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Commentary on: Diao J, Chen L, Wei J, et al. Prevalence of malnutrition in children with congenital heart disease: a systematic review and meta-analysis. J Pediatr. 2022 Mar;242:39-47.e4. doi: 10.1016/j.jpeds.2021.10.065.
Implications for practice and research
Faltering growth is a phenomenon associated with congenital heart disease (CHD).
Associated adverse physiological and developmental outcomes require further investigation
CHD is the most common birth defect affecting approximately 0.8% of live births, with many requiring surgical intervention early in infancy.1 Despite medical advances faltering growth remains common in these children, although catch-up growth following surgical correction has been demonstrated.2 Malnutrition is defined by z-scores less than −2 SDs from the mean for weight-for-age (WAZ); weight-for-length (WHZ) and length-for-age (HAZ).3 This systematic review by Diao et al 4 evaluates the worldwide prevalence of malnutrition in children with CHD. …
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.