CHALLENGES OF THE NUTRITIONAL THERAPY IN CONGENITAL CARDIOPATHY: A CASE REPORT 
Renata Furlan Viebig; Marina de Almeida Lima.
renata.viebig@mackenzie.br 
+ 55 11 983315720 
Authors affiliation: Mackenzie Presbyterian University – Nutrition Undergraduate Course São Paulo, SP, Brasil. Presentation type: Poster

Background and aims: Malnutrition in children with heart disease results from a significant increase in energy expenditure, associated with insufficient or inadequate food intake, impairing growth and development. This study objective was to report nutritional intervention in a child with DiGeorge Syndrome, Pulmonary Atresia, ventricular septal defect and systemic-pulmonary communication. Methods: Clinical report of the evolution of S.H.B., female, 5 years old, evaluating: weight, height, body mass index (BMI), body composition by electric bioimpedance (BIA), energy and macronutrient intakes. Results: The initial evaluation showed weight=12.6kg, height=99cm and BMI=12.8kg/m2, representing malnutrition according to WHO growth charts, in z-score: weight/age=-2.71, height /age=-2.26 and BMI/age=-1.87. BIA indicated 4kg of muscle mass, 1.5kg of fat mass and 22.2% of total body fat, lower values than the expected for the age. The diet offered during 70 days was hypercaloric (234 kcal/kg), hyperproteic (8.5g/kg) and hyperlipidic (37% of total caloric offer), 64% of the calories (1900kcal) coming from the oral diet, 21% (600kcal) of oral food supplements and 15% (450kcal) of enteral nutrition. Due to the difficulty of gaining weight, reduced oral food acceptance (46% of the supply) and the length of hospital stay, a new oral supplement with a higher caloric-protein intake (600kcal and 2.8g/kg) was introduced. Total energy supply was then 3550kcal, with acceptance of 57% (2025Kcal/day), resulting in a weight gain of 500g and 6cm in height, at hospital discharge, after 8 days. Conclusions: Children with cardiopathy present important nutritional deficits and need specific dietary care in order to contribute to their recovery.