PMID- 8110008
OWN - NLM
STAT- MEDLINE
DCOM- 19940322
LR  - 20190501
IS  - 1468-2044 (Electronic)
IS  - 0003-9888 (Print)
IS  - 0003-9888 (Linking)
VI  - 70
IP  - 1
DP  - 1994 Jan
TI  - Energy expenditure in congenital heart disease.
PG  - 5-9
AB  - Growth failure is a well recognised consequence of severe congenital heart 
      disease. Total daily energy expenditure (TDEE) was investigated in eight infants 
      with severe congenital heart disease to determine whether an increase in this 
      parameter is an important factor in their failure to thrive, and to estimate the 
      energy intake that would be required to allow normal growth. The infants were 
      studied over a seven day period before surgery using the doubly labelled water 
      method. Growth failure was evident; their mean age standardised body mass index 
      was 80% of the expected value. Mean TDEE was 425 kJ/kg, significantly greater 
      than in healthy infants (mean TDEE/kg SD score = +1.4; 95% confidence interval 
      +0.27 to +2.57). In contrast, their energy intake was only 82% of the estimated 
      average requirements. It was estimated that in early infancy a gross energy 
      intake of 600 kJ/kg/day is required for normal growth in patients with congenital 
      heart disease. This is unlikely to be achieved by energy supplements alone and 
      early recourse to nasogastric feeding should be considered.
FAU - Barton, J S
AU  - Barton JS
AD  - International Growth Research Centre, Institute of Child Health, London.
FAU - Hindmarsh, P C
AU  - Hindmarsh PC
FAU - Scrimgeour, C M
AU  - Scrimgeour CM
FAU - Rennie, M J
AU  - Rennie MJ
FAU - Preece, M A
AU  - Preece MA
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Arch Dis Child
JT  - Archives of disease in childhood
JID - 0372434
SB  - IM
MH  - Cardiac Surgical Procedures
MH  - Energy Metabolism/*physiology
MH  - Failure to Thrive/etiology/*metabolism
MH  - Female
MH  - Heart Defects, Congenital/complications/*metabolism/surgery
MH  - Humans
MH  - Infant
MH  - Male
PMC - PMC1029672
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
PMCR- 1994/01/01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
PHST- 1994/01/01 00:00 [pmc-release]
AID - 10.1136/adc.70.1.5 [doi]
PST - ppublish
SO  - Arch Dis Child. 1994 Jan;70(1):5-9. doi: 10.1136/adc.70.1.5.