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Overweight and obesity in children with congenital heart disease: combination of risks for the future?

BACKGROUND: Children who have unhealthy lifestyles are predisposed to develop hypertension, dyslipidemia and other complications. The epidemic of obesity is also affecting children with congenital heart disease. The aim of this study is to estimate the prevalence of obesity and describe associated r...

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Autores principales: Barbiero, Sandra Mari, D’Azevedo Sica, Caroline, Schuh, Daniela Schneid, Cesa, Claudia Ciceri, de Oliveira Petkowicz, Rosemary, Pellanda, Lucia Campos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287310/
https://www.ncbi.nlm.nih.gov/pubmed/25323400
http://dx.doi.org/10.1186/1471-2431-14-271
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author Barbiero, Sandra Mari
D’Azevedo Sica, Caroline
Schuh, Daniela Schneid
Cesa, Claudia Ciceri
de Oliveira Petkowicz, Rosemary
Pellanda, Lucia Campos
author_facet Barbiero, Sandra Mari
D’Azevedo Sica, Caroline
Schuh, Daniela Schneid
Cesa, Claudia Ciceri
de Oliveira Petkowicz, Rosemary
Pellanda, Lucia Campos
author_sort Barbiero, Sandra Mari
collection PubMed
description BACKGROUND: Children who have unhealthy lifestyles are predisposed to develop hypertension, dyslipidemia and other complications. The epidemic of obesity is also affecting children with congenital heart disease. The aim of this study is to estimate the prevalence of obesity and describe associated risk factors, including family history in children with congenital heart disease. METHODS: A cross-sectional study with 316 children and adolescents with congenital heart disease seen in an outpatient clinic of a reference hospital. Collected sociodemographic data included family history of chronic disease, dietary habits, laboratory tests (total cholesterol, HDL and LDL/cholesterol, triglycerides, fasting glucose, CRP, hematocrit and hemoglobin), and anthropometric assessment. Anthropometric data of the caregivers was self-reported. RESULTS: The prevalence of excess weight was 26.9%. Altered levels of total cholesterol were observed in 46.9%, of HDL in 32.7%, LDL in 23.6% and of triglycerides levels in 20.0%. A higher frequency of family history of obesity (42.6%; p = 0.001), dyslipidemia (48.1%; p = <0.001), diabetes (47.4%; p = 0.002), hypertension (39.2%; p = 0.006) and ischemic disease (43.7%; p = 0.023), as well as significantly higher values of triglycerides (p = 0.017), glycemia (p = 0.004) and C-reactive protein (p = 0.002) were observed among patients with excess weight. CONCLUSION: The presence of modifiable risk factors and the variables associated to excess weight in this population was similar to that described in the literature for children without congenital disease. As these children already present the risks associated to heart disease, it is particularly important to promote a healthy lifestyle in this group.
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spelling pubmed-42873102015-01-09 Overweight and obesity in children with congenital heart disease: combination of risks for the future? Barbiero, Sandra Mari D’Azevedo Sica, Caroline Schuh, Daniela Schneid Cesa, Claudia Ciceri de Oliveira Petkowicz, Rosemary Pellanda, Lucia Campos BMC Pediatr Research Article BACKGROUND: Children who have unhealthy lifestyles are predisposed to develop hypertension, dyslipidemia and other complications. The epidemic of obesity is also affecting children with congenital heart disease. The aim of this study is to estimate the prevalence of obesity and describe associated risk factors, including family history in children with congenital heart disease. METHODS: A cross-sectional study with 316 children and adolescents with congenital heart disease seen in an outpatient clinic of a reference hospital. Collected sociodemographic data included family history of chronic disease, dietary habits, laboratory tests (total cholesterol, HDL and LDL/cholesterol, triglycerides, fasting glucose, CRP, hematocrit and hemoglobin), and anthropometric assessment. Anthropometric data of the caregivers was self-reported. RESULTS: The prevalence of excess weight was 26.9%. Altered levels of total cholesterol were observed in 46.9%, of HDL in 32.7%, LDL in 23.6% and of triglycerides levels in 20.0%. A higher frequency of family history of obesity (42.6%; p = 0.001), dyslipidemia (48.1%; p = <0.001), diabetes (47.4%; p = 0.002), hypertension (39.2%; p = 0.006) and ischemic disease (43.7%; p = 0.023), as well as significantly higher values of triglycerides (p = 0.017), glycemia (p = 0.004) and C-reactive protein (p = 0.002) were observed among patients with excess weight. CONCLUSION: The presence of modifiable risk factors and the variables associated to excess weight in this population was similar to that described in the literature for children without congenital disease. As these children already present the risks associated to heart disease, it is particularly important to promote a healthy lifestyle in this group. BioMed Central 2014-10-16 /pmc/articles/PMC4287310/ /pubmed/25323400 http://dx.doi.org/10.1186/1471-2431-14-271 Text en © Barbiero et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Barbiero, Sandra Mari
D’Azevedo Sica, Caroline
Schuh, Daniela Schneid
Cesa, Claudia Ciceri
de Oliveira Petkowicz, Rosemary
Pellanda, Lucia Campos
Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title_full Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title_fullStr Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title_full_unstemmed Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title_short Overweight and obesity in children with congenital heart disease: combination of risks for the future?
title_sort overweight and obesity in children with congenital heart disease: combination of risks for the future?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287310/
https://www.ncbi.nlm.nih.gov/pubmed/25323400
http://dx.doi.org/10.1186/1471-2431-14-271
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