Energy metabolism in infants with congenital heart disease

Details

Serval ID
serval:BIB_6D74AFD46217
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Energy metabolism in infants with congenital heart disease
Journal
Nutrition
Author(s)
Nydegger  A., Bines  J. E.
ISSN
0899-9007
Publication state
Published
Issued date
08/2006
Peer-reviewed
Oui
Volume
22
Number
7-8
Pages
697-704
Notes
Journal Article
Research Support, Non-U.S. Gov't
Review --- Old month value: Jul-Aug
Abstract
Failure to thrive is common in children with congenital heart disease and influences the metabolic response to injury and outcome after corrective cardiac surgery. Energy imbalance is a major contributing factor. However, the published literature is difficult to interpret as studies generally involve small patient numbers with a diverse range of types and severity of cardiac lesions and genetic and/or prenatal factors. The age and time of corrective surgery affects the potential for nutritional recovery. Although the immediate postoperative period is characterized by a hypermetabolic state, low total and resting energy expenditure are reported within 24 h of surgery. After 5 d, resting energy expenditure returns to preoperative levels. Significant improvements in weight and growth occur within months after corrective surgery. However, limited postoperative recovery in nutritional status and growth occurs in infants with a low birth weight, intellectual deficit, or residual malformation. Further studies are needed to inform the timing of corrective cardiac surgery to maximize nutritional outcomes and to identify those infants who may benefit from aggressive preoperative nutrition support.
Keywords
Child Child, Preschool *Energy Metabolism Heart Defects, Congenital/*metabolism/surgery Humans Infant Nutritional Status Nutritional Support Time Factors
Pubmed
Web of science
Create date
21/01/2008 12:46
Last modification date
20/08/2019 15:27
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