Shustak Rachel J, McGuire Sharda B, October Tessie W, Phoon Colin K L, Chun Anne J L
Division of Pediatric Cardiology, Department of Pediatrics, New York University School of Medicine, Fink Children's Ambulatory Care Center, 160 East 32nd Street, L3/Medical, New York, NY 10016, USA.
Pediatr Cardiol. 2012 Jan;33(1):8-14. doi: 10.1007/s00246-011-0049-y. Epub 2011 Sep 3.
Overweight and obesity rates have risen dramatically in the United States, with subsequent detrimental comorbidity risks. The rates for obesity among children with congenital and acquired heart disease have rarely been reported. A retrospective cross-sectional study was conducted to determine the prevalence of overweight and obesity in children with heart disease and to identify subgroups at increased risk. A total of 795 cases were identified from a chart review of patients presenting to an urban center's Pediatric Cardiology Program between 1 January and 31 December 2006. A body mass index (BMI) at the 85th percentile or higher was defined as overweight, and a BMI at the 95th percentile or higher was defined as obese. Subjects with comorbidities affecting body habitus were excluded from the study. Overall, overweight and obesity rates were similar to national data. No significant differences in overweight or obesity rates were detected between heart disease and non-heart disease groups (P = 0.50). According to multivariate analysis, Hispanic ethnicity and male gender were the only predictors of obesity. This study shows that children with heart disease are not immune to the common predictors of obesity such as gender and ethnicity and that the future care of children with heart disease should include general discussions about the risks for obesity.
美国的超重和肥胖率急剧上升，随之而来的是有害的合并症风险。先天性和后天性心脏病患儿的肥胖率鲜有报道。我们开展了一项回顾性横断面研究，以确定心脏病患儿中超重和肥胖的患病率，并识别风险增加的亚组。通过对2006年1月1日至12月31日期间到某城市中心儿科心脏病项目就诊的患者病历进行回顾，共识别出795例病例。体重指数（BMI）在第85百分位数及以上被定义为超重，BMI在第95百分位数及以上被定义为肥胖。患有影响体型的合并症的受试者被排除在研究之外。总体而言，超重和肥胖率与全国数据相似。心脏病组和非心脏病组之间在超重或肥胖率方面未检测到显著差异（P = 0.50）。根据多变量分析，西班牙裔种族和男性性别是肥胖的唯一预测因素。这项研究表明，心脏病患儿也不能免于肥胖的常见预测因素，如性别和种族，并且未来对心脏病患儿的护理应包括关于肥胖风险的一般性讨论。
