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Differences in Obesity Among Black and White Children, Adolescents, and Adults With Congenital Heart Disease

Jackson, Jamie L., PhD; Harrison, Tondi, PhD, RN; Keim, Sarah A., PhD, MA, MS

doi: 10.1097/JCN.0000000000000513
ARTICLES: Congenital Heart Disease
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Background: Congenital heart disease (CHD) survivors have an elevated risk for obesity-related comorbidities, but little is known about racial differences in obesity rates for this population.

Objective: The authors aimed to compare rates of obesity in CHD survivors to national estimates using National Health and Nutrition Examination Assessment Survey (NHANES) and to characterize racial disparities in obesity among CHD survivors across age ranges.

Methods: Retrospective chart review included 4496 CHD survivors (4050 white and 446 black) with a range of lesion severities from a pediatric and an adult medical center.

Results: White children with CHD had a higher prevalence of obesity compared with NHANES estimates. In contrast, white young adults with CHD had a lower prevalence of obesity compared with NHANES. Blacks with CHD had a 58% increased risk of obesity in young adulthood and a 33% increased risk in late adulthood compared with whites with CHD.

Conclusions: Obesity interventions are needed among CHD survivors across the lifespan, particularly among adult non-Hispanic blacks.

Jamie L. Jackson, PhD Assistant Professor of Pediatrics & Psychology, Center for Biobehavioral Health, Nationwide Children’s Hospital; and Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio.

Tondi Harrison, PhD, RN Associate Professor, College of Nursing, The Ohio State University, Columbus.

Sarah A. Keim, PhD, MA, MS Associate Professor of Pediatrics & Epidemiology, Center for Biobehavioral Health, Nationwide Children’s Hospital; and Department of Pediatrics, College of Medicine, and Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio.

The authors have no funding or conflicts of interest to disclose.

All authors take responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

Correspondence Jamie L. Jackson, PhD, Nationwide Children’s Hospital, 700 Children’s Dr, Faculty Office Bldg, 3rd Fl, Columbus, OH 43205 (Jamie.jackson2@nationwidechildrens.org).

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