Associations of Overweight and Obesity Indicators with Cardiometabolic Risk Profile in Children and Adolescents with Congenital Heart Disease - Scorecard - MDSpire
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Links Between Indicators of Overweight and Obesity and Cardiometabolic Risk Factors in Pediatric and Adolescent Patients with Congenital Heart Disease

  • By

  • Michele Honicky

  • Silvia M. Cardoso

  • Luiz R. A. de Lima

  • Francilene G. K. Vieira

  • Isabela C. Back

  • Yara M. F. Moreno

  • May 11, 2026

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Clinical Scorecard: Links Between Indicators of Overweight and Obesity and Cardiometabolic Risk Factors in Pediatric and Adolescent Patients with Congenital Heart Disease

At a Glance

CategoryDetail
ConditionCongenital Heart Disease (CHD)
Key MechanismsOverweight and obesity indicators such as waist circumference and body fat percentage influence cardiometabolic risk profiles.
Target PopulationChildren and adolescents aged 5-18 years with congenital heart disease.
Care SettingOutpatient care at reference hospitals.

Key Highlights

  • Increased risk of childhood obesity in patients with CHD.
  • Waist circumference and body fat percentage are effective indicators for assessing obesity.
  • Obesity in CHD patients correlates with worse cardiometabolic risk profiles.
  • Early lifestyle interventions may prevent adverse cardiovascular outcomes.
  • BMI may not be the most accurate measure for childhood obesity.

Guideline-Based Recommendations

Diagnosis

  • Use waist circumference and body fat percentage for obesity assessment in children with CHD.

Management

  • Implement lifestyle interventions to address obesity and improve cardiovascular health.

Monitoring & Follow-up

  • Regularly assess cardiometabolic risk factors including lipid profiles and blood pressure.

Risks

  • Monitor for increased comorbidities associated with obesity in CHD patients.

Patient & Prescribing Data

Children and adolescents with congenital heart disease.

Nutritional supplementation and lifestyle modifications are crucial for managing weight and cardiometabolic risk.

Clinical Best Practices

  • Conduct routine screening for obesity using waist circumference and body fat percentage.
  • Encourage physical activity and healthy eating habits in children with CHD.
  • Tailor interventions based on individual growth patterns and obesity indicators.

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