Hostname: page-component-745bb68f8f-l4dxg Total loading time: 0 Render date: 2025-01-09T10:53:54.284Z Has data issue: false hasContentIssue false
  • English
  • Français

Estimating nutritional needs in paediatric heart failure: beyond the equations

Published online by Cambridge University Press:  09 February 2022

Kylie Lewis Open the ORCID record for Kylie Lewis [Opens in a new window] ,
Michael Khoury ,
Chentel Cunningham ,
Stephanie Lavoie  and
Jennifer Conway
Kylie Lewis*
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Michael Khoury
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Chentel Cunningham
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
Stephanie Lavoie
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
Jennifer Conway
Affiliation:
Pediatric Cardiology, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada
*
Author for correspondence: K. Lewis, Stollery Children’s Hospital, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada. Tel: (780) 407-8143; Fax: (780) 407-3310. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Nutrition optimisation is imperative in paediatric patients with heart failure. Energy needs can be assessed using indirect calorimetry.

Methods:

Presented are two cases of children with clinical heart failure who benefited from indirect calorimetry.

Results:

Using indirect calorimetry, it was determined both cases were hypermetabolic.

Conclusion:

These cases demonstrate the impact of heart failure on metabolic rate and growth. Energy requirements were up to two times higher than estimations from predictive equations.

Keywords

Heart failurepaediatricenergy expenditureindirect calorimetry
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 1 , January 2023 , pp. 35 - 37
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Toole, BJ, Toole, LE, Kyle, UG, Cabrera, AG, Orellana, RA, Coss-Bu, JA. Perioperative nutritional support and malnutrition in infants and children with congenital heart disease. Congenit Heart Dis 2014; 9: 15–25.CrossRefGoogle ScholarPubMed
Hoover, JD, Wong, WW, Adachi, I, Brandt, P, Jeewa, A. Energy intake and expenditure in children with heart failure. Pediatr Crit Care Med 2018; 19: e627–e630.CrossRefGoogle ScholarPubMed
Hollander, SA, Schultz, LM, Dennis, K, et al. Impact of ventricular assist device implantation on the nutritional status of children awaiting heart transplantation. Pediatr Transplant 2019; 23: e13351.CrossRefGoogle ScholarPubMed
Carpenter, A, Pencharz, P, Mouzaki, M. Accurate estimation of energy requirements of young patients. J Pediatr Gastroenterol Nutr 2015; 60: 4–10.CrossRefGoogle ScholarPubMed
Becker, P, Carney, LN, Corkins, MR, et al. Academy of nutrition and dietetics; american society for parenteral and enteral nutrition. consensus statement of the academy of nutrition and dietetics/American society for parenteral and enteral nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Nutr Clin Pract 2015; 30: 147–161.CrossRefGoogle Scholar
Government of Canada.Dietary Reference Intakes Tables. https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables.html#eeer Google Scholar
Roebuck, N, Fan, CS, Floh, A, Harris, ZL, Mazwi, ML. A comparative analysis of equations to estimate patient energy requirements following cardiopulmonary bypass for correction of congenital heart disease. J Parenter Enteral Nutr 2020; 44: 444–453.CrossRefGoogle ScholarPubMed
Nydegger, A, Walsh, A, Penny, DJ, Henning, R, Bines, JE. Changes in resting energy expenditure in children with congenital heart disease. Eur J Clin Nutr 2009; 63: 392–397.CrossRefGoogle ScholarPubMed