Volume 14, Issue 4 pp. 517-524
ORIGINAL ARTICLE

Obesity trends in children, adolescents, and young adults with congenital heart disease

Jeremy M. Steele MD

Corresponding Author

Jeremy M. Steele MD

The Heart Institute, Cincinnati Children’s Hospital, Cincinnati, Ohio

Cleveland Clinic Children’s, Cleveland, Ohio

Correspondence

Jeremy Steele, Cincinnati Children’s Hospital, 3333 Burnet Avenue, MLC 2003, Cincinnati, Ohio 45229.

Email: [email protected]

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Tamar J. Preminger MD

Tamar J. Preminger MD

Department of Pediatric Cardiology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

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Francine G. Erenberg MD

Francine G. Erenberg MD

Cleveland Clinic Children’s, Cleveland, Ohio

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Lu Wang MS

Lu Wang MS

Department of Pediatric Cardiology, Quantitative Health Sciences Department, Cleveland Clinic Foundation, Cleveland, Ohio

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Katherine Dell MD

Katherine Dell MD

Cleveland Clinic Children’s, Cleveland, Ohio

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Tarek Alsaied MD

Tarek Alsaied MD

The Heart Institute, Cincinnati Children’s Hospital, Cincinnati, Ohio

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Kenneth G. Zahka MD

Kenneth G. Zahka MD

Cleveland Clinic Children’s, Cleveland, Ohio

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First published: 30 January 2019
Citations: 24

Abstract

Objectives

To determine the prevalence, age of onset, and risk factors for overweight and obesity in children with congenital heart disease (CHD).

Study Design

Children with CHD who were seen at our institution from 1996 to 2017 were studied. Patients were full-time residents of the United States and were receiving all cardiac care at our institution. Patients were categorized by age and CHD diagnosis. The date of last normal weight for age and the date of first recorded weight in the range of overweight and obese were documented.

Results

Nine hundred sixty-eight patients with CHD were included. The prevalence of overweight and obesity was 31.5% and 16.4%, respectively. For patients who became overweight or obese, the last recorded normal weight was between 6 and 10 years of age. Electrophysiologic disease and older age were risk factors for obesity.

Conclusions

Children with CHD have an increasing risk of becoming overweight and obese in early childhood. This study provides important information and identifies critical period to implement preventative measures and counsel families about the risk of obesity in CHD.

CONFLICTS OF INTEREST

The authors have no conflicts of interest relevant to this article to disclose.

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