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本文引用的文献

1
Extra-cardiac comorbidities or complications in adults with congenital heart disease: a nationwide inpatient experience in the United States.先天性心脏病成人患者的心脏外合并症或并发症:美国全国住院患者情况
Cardiovasc Diagn Ther. 2018 Dec;8(6):814-819. doi: 10.21037/cdt.2018.09.12.
2
Current research status on the psychological situation of adults with congenital heart disease.先天性心脏病成人心理状况的当前研究现状
Cardiovasc Diagn Ther. 2018 Dec;8(6):799-804. doi: 10.21037/cdt.2018.12.06.
3
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南:美国心脏病学会/美国心脏协会临床实践指南工作组报告
Circulation. 2019 Apr 2;139(14):e698-e800. doi: 10.1161/CIR.0000000000000603.
4
Non-cardiac comorbidities in adults with inherited and congenital heart disease: report from a single center experience of more than 800 consecutive patients.成人遗传性和先天性心脏病的非心脏合并症:来自一个单一中心800余例连续患者的经验报告
Cardiovasc Diagn Ther. 2018 Aug;8(4):423-431. doi: 10.21037/cdt.2018.03.11.
5
Depressive and Anxiety Symptoms in Adult Congenital Heart Disease: Prevalence, Health Impact and Treatment.成人先天性心脏病中的抑郁和焦虑症状:患病率、健康影响和治疗。
Prog Cardiovasc Dis. 2018 Sep-Oct;61(3-4):294-299. doi: 10.1016/j.pcad.2018.07.015. Epub 2018 Jul 20.
6
Obesogenic environments: current evidence of the built and food environments.致胖环境:建筑环境与食物环境的当前证据
Perspect Public Health. 2017 Jan;137(1):38-44. doi: 10.1177/1757913916679860.
7
The Gut Microbiome and Its Role in Cardiovascular Diseases.肠道微生物群及其在心血管疾病中的作用。
Circulation. 2017 Mar 14;135(11):1008-1010. doi: 10.1161/CIRCULATIONAHA.116.024251.
8
[Striking Supply Gap in Adults with Congenital Heart Disease?].[先天性心脏病成人患者存在明显的供应缺口?]
Dtsch Med Wochenschr. 2017 Feb;142(4):301-303. doi: 10.1055/s-0042-121501. Epub 2017 Feb 24.
9
Gut microbiota-dependent trimethylamine N-oxide in acute coronary syndromes: a prognostic marker for incident cardiovascular events beyond traditional risk factors.急性冠状动脉综合征中肠道微生物群依赖性三甲胺 N-氧化物:超越传统危险因素的心血管事件发生的预后标志物。
Eur Heart J. 2017 Mar 14;38(11):814-824. doi: 10.1093/eurheartj/ehw582.
10
Body Weights in Adults With Congenital Heart Disease and the Obesity Frequency.患有先天性心脏病的成年人的体重及肥胖发生率。
Am J Cardiol. 2017 Feb 15;119(4):638-642. doi: 10.1016/j.amjcard.2016.10.050. Epub 2016 Nov 16.

超重与肥胖:先天性心脏病患者中一个新出现的问题。

Overweight and obesity: an emerging problem in patients with congenital heart disease.

作者信息

Andonian Caroline, Langer Fabian, Beckmann Jürgen, Bischoff Gert, Ewert Peter, Freilinger Sebastian, Kaemmerer Harald, Oberhoffer Renate, Pieper Lars, Neidenbach Rhoia Clara

机构信息

Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany.

Technical University Munich, Munich, Germany.

出版信息

Cardiovasc Diagn Ther. 2019 Oct;9(Suppl 2):S360-S368. doi: 10.21037/cdt.2019.02.02.

DOI:10.21037/cdt.2019.02.02
PMID:31737542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6837933/
Abstract

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.

摘要

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。