Prevalence and Profile of Malnutrition in Under-Five Children with Congenital Heart Diseases in Cairo University Pediatric Hospitals
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. EKB Journal Management System, 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". EKB Journal Management System, 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', EKB Journal Management System, 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. EKB Journal Management System, 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, Page 19-33  XML PDF (734.98 K)
Document Type: Original Article
DOI: 10.21608/efmj.2019.70439
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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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