Correlation of Valve Involvement with Nutritional Status in Children with Rheumatic Heart Disease

Oct 13, 2025 by wbrum.org 109 views

Correlation of Valve Involvement with Nutritional Status in Children with Rheumatic Heart Disease

Rheumatic heart disease is a serious condition that affects children worldwide, and one of the significant issues associated with it is malnutrition. Malnutrition can exacerbate the symptoms of rheumatic heart disease, leading to increased morbidity and mortality rates. In this study, researchers at Adam Malik Hajj Hospital, Medan, aimed to investigate the correlation between valve involvement and nutritional status in children with rheumatic heart disease.

Background of the Problem

Malnutrition is a common condition in patients with heart disease, including children with rheumatic heart disease. The severity of valve lesions can lead to malnutrition, which is often more severe in children who experience congestive heart failure (CHF). This study aims to explore further the relationship between heart valve involvement and nutritional status in children with rheumatic heart disease.

The Importance of Nutritional Status in Children with Rheumatic Heart Disease

Nutritional status plays a crucial role in the management of children with rheumatic heart disease. Malnutrition can lead to increased morbidity and mortality rates, making it essential to monitor and manage nutritional status in these patients. The study highlights the need for further research to understand the relationship between valve involvement and nutritional status in children with rheumatic heart disease.

Research Methods

This study used a cross-sectional design, with a sample of 90 children with rheumatic heart disease who were treated at Adam Malik Hajj Hospital. Secondary data was collected from medical records between January 2020 and October 2023. The valve involvement assessment was carried out based on the type of valve lesion, the number of valves involved, and the severity of the valve lesion measured by a simple score developed by the author. Nutritional status was assessed through anthropometric measurements. The Spearman correlation test was used to analyze the relationship between variables, with a P < 0.05 value considered significant.

Research Results

The study found that 53.4% of the children experienced malnutrition, with 7.8% experiencing severe malnutrition. The majority of children had a mitral regurgitation condition (97.8%), with 57.8% experiencing severe mitral regurgitation. The average severity of the valve lesion was 5.39, with the lowest value of 1 and the highest 12. The average number of valve lesions experienced was 2.4, with the lowest value of 1 and the highest 4. However, the results of the study showed that there was no significant relationship between the level of valve severity, type of valve abnormalities, number of valves involved, incidence of congestive heart failure, or pulmonary hypertension with children's nutritional status. However, congestive heart failure was proven to be a significant factor that affects mortality in patients (p = 0.004).

Conclusion

Based on the results of the study, it can be concluded that there is no significant correlation between the involvement of the heart valve and nutritional status in children with rheumatic heart disease. However, congestive heart failure is proven to be an important factor that affects the mortality rate in these patients. Further research is necessary to deepen the understanding of the relationship between the condition of the heart valve and nutritional status, as well as to develop a more effective intervention strategy in dealing with malnutrition problems in children with rheumatic heart disease.

Implications for Practice

The study highlights the need for healthcare providers to monitor and manage nutritional status in children with rheumatic heart disease. Early identification and intervention of malnutrition can help prevent complications and improve outcomes. The study also emphasizes the importance of developing effective intervention strategies to address malnutrition problems in children with rheumatic heart disease.

Future Research Directions

Further research is necessary to deepen the understanding of the relationship between the condition of the heart valve and nutritional status in children with rheumatic heart disease. This includes investigating the impact of nutritional status on the severity of valve lesions and the development of effective intervention strategies to address malnutrition problems in these patients.

Limitations of the Study

The study has several limitations, including the small sample size and the use of secondary data. Future studies should aim to recruit a larger sample size and collect primary data to increase the validity and reliability of the findings.

Conclusion

In conclusion, the study highlights the need for further research to understand the relationship between valve involvement and nutritional status in children with rheumatic heart disease. The study also emphasizes the importance of developing effective intervention strategies to address malnutrition problems in these patients. With an increase in understanding of this relationship, it is expected to find a better way to care for children who face the challenges of nutrition and heart health simultaneously.
Frequently Asked Questions (FAQs) about Correlation of Valve Involvement with Nutritional Status in Children with Rheumatic Heart Disease

Q: What is rheumatic heart disease?

A: Rheumatic heart disease is a condition that occurs when the heart valves are damaged due to rheumatic fever, a complication of strep throat. This can lead to valve problems, such as mitral regurgitation, and can increase the risk of heart failure and other complications.

Q: What is the relationship between valve involvement and nutritional status in children with rheumatic heart disease?

A: The study found that there is no significant correlation between the involvement of the heart valve and nutritional status in children with rheumatic heart disease. However, congestive heart failure was proven to be a significant factor that affects mortality in patients.

Q: What are the symptoms of malnutrition in children with rheumatic heart disease?

A: Malnutrition can lead to a range of symptoms, including weight loss, fatigue, weakness, and poor wound healing. In children with rheumatic heart disease, malnutrition can exacerbate the symptoms of the disease and increase the risk of complications.

Q: How can healthcare providers monitor and manage nutritional status in children with rheumatic heart disease?

A: Healthcare providers can monitor nutritional status by assessing anthropometric measurements, such as weight and height, and by conducting regular nutritional assessments. They can also provide guidance on healthy eating habits and recommend nutritional supplements as needed.

Q: What are the implications of this study for healthcare providers?

A: The study highlights the need for healthcare providers to monitor and manage nutritional status in children with rheumatic heart disease. Early identification and intervention of malnutrition can help prevent complications and improve outcomes.

Q: What are the limitations of this study?

A: The study has several limitations, including the small sample size and the use of secondary data. Future studies should aim to recruit a larger sample size and collect primary data to increase the validity and reliability of the findings.

Q: What are the future research directions for this topic?

A: Future research should aim to deepen the understanding of the relationship between valve involvement and nutritional status in children with rheumatic heart disease. This includes investigating the impact of nutritional status on the severity of valve lesions and the development of effective intervention strategies to address malnutrition problems in these patients.

Q: How can parents and caregivers support children with rheumatic heart disease?

A: Parents and caregivers can support children with rheumatic heart disease by ensuring they receive regular medical care, following a healthy diet, and encouraging regular physical activity. They can also provide emotional support and help their child manage stress and anxiety.

Q: What are the long-term implications of this study for children with rheumatic heart disease?

A: The study highlights the need for long-term monitoring and management of nutritional status in children with rheumatic heart disease. This can help prevent complications and improve outcomes, and can also help children with rheumatic heart disease lead healthy and active lives.

Q: How can healthcare providers and researchers work together to improve outcomes for children with rheumatic heart disease?

A: Healthcare providers and researchers can work together to develop effective intervention strategies to address malnutrition problems in children with rheumatic heart disease. They can also collaborate to conduct further research and develop evidence-based guidelines for the management of nutritional status in these patients.