Salzer H R, Haschke F, Wimmer M, Heil M, Schilling R
Department of Pediatrics, University of Vienna, Austria.
Pediatr Cardiol. 1989 Winter;10(1):17-23. doi: 10.1007/BF02328630.
Poor weight and length gain of infants with congenital heart disease is generally considered to be related to inadequate nutritional intake, but no longitudinal data on growth and nutritional intake of such infants are available. We compared weight, length, subscapular and triceps skinfold thickness, energy and protein intake (24-h dietary intake records) as well as serum prealbumin and albumin of infants with cyanotic heart disease (n = 8) or isolated left-to-right shunt (n = 8) with those of healthy infants aged (n = 8) 45-365 days. Weight, length, and combined (subscapular and triceps) skinfold thickness of the two groups with congenital heart disease (CHD) were significantly less from 183 through 365 days of age. However, energy and protein intake was similar to that of the control group from 45 through 365 days of age. Normal serum prealbumin and albumin in the infants with CHD ruled out protein-calorie malnutrition. It is concluded that a low level of food intake was not the main cause of inadequate growth and of small subcutaneous fat stores in these two small, but homogeneous, groups of infants with CHD.
先天性心脏病患儿体重和身长增长不佳通常被认为与营养摄入不足有关，但目前尚无关于此类患儿生长发育及营养摄入的纵向数据。我们比较了患有青紫型心脏病（n = 8）或单纯左向右分流型心脏病（n = 8）的婴儿与45 - 365日龄健康婴儿（n = 8）的体重、身长、肩胛下和肱三头肌皮褶厚度、能量和蛋白质摄入量（24小时饮食摄入记录）以及血清前白蛋白和白蛋白水平。患有先天性心脏病（CHD）的两组患儿在183至365日龄期间，体重、身长以及（肩胛下和肱三头肌）联合皮褶厚度均显著低于健康婴儿。然而，在45至365日龄期间，这两组患儿的能量和蛋白质摄入量与对照组相似。患有CHD的婴儿血清前白蛋白和白蛋白水平正常，排除了蛋白质 - 热量营养不良。研究得出结论，在这两组规模较小但情况均一的患有CHD的婴儿中，食物摄入量低并非生长发育不足及皮下脂肪储备少的主要原因。
