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Are the children and adolescents with congenital heart disease living in Southwestern Ontario really overweight and obese?

Published online by Cambridge University Press:  25 September 2013

Eva Welisch ,
Ralf Rauch ,
Jamie A. Seabrook ,
MA Guido Filler  and
Kambiz Norozi
Eva Welisch
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
Ralf Rauch
Affiliation:
Department of Paediatrics, Rems-Murr Hospital, Waiblingen, Germany
Jamie A. Seabrook
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
MA Guido Filler
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada
Kambiz Norozi*
Affiliation:
Department of Paediatrics, Western University, London, Canada Children's Health Research Institute, London, Canada Department of Paediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
*
Correspondence to: K. Norozi, Department of Paediatrics, Division of Paediatric Cardiology, Western University, 800 Commissioners Rd E, P.O. Box 5010, London, Ontario, Canada N6A 5W9. Tel: +1 519 685 8500, ext. 56062; Fax: +1 519 685 8156; E-mail: kambiz.norozi@lhsc.on.ca
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Abstract

Objective

To assess the prevalence of overweight and obesity in children with congenital heart disease and compare them with age-matched healthy children in Southwestern Ontario, Canada.

Methods

We compared the Center of Disease Control weight and body mass index z-scores of 1080 children, aged 2 to 18 years, who presented to our paediatric cardiology outpatient clinic from 2008 to 2010 for congenital heart disease with 1083 healthy controls.

Results

In all, 18.2% of the children with congenital heart disease and 20.8% of healthy children were identified to be either overweight or obese. Overall, the weight category distribution had been similar between the congenital heart disease and healthy control groups, as well as between the congenital heart disease subgroups. There was no difference in normal weight and overweight/obese categories between children with congenital heart disease and healthy children. The underweight category, however, showed a significantly higher prevalence in congenital heart disease compared with healthy children (6.8 and 4.5%, respectively, p = 0.03).

Conclusion

The prevalence of overweight/obesity did not differ in children with congenital heart disease compared with age-matched healthy children; however, it is still high (18.2%). Obesity may represent an additional risk factor for the long-term cardiovascular health of congenital heart disease patients aside from the underlying heart defect.

Keywords

Child obesitycongenital heart defectsprevalence
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 5 , October 2014 , pp. 848 - 853
Copyright
Copyright © Cambridge University Press 2013 

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