Growth and Development of Children with Congenital Heart Disease: Nutrition

Emel Yürük; Şenay Çetinkaya

doi:10.51536/tusbad.1221255

Review

Growth and Development of Children with Congenital Heart Disease: Nutrition

Year 2023, Volume: 6 Issue: 3, 53 - 66, 30.12.2023

Emel Yürük , Şenay Çetinkaya

https://doi.org/10.51536/tusbad.1221255

Abstract

The term; Congenital Heart Disease (CHD) encapsulates congenital or post identified anomalies in cardiovascular system. A structural defect in the heart is classified as a congenital heart defect, congenital heart anomaly, or cardiovascular malformation. CHD constitutes the most common congenital anomalies in newborns. CHD emerge 8-12 of every 1000 births, making the occurrence frequency 1%. Amongst children, CHD anomaly is on critical level for 10-15 % and occurrence frequency is 1.2-1.7 CHD findings may be listed as; feeding difficulty, anoxia, heart failure, tachypnea, pulmonary hypertension, abnormal endocrine functions and upper respiratory tract infections. Besides the characteristics findings of the disease, children additionally observed of having malnutrition and growth and development deficiency. Children with CHD have a lower weight compared to their normal peers, and their neuromotor and language development is weaker along with that, growth retardation accompanied by short stature is also observed in these children. Malnutrition is observed in 25-55% of children with CHD, and 80% of them are reported to have been hospitalized. Due to the direct impact on growth, the importance of nutrition for children with heart disease is emphasized.
Pediatric nurses and dietitians work in collaboration to monitor the nutrition and, accordingly, growth and development of children with CHD. They create a nutrition plan that supports energy intake for the child's individualized regime appropriate to their age group. In the ongoing process, they monitor the child's daily weight and growth and development levels. In this way, they aim to reduce mortality and morbidity rates by accelerating the post-operative recovery of children with CHD.

Keywords

Child health and diseases nursing, Congenital heart disease, Growth and development, Nutrition

Project Number

Proje kapsamında bir kayıt numarası yoktur.

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Konjenital Kalp Hastalığı Olan Çocuklarda Büyüme ve Gelişme: Beslenme

Year 2023, Volume: 6 Issue: 3, 53 - 66, 30.12.2023

Emel Yürük , Şenay Çetinkaya

https://doi.org/10.51536/tusbad.1221255

Abstract

Konjenital Kalp Hastalığı (KKH) terimi kardiyovasküler sistemdeki, doğuştan olan veya daha sonra tanımlanabilen yapısal veya fonksiyonel anomalileri içerir. Kalpteki yapısal bir kusur konjenital kalp defekti, konjenital kalp anomalisi veya kardiyovasküler malformasyon olarak adlandırılmaktadır. Yenidoğanda en sık görülen doğumsal anomalileri KKH oluşturmaktadır. KKH anamolisi her 1000 canlı doğumun 8-12’sinde ortaya çıkmaktadır ve görülme sıklığı %1’dir. KKH anomalisi olan çocukların da %10-15’i kritik KKH grubuna dahil olup, sıklığı 1000 canlı doğumda 1.2-1.7’dir. KKH bulguları arasında beslenme güçlüğü, anoksi, kalp yetersizliği, taşipne, pulmoner hipertansiyon, anormal endokrin fonksiyonlar ve üst solunum yolu enfeksiyonları yer almaktadır. KKH olan çocuklarda hastalığın karakteristik bulgularının yanında beslenme eksiklikleri ile büyüme ve gelişme gerilikleri görülmektedir. KKH olan çocuklar normal yaşıtlarına göre nöromotor ve dil gelişiminin zayıfladığı daha düşük ağırlığa sahip olmakla beraber bu çocuklarda boy kısalığının eşlik ettiği büyüme geriliği de görülmektedir. KKH olan çocukların %25-55’ inde malnütrisyon gözlenmekte ve bunların %80’inin hastaneye yattığı bildirilmektedir. Büyümenin doğrudan etkilenmesi nedeni ile kalp hastalığı olan çocukların beslenmelerinin önemi vurgulanmaktadır. KKH olan çocukların beslenmesinin ve buna bağlı olarak büyüme ve gelişmelerinin takibini sağlamak için çocuk hemşireleri ve diyetisyenler iş birliği halinde çalışır. Çocuğun yaş grubuna uygun bireyselleştirilmiş rejimi için, enerji alımını desteleyen beslenme planı oluştururlar. Devam eden süreçte çocuğun günlük kilo takibini yaparak büyüme ve gelişme düzeylerini takip ederler. Bu sayede KKH olan çocukların ameliyat sonrası iyileşmelerini hızlandırarak, mortalite ve morbidite oranlarının düşmesini hedeflerler.

Keywords

Beslenme, Büyüme ve gelişme, Çocuk sağlığı ve hemşireliği, Konjenital kalp hastalığı

Supporting Institution

Münferit çalışmadır. Destekleyen kurum bulunmamaktadır.

Project Number

Proje kapsamında bir kayıt numarası yoktur.

Thanks

Sorumlu yazar ve gönderen yazar ilk yazardır. Katkılarından dolayı yazarlara teşekkür ederiz.

References

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3. Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, Et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J American College of Cardiology. 2011;58:2241-7. 10.1016/j.jacc.2011.08.025
4. Başpinar O, Karaaslan S, Oran B, Baysal T, Elmacı AM, Yorulmaz A. Prevelance and distribution of children with congenital heart diseases in the central anatolian region Turkey. Turk J Pediatr. 2006;48:237-243. https://pubmed.ncbi.nlm.nih.gov/17172068/
5. Karabıyık N, Kavuncuoğlu S, Beşikçi R, et al. Frequency of Congenital heart disease in the first week of life. Children's Journal. 2003; 3:114-118.
6. Hussain S, Sabir MU, Afzal M, Asghar I. Incidence of congenital heart disease among neonates in a neonatal unit of a tertiary care hospital. J Pak Med Assoc. 2014;64(2):175-178. https://pubmed.ncbi.nlm.nih.gov/24640808/
7. Bradley SM, Geoffrey LB, Wernovsky G. Cardiovascular disease in the neonate. Pediatrician Clin North Am. 2001: 91-133.
8. Bernstein D. Congenital heart disease. In: Behrman RE, Kliegman RM, Jenson HB (eds). Nelson Textbook of Pediatrics. (17th ed). Philadelphia: Saunders; 2004; 1499-502.
9. Kavaklı A. Childhood growth and development. Istanbul: Hilal Printing; 2002:141-160.
10. Conk Z, Başbakkal Z, Bal Yılmaz H, Bolışık B. Pediatric Nursing. Ankara: Akadesmian Medicine Bookstore; 2013;34-56.
11. Neyzi O, Günöz H, Furman A. Body weight, height, head circumference and body mass index reference values in turkish children. J Child Health and Diseases 2015;51:1-14. https://pubmed.ncbi.nlm.nih.gov/26777039/
12. Palanikumar B, Indirapriya Darshini A. Growth and development. National Library of Medicine: 2023. https://www.ncbi.nlm.nih.gov/books/NBK567767/
13. Çelik B, Sercan B. Growth status of children and effective factors in the healthy child follow-up outpatient clinic. Turkish Archives of Pediatrics, 2014; 49: 104-10. 10.5152/tpa.2014.1145
14. Gürakan B. Evaluation of congenital heart diseases. Yurdakök M, Erdem G (ed). Neonatology. Ankara: Turkish Neonatology Association; 2004: 503-512.
15. Erek E, Yalçınbaş YK, Sarıoğlu T. Pediatric and congenital heart surgery. Fundamentals and Principles. Acıbadem University Publications; 2016.
16. Ertürk E, Küçükötük Ş, Baysal K, Ayyıldız P, Yılmaz A, Oğur G. Retrospective evaluation of the cases diagnosed with congenital heart disease in the neonatal ıntensive care unit, a retrospective evaluation of the patients with congenital heart disease in neonatal ıntensive care unit, The Journal of Current Pediatrics. 2016:14; 67-73.
17. Medoff-Cooper B. and Ravishankar C. Nutrition and growth ın congenital heart disease: a challenge ın children. Copyright Lippincott Williams and Wilkins. Unauthorized reproduction of this article is prohibited: 2013; 28:122–129. https://pubmed.ncbi.nlm.nih.gov/23370229/
18. Bradley S. Marino, MD. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management. 2020. https://www.ahajournals.org/doi/10.1161/cir.0b013e318265ee8a 19. Chi-Wen Che,. Chung-Yi Li, Jou-Kou Wang. Growth and development of children with congenital heart disease. Journal of Advanced Nursing 2003:47(3); 260–269. https://doi.org/10.1111/j.1365-2648.2004.03090.x
20. Hanan M. Abdelmoneim, Bahaa Elamir Hawary, Alaa Magdi Eldoctour Soliman. Assessment of Nutrition State in Children with Heart Diseases. The Egyptian Journal of Hospital Medicine. 2019;77 (2):5049-5055
21. Knochelmann A, Geyer S, Grosser U. Maternal understanding of infective endocarditis after hospitalization: assessing the knowledge of mothers of children with congenital heart disease and the practical implications. P Cardiology, 2014: 35, 223–231. 10.1007/s00246-013-0763-8
22. Costello CL, Marcelee G, Jane D M. Growth Restriction in ınfants and young children with congenital, heart disease. International J Medicine. 2015:33 (2): 157-163. 10.1111/chd.12231
23. FM Schuurmans, CFM Pulles-Heintzberger, WJM Gerver, ADM Kester and Forget Long-term growth of children with congenital heart disease: a retrospective study. Acta Pediatrics. 1998: (87): 1250–1255. 10.1080/080352598750030933
24. Kathleen A, Raymond Hoffmann George M. Hoffman, James S. Risk and prevalence of developmental delay in young children with congenital heart disease. Pediatrics. 2014;133(3): 570-577. 10.1542/peds.2013-2309
25. Irving SY, Simone SD, Hicks FW, Verger JT. Nutrition for the critically ill child: enteral and parenteral support. AACN Clin. 2000; 11:541–558. https://pubmed.ncbi.nlm.nih.gov/11288418/
26. Limperopoulos C, Tworetzky W, Newburger JW, Robertson RL, Brown DW, et al. Third-trimester volumetric brain growth is impaired in fetuses with congenital heart disease. 10.1161/CIRCULATIONAHA.109.865568
27. Mahle WT, Clancy RR, Moss EM, Gerdes M, Jobes DR, Wernovsky G. Neurodevelopmental outcome and lifestyle assessment in school-aged and adolescent children with hypoplastic left heart syndrome. Pediatrics. 2000;105:1082–1089. https://doi.org/10.1542/peds.105.5.1082
28. Wernovsky G, Stiles KM, Gauvreau K, Gentles TL, duPlessis AJ, Bellinger DC, Walsh AZ, Burnett J, Jonas RA, Mayer JE, Newburger JW. Cognitive development after the fontan operation. Circulation. 2000;102:883–889. https://www.ahajournals.org/doi/full/10.1161/01.CIR.102.8.883
29. Morse SB, Zheng H, Tang Y, Roth J. Early school-age outcomes of late preterm infants. Pediatrics. 2009;123:622–629
30. Natarajan G, Reddy Anne S, Aggarwal S. Enteral feeding of neonates with congenital heart disease. Neonatology. 2010; 98:330–336. 10.1159/000285706
31. Infant and young child feeding. A tool for assessing national practices, policies and programmes. WHO 2003 https://apps.who.int/iris/handle/10665/42794 (accessed 21.02.2020).
32. Schanzenbach Diane W, Betsy T. Supporting development through child nutrition. The Future of Children. 2020; (30)2: 115-142. https://www.jstor.org/stable/27075018
33. Ankara Public Health Directorate, Child, Adolescent, Women, Reproductive Health Services Branch, Complementary Nutrition Manual. Ankara. 2011.
34. Tsintoni A, Dimitriou G, Karatza AA. Nutrition of neonates with congenital heart disease: existing evidence, conflicts and concerns. J Matern Fetal Neonatal Med. 2020; 33(14):2487-2492. 10.1080/14767058.2018.1548602
35. Licht DJ, Shera DM, Clancy RR. Brain maturation is delayed in infants with complex congenital heart defects. J Thorac Cardiovasc Surg 2009; 137:529–537
36. Oyarzun I, Claveria C, Larios G, Roy C. Nutritional recovery after cardiac surgery in children with congenital heart diseas. 2018; 89:(1)24-31. 10.4067/S0370-41062018000100024
37. V. Colomb, .I. Rolon, M. Lorrain, C. Talbotec. Malnutrition ın young child with congenital heart dissease: prevalence and risk factors. P Gastroenterology and N. Pediatrics. 2018; 75:278
38. Luise V, Marino Mark J, Johnson Natalie J, Davies. Darlington. ımproving growth of ınfants with congenital heart disease using a consensus-based nutritional pathway. 2019; (39):8. 10.1016/j.clnu.2019.10.031
39. Chunxiang QIN, Ying LI, Dianjun WANG, Zeya SHI, Rui YAO, Dan WANG and Siyuan TANG. Maternal factors and preoperative nutrition in children with mild cases of congenital heart disease. Japan Journal of Nursing Science 2019: 16, 37–46. 10.1111/jjns.12211
40. Natarajan G, Reddy Anne S, Aggarwal S. Enteral feeding of neonates with congenital heart disease. Neonatology 2010; 98:330–336. 10.1159/000285706
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Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Derleme
Authors	Emel Yürük 0000-0002-6984-133X Şenay Çetinkaya 0000-0001-9578-5610
Project Number	Proje kapsamında bir kayıt numarası yoktur.
Publication Date	December 30, 2023
Published in Issue	Year 2023 Volume: 6 Issue: 3

Cite

APA	Yürük, E., & Çetinkaya, Ş. (2023). Growth and Development of Children with Congenital Heart Disease: Nutrition. Türkiye Sağlık Bilimleri Ve Araştırmaları Dergisi, 6(3), 53-66. https://doi.org/10.51536/tusbad.1221255
AMA	Yürük E, Çetinkaya Ş. Growth and Development of Children with Congenital Heart Disease: Nutrition. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. December 2023;6(3):53-66. doi:10.51536/tusbad.1221255
Chicago	Yürük, Emel, and Şenay Çetinkaya. “Growth and Development of Children With Congenital Heart Disease: Nutrition”. Türkiye Sağlık Bilimleri Ve Araştırmaları Dergisi 6, no. 3 (December 2023): 53-66. https://doi.org/10.51536/tusbad.1221255.
EndNote	Yürük E, Çetinkaya Ş (December 1, 2023) Growth and Development of Children with Congenital Heart Disease: Nutrition. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi 6 3 53–66.
IEEE	E. Yürük and Ş. Çetinkaya, “Growth and Development of Children with Congenital Heart Disease: Nutrition”, Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, vol. 6, no. 3, pp. 53–66, 2023, doi: 10.51536/tusbad.1221255.
ISNAD	Yürük, Emel - Çetinkaya, Şenay. “Growth and Development of Children With Congenital Heart Disease: Nutrition”. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi 6/3 (December 2023), 53-66. https://doi.org/10.51536/tusbad.1221255.
JAMA	Yürük E, Çetinkaya Ş. Growth and Development of Children with Congenital Heart Disease: Nutrition. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. 2023;6:53–66.
MLA	Yürük, Emel and Şenay Çetinkaya. “Growth and Development of Children With Congenital Heart Disease: Nutrition”. Türkiye Sağlık Bilimleri Ve Araştırmaları Dergisi, vol. 6, no. 3, 2023, pp. 53-66, doi:10.51536/tusbad.1221255.
Vancouver	Yürük E, Çetinkaya Ş. Growth and Development of Children with Congenital Heart Disease: Nutrition. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. 2023;6(3):53-66.

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