{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:11:09Z","timestamp":1791526269895,"version":"4.3.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T00:00:00Z","timestamp":1646265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Background: Growth restriction is still a common problem in children with congenital heart disease (CHD). Evidence demonstrates that performing cardiac surgery in appropriate timing may result in better growth outcome. Aim: To investigate prevalence and associated factors of malnutrition in pediatric patients with CHD who underwent cardiac surgery. In addition, post-operative growth outcomes at two weeks following cardiac surgery were also assessed. Methods: A retrospective cohort study was conducted in pediatric patients who underwent cardiac surgery at Chiang Mai University Hospital between January and September 2014. Results: One hundred patients with a median age of 28.5 months (range 14\u201362 months) were enrolled. Two-third of these patients had at least one form of malnutrition before receiving surgical treatment while wasting, stunting and combined wasting-stunting accounted for 23%, 28%, and 15% of patients, respectively. Multiple logistic regression analysis demonstrated that congestive heart failure-related symptoms were significantly associated with increasing risk of malnutrition (adjusted OR 4.4; 95% CI 1.78\u201311.26, p\u2009=\u20090.001). Two weeks after hospital discharge, wasting patients with regardless of stunting had significantly improved weight for height (WHZ) and weight for length Z-scores (WLZ) compared to growth parameters at the time of cardiac surgery, p\u2009=\u20090.012 and p\u2009&lt;\u20090.001, respectively. Conclusion: The prevalence of acute and chronic malnutrition in pediatric patients with CHD who underwent cardiac surgery was very high in this study. Children with congestive heart failure had a four-time at risk of undernutrition. In short-term, cardiac surgery may mitigate acute malnutrition of these patients.<\/jats:p>","DOI":"10.1177\/02601060221082382","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T05:47:46Z","timestamp":1646286466000},"page":"549-555","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-5056","authenticated-orcid":false,"given":"Saviga","family":"Sethasathien","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchaya","family":"Silvilairat","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rekwan","family":"Sittiwangkul","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krit","family":"Makonkawkeyoon","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kulnipa","family":"Kittisakmontri","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yupada","family":"Pongprot","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,3]]},"reference":[{"key":"bibr1-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1136\/adc.70.1.5"},{"key":"bibr2-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1995.02170230052007"},{"key":"bibr3-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951111002009"},{"key":"bibr4-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.11.1340"},{"key":"bibr5-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1177\/0300060516685659"},{"key":"bibr6-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2214.2001.00199.x"},{"key":"bibr7-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-015-2676-4"},{"key":"bibr8-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.10.065"},{"key":"bibr9-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1515\/JPEM.2000.13.4.431"},{"key":"bibr10-02601060221082382","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1975.02120380043010"},{"issue":"9","key":"bibr11-02601060221082382","first-page":"1675","volume":"40","author":"Kanazawa H","year":"1992","journal-title":"[Zasshi] [Journal]. 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