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<p>Children with congenital heart disease (CHD) are at increased baseline cardiovascular (CV) risk due to their structural heart disease and social determinants of health may further increase their CV risk. The Child Opportunity Index (COI) is a measure of neighborhood conditions and is associated with cardiometabolic risk in children. However, the impact of COI on children with CHD and associated cardiometabolic risk factors has not been well described.&#xa0;Patients aged 13–17 years with echocardiogram data between 2012 and 2019 were reviewed. COI scores were calculated using geolocation data. Patients were classified into state-normed COI groups into Very Low, Low, Moderate, High, and Very High opportunity groups. Prevalence of obesity, hypertension, and left ventricular hypertrophy (LVH) were determined.&#xa0;A total of 768 patients (mean age 15.49 ± 1.46 years, 57% male (437/768) were included. A high proportion of patients were in the Very Low and Low COI groups (37.5%). There were significant differences in obesity prevalence between COI groups (X<sup>2</sup> = 18.52, df = 4, <i>p</i> &lt; 0.001) with the Low group having the highest prevalence (26.4%). There was not a significant difference in hypertension prevalence between groups. There were significant differences in LVH prevalence between groups (X<sup>2</sup> = 11.43, df = 4, <i>p</i> = 0.02) with the highest prevalence in the Low COI group (32.3%).&#xa0;Adolescents with CHD had significant differences in prevalence of obesity and LVH by COI with higher prevalence in the more adverse COI groups. This highlights the importance of considering SDoH when risk stratifying children with CHD.</p>

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Child Opportunity Index and Prevalence of Obesity and Hypertension in Adolescents with Congenital Heart Disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月2日

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  • Andrew H. Tran,
  • Patrick R. Dusza,
  • Robin Alexander,
  • Chance Alvarado,
  • Kan N. Hor

摘要

Children with congenital heart disease (CHD) are at increased baseline cardiovascular (CV) risk due to their structural heart disease and social determinants of health may further increase their CV risk. The Child Opportunity Index (COI) is a measure of neighborhood conditions and is associated with cardiometabolic risk in children. However, the impact of COI on children with CHD and associated cardiometabolic risk factors has not been well described. Patients aged 13–17 years with echocardiogram data between 2012 and 2019 were reviewed. COI scores were calculated using geolocation data. Patients were classified into state-normed COI groups into Very Low, Low, Moderate, High, and Very High opportunity groups. Prevalence of obesity, hypertension, and left ventricular hypertrophy (LVH) were determined. A total of 768 patients (mean age 15.49 ± 1.46 years, 57% male (437/768) were included. A high proportion of patients were in the Very Low and Low COI groups (37.5%). There were significant differences in obesity prevalence between COI groups (X2 = 18.52, df = 4, p < 0.001) with the Low group having the highest prevalence (26.4%). There was not a significant difference in hypertension prevalence between groups. There were significant differences in LVH prevalence between groups (X2 = 11.43, df = 4, p = 0.02) with the highest prevalence in the Low COI group (32.3%). Adolescents with CHD had significant differences in prevalence of obesity and LVH by COI with higher prevalence in the more adverse COI groups. This highlights the importance of considering SDoH when risk stratifying children with CHD.