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Obesity Common in Children with Heart Disease
Date:11/1/2007

trol patients was no different from that found in the general population of children, as measured by the Centers for Disease Control and Prevention.

Among the children with heart disease, those with heart transplants, rhythm problems and mild heart disease had a similar prevalence of obesity to the clinic control group. The only subgroup of children with heart disease with a significant lower prevalence of overweight and obesity were those who had undergone the Fontan operation to treat highly complex forms of congenital heart disease.

Those children had a prevalence of 15.9 percent, compared to the over 25 percent rate found in both clinic control group and the heart patients as a whole.

The researchers noted that children who have the Fontan operation often have chronic growth and development problems, but the rate of obesity, nearly 1 in 6, was still very concerning.

The researchers also found that discussions about weight were relatively uncommon during cardiology clinic visits. "Awareness and discussion of weight control, exercise and other lifestyle issues must become an important part of the evaluation of all children with heart disease during cardiology visits," said Meryl S. Cohen, M.D., a pediatric cardiologist at The Children's Hospital of Philadelphia and senior author on this study. "It is also important to note that activity restrictions are not solely determined by cardiologists but may also be initiated by parents or self-imposed by the children themselves."

Drs. Pinto and Cohen's coauthors were Bradley S. Marino, M.D., M.P.P., M.S.C.E.; Gil Wernovsky, M.D.; Kristen Hyland, and Stanley O. Dunn, Jr., all of The Children's Hospital of Philadelphia; and Sarah D. de Ferranti, M.D., M.P.H; Meena Laronde, R.N., and Amy Z. Walsh, R.N., of Children's Hospital Boston.

The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing
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SOURCE The Children's Hospital of Philadelphia
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