Nutritional status of children with congenital heart disease Estado nutricional de niños con cardiopatías congénitas Estado nutricional de crianças com cardiopatias congênitas

• Published in: Revista latino-americana de enfermagem 2012-12, Vol.20 (6), p.1024-1032
• Main Authors: Flávia Paula Magalhães Monteiro, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes, Daniel Bruno Resende Chaves, Beatriz Amorim Beltrão, Alice Gabrielle de Sousa Costa
• Format: Article
• Language: English
• Subjects: Cardiopatias Congênitas; Cardiopatías Congênitas; Child; Criança; Enfermagem; Enfermería; Estado Nutricional; Heart Defects; Niño; Nursing; Nutritional Status
• ISSN: 0104-1169; 1518-8345
• DOI: 10.1590/S0104-11692012000600003

OBJECTIVE: to characterize nutritional status and variables that predict nutritional changes in children with congenital heart disease. METHOD: a cross-sectional study undertaken in two health institutions between January and June 2009, using a questionnaire with questions about nutrition, applied to 132 children under two years of age who had congenital heart disease. Children who had additional serious illnesses were excluded. RESULT: the predominant percentile values and Z scores were concentrated within the range of normal levels. The Z scores, however, presented negative variations with a deviation to the left. In the analysis of predictive factors, the occurrence of immediate and acute malnutrition was related to a decrease in skinfold thickness (decrease in subscapular skinfold thickness, while immediate malnutrition was related to a high Apgar score. Chronic malnutrition was related to female children with higher ages. CONCLUSION: it is evidenced that it is necessary to carry out nutritional strategies which improve prognosis, so as to widen the nursing care directed at these children.OBJETIVO: caracterizar el estado nutricional y verificar variables que predicen alteraciones nutricionales en niños portadoras de cardiopatías. MÉTODO: estudio transversal realizado en dos instituciones de salud de enero a junio de 2009, utilizando formulario con cuestiones nutricionales. Se seleccionaron 132 niños menores de dos años y presentando cardiopatía congénita, excluyéndose aquéllas con otras enfermedades graves. RESULTADO: los valores de percentiles y scores Z predominantes se concentraron dentro de la banda de normalidad. Mientras, los valores de scores Z presentaron variaciones negativas con desvío para la izquierda. En el análisis de factores predictores, la ocurrencia de desnutrición inmediata y aguda estuvo relacionada a la disminución del pliegue cutáneo subescapular, la desnutrición inmediata se relacionó al elevado score de Apgar. La desnutrición crónica se refirió a los niños del sexo femenino con edades mayores. CONCLUSIÓN: se evidencia la necesidad de realizar estrategias nutricionales que posibiliten mejor pronóstico, en la tentativa de ampliar las atenciones de enfermería dirigidos a estos niños.OBJETIVO: caracterizar o estado nutricional e verificar variáveis que predizem alterações nutricionais em crianças portadoras de cardiopatias. MÉTODO: trata-se de estudo transversal, realizado em duas instituições de saúde, de janeiro a junho de 2009, u