Abstract

insignificant conditions, and children with HD who were activity restricted by the treating cardiologist versus those who were not. Finally, the proportion of children with elevated systolic blood pressure (SBP) was ascertained in each WHO BMI category. All children/families between the ages of 3 and 18 referred to the outpatient cardiology clinic were asked to participate and a consent was obtained. Children with a known syndrome/genetic disorder or chronic condition were excluded. The control group was comprised of children referred for investigation of cardiac symptoms who were confirmed to have no heart disease. We collected demographic data, weight, height, waist circumference and blood pressure for each patient. Children with HD were assigned as carrying either a hemodynamically significant or insignificant condition. Hemodynamic significance was defined as presence of cardiovascular symptoms or need for cardiac medications (other than aspirin). The treating cardiologist assigned each HD patient as activity restricted or not. RESULTS: 261 patients withHDand 142 controls were enrolled. There was no significant difference in the mean BMI-z score (0.27 vs 0.33P 0.76) and themeanWCHtr (0.45 vs 0.46P 0.33) between children with HD and controls. In addition, there was no significant difference in the mean BMI-z score (0.12 vs 0.4 P 0.22) or WCHtr (0.45 vs 0.46 P 0.75) between the hemodynamically significant and insignificant HD subgroups. Similarly, the BMI-z score (0.45 vs 0.46 P 0.57) was comparable between activity restricted and non-restricted subgroups. Fewer children withHDwere overweight or obese. A high SBP ismore prevalent children who are overweight or obese. CONCLUSION: There is no significant difference in mean BMI-z score and WCHtr between children with HD and normal controls. Hemodynamic significance and activity restriction did not impact these parameters as well.

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