Andonian Caroline, Langer Fabian, Beckmann Jürgen, Bischoff Gert, Ewert Peter, Freilinger Sebastian, Kaemmerer Harald, Oberhoffer Renate, Pieper Lars, Neidenbach Rhoia Clara
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany.
Technical University Munich, Munich, Germany.
Cardiovasc Diagn Ther. 2019 Oct;9(Suppl 2):S360-S368. doi: 10.21037/cdt.2019.02.02.
Due to technological and medical advances the population of adults with congenital heart disease (ACHD) is constantly growing. Worldwide, congenital heart disease (CHD) affects 1.35-1.5 million children each year and the number of ACHD meanwhile exceeds the number of CHD children. It has been found that a substantial number of ACHD present problematic health behaviors, such as physical inactivity and bad nutritional habits. Recent studies document alarming rates of overweight and obesity among CHD patients which may consequently lead to further health complications in this population. The present article focuses on the distinct psychosocial effects resulting from the diagnosis of CHD and their impact on developing disordered eating patterns and excess weight. It seeks to identify unique risk factors and relevant explanations associated with the increasing prevalence of obesity among CHD patients. This review suggests a vital need to establish clinical guidelines for nutrition and weight management in this patient population as part of a holistic treatment approach.
由于技术和医学的进步,患有先天性心脏病(ACHD)的成年人口数量在不断增加。在全球范围内,先天性心脏病(CHD)每年影响135万至150万儿童,同时患有先天性心脏病的成年人数量超过了儿童患者数量。研究发现,相当数量的先天性心脏病成年患者存在不良健康行为,如缺乏身体活动和不良饮食习惯。最近的研究表明,先天性心脏病患者中超重和肥胖的发生率令人担忧,这可能会导致该人群出现更多健康并发症。本文重点关注先天性心脏病诊断所产生的独特心理社会影响及其对形成饮食失调模式和超重的影响。它试图找出与先天性心脏病患者肥胖患病率上升相关的独特风险因素及相关解释。这篇综述表明,迫切需要为这一患者群体制定营养和体重管理的临床指南,作为整体治疗方法的一部分。