Albert Labib, N., Salah Hamza, H., Samir Sedrak, A., Ahmed Hegazy, A. (2019). Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals. test, 3(2), 19-33. doi: 10.21608/efmj.2019.70439
Nargis Albert Labib; Hala Salah Hamza; Amal Samir Sedrak; Amira Ahmed Hegazy. "Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals". test, 3, 2, 2019, 19-33. doi: 10.21608/efmj.2019.70439
Albert Labib, N., Salah Hamza, H., Samir Sedrak, A., Ahmed Hegazy, A. (2019). 'Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals', test, 3(2), pp. 19-33. doi: 10.21608/efmj.2019.70439
Albert Labib, N., Salah Hamza, H., Samir Sedrak, A., Ahmed Hegazy, A. Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals. test, 2019; 3(2): 19-33. doi: 10.21608/efmj.2019.70439

Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals

The Egyptian Family Medicine Journal
Article 4, Volume 3, Issue 2, February 2019, Pages 19-33    PDF (734.98 K)
Document Type: Original Article
DOI: 10.21608/efmj.2019.70439
Authors
Nargis Albert Labib1; Hala Salah Hamza2; Amal Samir Sedrak1; Amira Ahmed Hegazy1
1Public Health Department, Faculty of Medicine, Cairo University, Cairo
2Pediatric Department Faculty of medicine Cairo University
Abstract
Background: Malnutrition among children with Congenital Heart Disease (CHD) is considered a major public health problem causing significant impact on children morbidity and mortality. Objectives: The study aimed to assess the prevalence and epidemiological pattern of malnutrition among under-five Egyptian children with CHD. Methods: A cross sectional analytical study design included 300 children, having uncomplicated CHD. Hemoglobin level, serum iron and total iron binding capacity were recorded. Additionally, Anthropometric measurements were assessed and Z scores were calculated for weight for age (WAZ), weight for height (WHZ), and height for age (HAZ) have been calculated. Malnutrition was defined as weight, height, and weight/height Z score <–2. Results: Generally, prevalence of malnutrition among the studied sample of CHD children was 47%. Forty–four percent of the studied population were underweight, 29.7% were stunted, while wasting was only 6.7%.  Malnutrition was significantly higher among those with low income compared to their expenditure (P = 0.038) and was significantly lower in those breastfed on regular intervals compared to those fed on demand (P = 0.002). Additionally, malnutrition was significantly higher in those receiving complementary feeding compared to those breastfed or bottle fed only (P value 0.03).Conclusion: Malnutrition is an obvious complicating problem in children with CHD, associated with existence of anemia, breastfeeding on demand and early- starting of complementary feeding.
Keywords
Keywords: Anemia; Congenital heart disease; Egyptian under 5 children; Malnutrition
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