ASSESSMENT OF MALNUTRITION IN CONGENITAL HEART DISEASE Authors: Luke LH , ANANDHI D, SHIVA KUMAR K, VALLI G, REVATHI K AND PRABHAVATHI DEVI N
ABSTRACT
Background/Aims: Congenital heart disease is an anomaly of heart arising due to defect in
structure or function of heart. Early studies indicate that the congenital heart patient often suffer
from malnutrition and this is due to tissue hypoxia and imbalance between energy intake and
consumption. So, the aim of the present study is to assess the anthropometric profile and the
prevalence of malnutrition among children admitted for surgical or catheter based interventionin
pediatric general ward .
Materials and Methods: Body weight, height, triceps skinfold thickness, and mid-arm
circumference were measured on admission and percentages of weight-for-age, weight-forheight,
mid-arm circumference, and triceps skinfold thickness were calculated. The nutritional
status was evaluated using the Waterlow, Gomez, Anthropometric assessments. The study was
extended in assessing the biochemical parameters such as serum protein and serum albumin
Results: 51 children with congenital heart disease were included in the study. The average age of
the patients 3.98± 2.85, the observed mean height and weight of patients were less than the
standard data on comparing the National Centre for Health Statistics growth charts. The assessment of mid arm circumference and triceps skin fold thickness showed a decrease when
compared with the statistics growth charts. According to water low and Gomez anthropometric
assessments the children under study showed mild to moderate malnutrition and this was
prominent in younger age groups (0-2 years). The study also showed that there is significant
lowering of serum protein and albumin levels
Conclusion: The study highlighted the prevalence of malnutrition in congenital heart patients, it
showed mild to moderate degree of malnutrition while assessing the hospitalized children, the
nutritional evaluation and an early intervention to nutritional support will bring a positive impact
Keyword: CHD, Malnutrition, Anthropometric, protein Publication date: 01/12/2020 https://ijbpas.com/pdf/2020/December/MS_IJBPAS_2020_5281.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2020/9.12.5281