ArticleWorld journal for pediatric & congenital heart surgery2015
Growth and Obesity Among Older Single Ventricle Patients Presenting for Fontan Conversion.
Article in World journal for pediatric & congenital heart surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Somatic growth in single ventricle patients: A systematic review and meta-analysis.Acta paediatrica (Oslo, Norway : 1992) · 2023Pooled it
- Obesity in Pediatric Congenital Heart Disease: The Role of Age, Complexity, and Sociodemographics.Pediatric cardiology · 2023Article
- Nutritional Management of Patients with Fontan Circulation: A Potential for Improved Outcomes from Birth to Adulthood.Nutrients · 2022Review
- Body Mass Index Trajectory and Outcome Post Fontan Procedure.Journal of the American Heart Association · 2022Article
- Sizing Up Fontan Failure: Association with Increasing Weight in Adulthood.Pediatric cardiology · 2021Article
- Metabolic syndrome and coronary artery disease in adults with congenital heart disease.Cardiovascular diagnosis and therapy · 2021Review
- Weight impacts 1-year congenital heart surgery outcomes independent of race/ethnicity and payer.Cardiology in the young · 2021Article
- Longitudinal growth in patients with single ventricle cardiac disease receiving tube-assisted feeds.Congenital heart disease · 2019Article
- Metabolic Syndrome in Adult Congenital Heart Disease.Korean circulation journal · 2019Review
- Metabolic Syndrome in Adults With Congenital Heart Disease.Journal of the American Heart Association · 2016Article
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Authors and funding
7 authors.
Funding
Abstract
introductionLong-term growth outcomes and the prevalence of obesity among older single ventricle (SV) patients have not been well characterized. We investigated these parameters, as well as the impact of obesity on survival, in an older cohort of SV patients presenting for Fontan conversion.
methodsWe analyzed preoperative height, weight, and body mass index (BMI) of patients who underwent Fontan conversion. Overweight and obese were defined as BMI ≥85 percentile and ≥95 percentile for patients <20 years and BMI 25 to 30 kg/m(2) and ≥30 kg/m(2) for patients ≥20 years, respectively. Postoperative transplant-free survival was assessed among obese, overweight, and normal weight patients.
resultsWe evaluated 139 patients presenting for Fontan conversion at a median age of 23.2 years. Patients had shorter stature compared to the normal population (mean Z score -0.6, P < .001). Younger patients had lower BMI compared to the normal population (<20 years: mean Z score -0.5, P = .02), while older patients had elevated BMI (≥20 years: mean Z score +0.4, P < .001). The mean BMI among older patients approached overweight at 24.6 kg/m(2). The prevalence of obesity increased with advancing age, with 36% overweight and 14% obese at >30 years. At a median of 8.2 years following Fontan conversion, obesity and overweight status were not associated with transplant-free survival.
conclusionOlder SV patients presenting for Fontan conversion had shorter stature compared to the normal population as well as a high prevalence of overweight and obesity. Although there was no relationship between weight status and early postoperative survival, further investigation of long-term outcomes is warranted.
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