Food insecurity in children with heart disease

被引:0
作者
Burns, Joseph
Norton, Derek M.
Cooper, Paul N.
Day, Patrick E.
Rao, Mounica Y.
Parra, Carlos Andres Sanchez
Kiener, Alexander J.
机构
[1] Texas Childrens Hosp, Sect Pediat Cardiol, Dept Pediat, Houston, TX USA
[2] Baylor Coll Med, Houston, TX USA
关键词
food insecurity; health inequity; pediatric cardiology; HEALTH; NUTRITION; RISK;
D O I
10.1097/MOP.0000000000001348
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose of ReviewThis review discusses the epidemiology of food insecurity (FI) and its consequences in children with congenital heart disease. We aimed to highlight current interventions to screen and address food insecurity in the context of pediatric cardiology and to offer strategies for providers to engage in this meaningful work.Recent FindingsFood insecurity is consistently associated with poor health outcomes in children. In the United States, 17.3% of households with children experience FI. Nonwhite and single-parent families are disproportionately affected. Interestingly, because of a low-quality diet, FI is associated with childhood obesity, putting affected children at increased risk for cardiovascular morbidity and mortality over time. Children with congenital heart disease are susceptible to poor outcomes due to unique altered metabolic demands, increased risk for growth impairment, frequent need for specialized feeding regimens, and additional morbidity associated with heart surgery in underweight children.SummaryToday, the burden of screening for FI is most commonly placed on general pediatricians. Considering the importance of nutrition to cardiovascular health and general wellbeing, and the ease with which screening can be performed, pediatric cardiologists and other subspecialists should take a more active role in FI screening.
引用
收藏
页码:473 / 479
页数:7
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