Assessment of dietary nutrient intake and its relationship to the nutritional status of children with congenital heart disease in Guangdong province of China

Ying Zheng ； Liping Yang ； Ziying Wu ； Huilian Zhu ； Benxi Xiao ； Zhen Li ； Yuanhong Li ； Wenjun Ma

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 1-12

https://doi.org/10.6133/apjcn.202208/PP.0010

摘要

Background and Objectives: Congenital heart disease (CHD) is the common congenital malformations in children and cause malnutrition. We determine the association between dietary nutrient intake and nutritional status of children with CHD. Methods and Study Design: 428 children of age 1-10 years with CHD admitted. The dietary nutrient intake was recorded after 3 days of 24-h recall. The growth and nutritional status of children were evaluated using anthropometric measurements and Z-scores. Results: The prevalence of malnutrition was 35.0% in CHD. 57.8%, 12.5%, 43.8%, and 40.6% of children did not meet their requirements for energy, protein, fat, and carbohydrate, respectively. The prevalence of insufficient intake was 88.3% for calcium, 35.9% for magnesium, 21.9% for iron, and 12.5% for zinc. 24%-86% of children did not meet vitamin requirements. 81.2% and 53.9% of children did not meet their requirements for vitamin A and vitamin C. The prevalence of insufficient intake was 39.1% for thiamin, 24.2% for riboflavin, and 28.1% for vitamin E. Compared with the normal nutrition group, the malnutrition group had a relatively lower intake of proteins, iron, zinc and vitamin E. Conclusions: An obvious deficiency of dietary nutrient intake was found among children with CHD, especially CHD with malnutrition. Dietary intake related to the nutritional status of children with CHD. The gap between actual consumption and recommendation indicates a need for improved nutritional counseling and monitoring. Early interventions targeting the dietary intakes of children with CHD may be a benefit for long-term effects associated with nutritional status.

關鍵字

congenital heart disease ； Z-score ； malnutrition ； dietary nutrient intake ； 24-h recall