Association between size and type of ventricular septal defect and nutritional status in children

Abstract

Ventricular septal defect (VSD) is often associated with malnutrition. Nutritional status in VSD is affected by inadequate energy intake or increase energy requirement. The objective of this study to assess the association between size and type of VSD and nutritional status. A cross-sectional study was conducted at Dr. Mohammad Hoesin Hospital Palembang. Data were collected from medical record and statistical analysis Chi square. All of 401 VSD patients were 68.1% perimembranous outlet, 25.7% doubly committed subarterial, 2.7% perimembranous outlet extension to inlet, 2.5% muscular and 1% inlet. The size of VSD were 133 (33.2%) small, 219 (54.6%) moderate, 49 (12.2%) large. There were 43 (10.7%) severely underweight, 278 (69.3%) underweight, 80 (20%) well nourished; 41 (10.2%) stunting, 360 (72%) normal height; 18 (4.5%) severely wasting, 242(60.3%) wasting and 141 (35.2%) well-nourished based on WAZ, HAZ and WHZ measurement respectively. There were a significant association between size of VSD and underweight (OR 18.147; 95% CI 9.47 to 34.76; p=0.00) and wasting (OR 25.09; 95% CI 14.55 to 43.26; p=0.00). There was a significant association between type of VSD and stunting (p=0.02). Our conclusion that significant association between size, underweight and wasting, also between type and stunting.