anthropometric z-scores based on WHO 2007 reference ranges were generated for each child. Weight-for-height z-scores were generated for children 0–5 years, weight-for-age z-scores for children 0–10 years, and height-for-age and BMI-for-age z-scores for all children. Risk factors associated with malnutrition were determined by Poisson regression.ResultsOne hundred and forty five (74.7%) children were aged 0–5 years; and 111 of 194 (57.2%) were female. Forty five of 145 (31.5%) children aged 0–5 years were wasted; 77 of 181 (42.5%) children aged 0–10 years were underweight; 88 of 194 (45.4%) children were stunted; and 53 of 194 (27.3%) children were thin (BMI for age z score < −2). Moderate to severe anaemia (RR 1.11, 95% CI: 1.01–1.22) and moderate to severe heart failure (RR 1.24, 95% CI: 1.13–1.36) were associated with wasting and underweight respectively. Stunting was associated with moderate to severe heart failure (RR 1.11, 95% CI: 1.01–1.21) while thinness was associated with moderate to severe heart failure (RR 1.12, 95% CI: 1.04–1.21) and moderate to severe anaemia (RR 1.15, 95% CI: 1.06–1.25).ConclusionMalnutrition is common in children with congenital heart disease, and is associated with anaemia and heart failure. There is need to integrate strategies to identify and manage malnutrition during the care of children with congenital heart disease.

【 授权许可】

CC BY   
© The Author(s). 2017