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Article: Postnatal growth in Southern Chinese children with symptomatic congenital heart disease
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TitlePostnatal growth in Southern Chinese children with symptomatic congenital heart disease
 
AuthorsJacobs, EGJ1
Leung, MP1
Karlberg, JP1
 
KeywordsCongenital heart disease
Ethnicity
Gender differences
Growth retardation
Haemodynamic disturbances
Nutritional influences
Surgical intervention
 
Issue Date2000
 
PublisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htm
 
CitationJournal Of Pediatric Endocrinology And Metabolism, 2000, v. 13 n. 4, p. 387-401 [How to Cite?]
 
AbstractMany Western children with congenital heart disease (CHD) show significant growth retardation. In this study postnatal growth was examined in Chinese children with symptomatic CHD in Hong Kong, in relation to their diagnosis and the time of surgery. 363 children of four years old or younger, who were admitted at Grantham Hospital, Hong Kong, in 1994 and 1995, were subdivided into six diagnostic categories and categorised into cyanotic and acyanotic groups. While a reduced birth weight SDS was present in 18% of patients, at the time of operation approximately 40% of them had subnormal weight and height values. Girls were more impaired in weight and weight-for- height than boys (-1.90 SDS vs -1.52 SDS, and -0.90 SDS vs -0.46 SDS, respectively). Children with acyanotic lesions were more affected in growth than those with cyanotic lesions, but they were also operated on at an older age than children in the latter group. Left to right shunt and common intracardiac mixing were particularly associated with wasting; transposition of the great arteries and pulmonary outflow tract obstruction with stunting; while children with left ventricular outflow obstruction revealed a proportional growth retardation in weight and height. Age at operation did not seem to have an independent effect on postnatal growth in children with CHD. As with Western children, growth retardation is a common feature in Chinese children with symptomatic cardiac defects. Haemodynamics, age at operation and nutritional influences are discussed as potential aetiologic factors.
 
ISSN0334-018X
2013 Impact Factor: 0.711
2013 SCImago Journal Rankings: 0.334
 
ISI Accession Number IDWOS:000086402500006
 
ReferencesReferences in Scopus
 
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dc.contributor.authorJacobs, EGJ
 
dc.contributor.authorLeung, MP
 
dc.contributor.authorKarlberg, JP
 
dc.date.accessioned2010-09-06T08:03:03Z
 
dc.date.available2010-09-06T08:03:03Z
 
dc.date.issued2000
 
dc.description.abstractMany Western children with congenital heart disease (CHD) show significant growth retardation. In this study postnatal growth was examined in Chinese children with symptomatic CHD in Hong Kong, in relation to their diagnosis and the time of surgery. 363 children of four years old or younger, who were admitted at Grantham Hospital, Hong Kong, in 1994 and 1995, were subdivided into six diagnostic categories and categorised into cyanotic and acyanotic groups. While a reduced birth weight SDS was present in 18% of patients, at the time of operation approximately 40% of them had subnormal weight and height values. Girls were more impaired in weight and weight-for- height than boys (-1.90 SDS vs -1.52 SDS, and -0.90 SDS vs -0.46 SDS, respectively). Children with acyanotic lesions were more affected in growth than those with cyanotic lesions, but they were also operated on at an older age than children in the latter group. Left to right shunt and common intracardiac mixing were particularly associated with wasting; transposition of the great arteries and pulmonary outflow tract obstruction with stunting; while children with left ventricular outflow obstruction revealed a proportional growth retardation in weight and height. Age at operation did not seem to have an independent effect on postnatal growth in children with CHD. As with Western children, growth retardation is a common feature in Chinese children with symptomatic cardiac defects. Haemodynamics, age at operation and nutritional influences are discussed as potential aetiologic factors.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Pediatric Endocrinology And Metabolism, 2000, v. 13 n. 4, p. 387-401 [How to Cite?]
 
dc.identifier.epage401
 
dc.identifier.hkuros54399
 
dc.identifier.isiWOS:000086402500006
 
dc.identifier.issn0334-018X
2013 Impact Factor: 0.711
2013 SCImago Journal Rankings: 0.334
 
dc.identifier.issue4
 
dc.identifier.openurl
 
dc.identifier.pmid10776993
 
dc.identifier.scopuseid_2-s2.0-0034038439
 
dc.identifier.spage387
 
dc.identifier.urihttp://hdl.handle.net/10722/80156
 
dc.identifier.volume13
 
dc.languageeng
 
dc.publisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htm
 
dc.publisher.placeIsrael
 
dc.relation.ispartofJournal of Pediatric Endocrinology and Metabolism
 
dc.relation.referencesReferences in Scopus
 
dc.subjectCongenital heart disease
 
dc.subjectEthnicity
 
dc.subjectGender differences
 
dc.subjectGrowth retardation
 
dc.subjectHaemodynamic disturbances
 
dc.subjectNutritional influences
 
dc.subjectSurgical intervention
 
dc.titlePostnatal growth in Southern Chinese children with symptomatic congenital heart disease
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong