Honicky M, Cardoso S M, de Lima L R A, Ozcariz S G I, Vieira F G K, de Carlos Back I, Moreno Y M F
Postgraduate Program in Nutrition, Federal University of Santa Catarina, Health Sciences Center, University Campus, Florianopolis, South Carolina, Brazil.
Postgraduate Program in Public Health, Federal University of Santa Catarina, Health Sciences Center, University Campus, Florianopolis, South Carolina, Brazil.
Pediatr Obes. 2020 Jun;15(6):e12623. doi: 10.1111/ijpo.12623. Epub 2020 Feb 12.
Over the past three decades, the prevalence rate of overweight and obesity has increased in survivors with congenital heart disease, and little is known about the body composition and its association with clinical characteristics and lifestyle factors.
To evaluate excess total-body adiposity and central adiposity and, to describe associated factors.
Cross-sectional study with children and adolescents who underwent procedure to treat congenital heart disease, from January to July 2017. Sociodemographic and clinical characteristics, and lifestyle factors (dietary intake, physical activity, and sedentary behavior) were assessed. Adiposity was assessed using air-displacement plethysmography and waist circumference. Factors associated with excess total-body adiposity and central adiposity were analyzed using logistic regression models.
Of 232 patients, 22.4% were identified with excess total-body adiposity and 24.6% with central adiposity. Significant factors positively associated with excess total-body adiposity were intake of added sugar and trans fatty acids, adjusted for confounding factors. Similarly, lifestyle factors were positively associated with central adiposity: intake of added sugar and trans fatty acids, sedentary behavior, and family history of obesity.
Lifestyle factors were associated with excess total-body adiposity and central adiposity. Assessment of body composition and healthy-lifestyle counseling into outpatient care may be the key point to prevent obesity in children and adolescents with congenital heart disease.
在过去三十年中，先天性心脏病幸存者中超重和肥胖的患病率有所上升，而关于身体成分及其与临床特征和生活方式因素之间的关联却知之甚少。
评估全身脂肪过多和中心性肥胖情况，并描述相关因素。
对2017年1月至7月接受先天性心脏病治疗手术的儿童和青少年进行横断面研究。评估社会人口统计学和临床特征以及生活方式因素（饮食摄入、身体活动和久坐行为）。使用空气置换体积描记法和腰围评估肥胖情况。采用逻辑回归模型分析与全身脂肪过多和中心性肥胖相关的因素。
在232例患者中，22.4%被确定为全身脂肪过多，24.6%为中心性肥胖。在对混杂因素进行校正后，与全身脂肪过多呈显著正相关的因素是添加糖和反式脂肪酸的摄入量。同样，生活方式因素与中心性肥胖呈正相关：添加糖和反式脂肪酸的摄入量、久坐行为以及肥胖家族史。
生活方式因素与全身脂肪过多和中心性肥胖有关。在门诊护理中评估身体成分并提供健康生活方式咨询可能是预防先天性心脏病儿童和青少年肥胖的关键。
