Obesity across the lifespan in congenital heart disease survivors: Prevalence and correlates.
Congenital heart disease
Lifespan
Obesity
Overweight
Journal
Heart & lung : the journal of critical care
ISSN: 1527-3288
Titre abrégé: Heart Lung
Pays: United States
ID NLM: 0330057
Informations de publication
Date de publication:
Historique:
received:
09
04
2020
revised:
06
08
2020
accepted:
20
08
2020
pubmed:
28
9
2020
medline:
5
3
2021
entrez:
27
9
2020
Statut:
ppublish
Résumé
Congenital heart disease (CHD) survivors are at risk for cardiovascular comorbidities exacerbated by obesity. Determine relationships between overweight/obesity and medical factors across the lifespan of CHD. Lesion severity, weight, blood pressure, cardiac and other comorbidities, and cardiac medications were abstracted from the medical records of 3790 CHD patients, aged ≥6 years, who attended CHD care in the Midwestern U.S. The proportion of patients with overweight/obesity increased across the lifespan, with 73% of adults affected by overweight/obesity. Obesity was more prevalent among patients with moderate lesions (29%). Overweight/obesity was associated with elevated blood pressure across age and lesion severity. Young adults with obesity and simple or moderate lesions had more comorbidities (simple: IRR = 3.1, moderate: IRR = 2.3) and cardiac medications (simple: IRR = 2.2, moderate: IRR = 1.7). Obesity and its cardiovascular correlates are present across the lifespan for CHD survivors, highlighting the need for early prevention and intervention.
Sections du résumé
BACKGROUND
Congenital heart disease (CHD) survivors are at risk for cardiovascular comorbidities exacerbated by obesity.
OBJECTIVES
Determine relationships between overweight/obesity and medical factors across the lifespan of CHD.
METHODS
Lesion severity, weight, blood pressure, cardiac and other comorbidities, and cardiac medications were abstracted from the medical records of 3790 CHD patients, aged ≥6 years, who attended CHD care in the Midwestern U.S.
RESULTS
The proportion of patients with overweight/obesity increased across the lifespan, with 73% of adults affected by overweight/obesity. Obesity was more prevalent among patients with moderate lesions (29%). Overweight/obesity was associated with elevated blood pressure across age and lesion severity. Young adults with obesity and simple or moderate lesions had more comorbidities (simple: IRR = 3.1, moderate: IRR = 2.3) and cardiac medications (simple: IRR = 2.2, moderate: IRR = 1.7).
CONCLUSIONS
Obesity and its cardiovascular correlates are present across the lifespan for CHD survivors, highlighting the need for early prevention and intervention.
Identifiants
pubmed: 32980629
pii: S0147-9563(20)30363-0
doi: 10.1016/j.hrtlng.2020.08.020
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
788-794Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors have no conflicts to declare.