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Chubbs-Payne A, Yaraskavitch J, Lai L, Graham J, DesClouds P, Longmuir PE. Fearless in Physical Activity: The Implications of Community-Based Physical Activity Interventions on Children, Adolescents, and Adults with Congenital Heart Disease. J Cardiovasc Dev Dis 2022; 10:jcdd10010011. [PMID: 36661906 PMCID: PMC9861746 DOI: 10.3390/jcdd10010011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Revised: 11/28/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022] Open
Abstract
People living with CHD do less moderate-to-vigorous activity than their peers. This study sought to examine the impact of a community-based physical activity intervention for individuals with CHD. Individuals with CHD and family members participated in a 3 h, one-day Fearless event consisting of a variety of physical activity and education sessions. Consenting participants completed self-administered questionnaires pre-/post-event and completed a post-event feedback form. Descriptive statistics and paired t-tests were calculated across subgroups for each outcome/questionnaire. Written feedback was analyzed using a six-phase framework of reflexive thematic analysis. A total of 32 participants (six children, six adolescents, five youth, five all ages, and ten adults) with CHD completed this study. Following Fearless, youth with CHD reported spending less time being 'inactive' and more time being 'somewhat active'. Adults with CHD reported spending more time walking and partaking in moderate activity and less time partaking in vigorous activity. Fearless successfully engaged individuals with CHD who were more sedentary, less active, and older. Fearless is a fun, family-friendly, physical activity intervention for individuals with CHD. Attending a Fearless event helped children, adolescents, and adults with CHD make incremental improvements to their physical activity levels and provided a framework for sport and recreation leaders who aim to promote physical activity amongst individuals with CHD.
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Affiliation(s)
- Adam Chubbs-Payne
- Children’s Hospital of Eastern Ontario Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, ON K1H 8L1, Canada
| | - Jenna Yaraskavitch
- Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Lillian Lai
- Children’s Hospital of Eastern Ontario, Ottawa, ON K1H 8L1, Canada
| | - Jennifer Graham
- Canadian Congenital Heart Alliance, Toronto, ON M4N 3P6, Canada
| | - Poppy DesClouds
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | - Patricia E. Longmuir
- Children’s Hospital of Eastern Ontario Research Institute, Faculty of Medicine and Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1H 8L1, Canada
- Correspondence: ; Tel.: +1-613-738-3908
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Thompson SE, Whitehead CA, Notley AS, Guy IA, Kasargod Prabhakar CR, Clift P, Hudsmith LE. The impact of the COVID-19 pandemic on application of European Society of Cardiology (ESC) guidelines for exercise in adults with CHD: a data-based questionnaire. Cardiol Young 2022; 32:270-275. [PMID: 33902783 PMCID: PMC8129687 DOI: 10.1017/s1047951121001864] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 04/17/2021] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Regular physical activity is safe and effective therapy for adults with CHD and is recommended by European Society of Cardiology guidelines. The COVID-19 pandemic poses enormous challenges to healthcare teams and patients when ensuring guideline compliance. We explored the implications of COVID-19 on physical activity levels in adult CHD patients. MATERIALS AND METHODS A data-based questionnaire was distributed to adult CHD patients at a regional tertiary centre from October to November 2020. RESULTS Prior to the COVID-19 pandemic, 96 (79.3%) of 125 respondents reported participating in regular physical activity, with 66 (52.8%) meeting target levels (moderate physical activity for at least 150 minutes per week). Commonest motivations for physical activity were general fitness (53.6%), weight loss (36.0%), and mental health benefits (30.4%). During the pandemic, the proportion that met target levels significantly decreased from 52.8% to 40.8% (p = 0.03). The commonest reason was fear of COVID-19 (28.0%), followed by loss of motivation (23.2%) and gym/fitness centre closure (15.2%). DISCUSSION The COVID-19 pandemic has negatively impacted exercise levels of adult CHD patients. Most do not meet recommended physical activity levels, mainly attributable to fear of COVID-19. Even before the pandemic, only half of respondents met physical activity guidelines. Availability of online classes can positively impact exercise levels so could enhance guideline compliance. This insight into health perceptions and behaviours of adult CHD patients may help develop quality improvement initiatives to improve physical activity levels in this population.
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Affiliation(s)
- Sophie E. Thompson
- Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
| | - Caitlin A. Whitehead
- University of Birmingham, College of Medical and Dental Sciences, Birmingham, UK
| | - Alex S. Notley
- University of Birmingham, College of Medical and Dental Sciences, Birmingham, UK
| | - Isabel A. Guy
- Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
| | | | - Paul Clift
- Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
| | - Lucy E. Hudsmith
- Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
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Long-Term Effect of an Exercise Training Program on Physical Functioning and Quality of Life in Pulmonary Hypertension: A Randomized Controlled Trial. BIOMED RESEARCH INTERNATIONAL 2021; 2021:8870615. [PMID: 33728346 PMCID: PMC7936903 DOI: 10.1155/2021/8870615] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 01/27/2021] [Accepted: 02/17/2021] [Indexed: 12/24/2022]
Abstract
The aim of this study was to evaluate the effects of a 6-month combined aerobic and strength exercise training program on functional and psychological aspects and health-related quality of life in patients with PH and to evaluate its longer-term impact. In total, 22 stable patients (mean age 53.9 ± 13.8, 13 female) with pulmonary hypertension of World Health Organization (WHO) class I-III participated in a nine-month study. They were randomly assigned into two groups: Group A participated in a 6-month combined aerobic and strength exercise training program, whereas Group B remained untrained. All patients underwent physical and psychological assessment at baseline and at month 6 (after completing the exercise program) and physical assessment after 9 months (3 months posttraining). After the 6-month exercise training program, patients of Group A significantly improved their physical (6MWD, STS 10 rep, STS 20 rep, TUG, lower limb strength, cardiopulmonary exercise time, METs, peak VO2, VCO2, and VE/VCO2 slope) and psychological aspects (SF-36, STAI, and BDI). Between the two groups, differences were observed at the 6MWD (95% CI: 36.2-64.6, η2 = 0.72), STS 10 rep (95% CI: 6.6-2.2, η2 = 0.4), STS 20 rep (95% CI: 10.8-2.4, η2 = 0.34), lower limb strength (95% CI: 7.2-3.6, η2 = 0.38), cardiopulmonary exercise time (95% CI: 0.1-3.3, η2 = 0.2), and VCO2 (95% CI: 0.1-0.5, η2 = 0.2). Additionally, psychological changes were noted at SF-36, PCS (95% CI: 3.6-14.8, η2 = 0.35), MCS (95% CI: 1.3-16.1, η2 = 0.22), TCS (95% CI: 1.3-16.1, η2 = 0.22), and STAI (95% CI: 1.8-28.2, η2 = 0.18). The favorable results of exercise were maintained at the 3-month posttraining follow-up assessment. No exercise-induced complications were observed throughout the study. In conclusion, a long-term exercise training program is a safe and effective intervention to improve functional status, psychological aspects, and health-related quality of life in patients with PH.
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Bose T, Kotevski A, Kovacs A, Broberg C, Burchill L. Exercise counselling in adult congenital heart disease. INTERNATIONAL JOURNAL OF CARDIOLOGY CONGENITAL HEART DISEASE 2021. [DOI: 10.1016/j.ijcchd.2020.100069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Qu J, Shi H, Chen X, Li K, Liang H, Cui Y. Evaluation of Physical Fitness in Children With Congenital Heart Diseases Versus Healthy Population. Semin Thorac Cardiovasc Surg 2020; 32:906-915. [PMID: 32450212 DOI: 10.1053/j.semtcvs.2020.05.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 05/15/2020] [Indexed: 12/13/2022]
Abstract
We aimed to evaluate and compare the physical fitness of children with different severity of the cardiac defect with their healthy peers. We included 182 children after cooperation for congenital heart disease (CHD) and 129 healthy children as controls, 6-18 years old, who performed a complete cardiopulmonary exercise test (CPET) in a cross-sectional observational study. The CHD patients were further subdivided into three subgroups according to diagnostic characteristics and surgical methods: simple CHD group (SCHD), complex CHD group (CCHD)and total cavopulmonary connection group (TCPC). Physical fitness was compared between groups using generalized linear model and multiple linear regression analysis. In comparison with age and gender adjusted healthy controls, children in SCHD, CCHD, and TCPC subgroups had accordingly graded down values of peak oxygen consumption (VO2max: 44.86 ± 5.41 vs. 39.91 ± 5.59 vs. 36.95 ± 5.92 vs. 32.04 ± 5.38 mL/kg/min, P < 0.05) and %predicted VO2max (1.01 ± 0.14 vs. 0.91 ± 0.13 vs. 0.83 ± 0.15 vs. 0.72 ± 0.13, P < 0.05) for each group. The proportion of %predicted VO2max above 80% in the CHD and the control group were 60.4% and 96.1% (P < 0.001). The VO2max decreased by 0.98 mL/kg/min per year in CHD children, and the corresponding %predicted reference diminished by 2.0%. Children with TCPC had the highest mean decrease of VO2max and %predicted VO2max per year of age (1.23 mL/kg/min, corresponding 3.0%). Although the mean overall physical fitness of children with simple and complex defect after biventricular correction were significantly different from healthy population, they were close to normal (>80%predicted VO2max). However, TCPC group had much lower exercise capacity.
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Affiliation(s)
- Jiangbo Qu
- Cardiac Intensive Care Unit, Heart Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Hui Shi
- Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Xinxin Chen
- Cardiac Intensive Care Unit, Heart Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Kuanrong Li
- Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Huiying Liang
- Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Yanqin Cui
- Cardiac Intensive Care Unit, Heart Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
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Aggarwal V, Sexson-Tejtal K, Lam W, Valdes SO, de la Uz CM, Kim JJ, Miyake CY. The incidence of arrhythmias during exercise stress tests among children with Kawasaki disease: A single-center case series. CONGENIT HEART DIS 2019; 14:1032-1036. [PMID: 31868314 DOI: 10.1111/chd.12864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 11/20/2019] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Based on 2017 guidelines, participation in competitive sports with prior history of Kawasaki Disease (KD) requires those with coronary artery aneurysms (CAA) z score ≥ 5 to undergo evaluation for evidence of inducible ischemia or arrhythmias. The use of exercise stress testing (EST) to evaluate arrhythmias among KD patients has never been reported. This retrospective single-center case series study sought to describe the presence of inducible arrhythmias during EST in KD patients with or without CAA. METHODS Single-center retrospective review of medical records of patients diagnosed with KD between 1989-2015 at Texas Children's Hospital, Houston, Texas who underwent EST were included. RESULTS Among 1007 patients diagnosed with KD, 95 (9%) underwent 165 ESTs at a median time of 9.6 years (IQR 5.8-11.3 years) from diagnosis. Of these 95 patients, 37 had normal coronaries, 21 dilated (z score 2 to <2.5), 10 small (5 >z ≥2.5), 12 medium (10>z ≥ 5 absolute dimension <8 mm), 10 large (z ≥10 or absolute dimension ≥8 mm), 5 severe (myocardial infarct or bypass graft). Supraventricular tachycardia was not seen. Ventricular arrhythmias during EST were uncommon and seen only among patients with CAA z ≥5. Ventricular tachycardia occurred in a single patient with a large CAA, known VT and ICD. High-grade ventricular ectopy was seen in one patient who had severe CAA and underwent bypass grafting. CONCLUSIONS Arrhythmias on EST were noted only among patients with CAA z ≥5. The current guidelines are a reasonable approach to increasing healthy activity among KD patients. Clarification regarding which inducible arrhythmias meet criteria for activity restriction may be helpful to guide sport participation.
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Affiliation(s)
- Varun Aggarwal
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.,Department of Pediatrics, Division of Pediatric Cardiology, Masonic Children's Hospital, University of Minnesota, Minneapolis, Minnesota
| | - Kristen Sexson-Tejtal
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
| | - Wilson Lam
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
| | - Santiago O Valdes
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
| | - Caridad M de la Uz
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
| | - Jeffrey J Kim
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
| | - Christina Y Miyake
- The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
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Ntelios D, Giannakoulas G, Dimopoulos K. Strength training in congenital heart disease: A way to boost respiratory function? Eur J Prev Cardiol 2018; 26:489-491. [PMID: 30426770 DOI: 10.1177/2047487318812505] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Dimitrios Ntelios
- 1 Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece
| | - George Giannakoulas
- 1 Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece
| | - Konstantinos Dimopoulos
- 2 Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, National Heart and Lung Institute, Royal Brompton Hospital, Imperial College London, UK
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Giannakoulas G, Gatzoulis MA. Pulmonary arterial hypertension in congenital heart disease: Current perspectives and future challenges. Hellenic J Cardiol 2016; 57:S1109-9666(16)30144-0. [PMID: 27642135 DOI: 10.1016/j.hjc.2016.05.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 05/19/2016] [Indexed: 10/21/2022] Open
Abstract
Medical and scientific research in the field of pulmonary arterial hypertension (PAH) in adults with congenital heart disease (ACHD) has gradually become globalized, inclusive and collaborative over the past few years. The education of physicians, health administrators and patients on congenital heart disease (CHD), specifically in the field of PAH, is of paramount importance. It is also crucial for ACHD patients with PAH to be followed in tertiary centers and to benefit from a multidisciplinary approach. Shared care models dictate a closer collaboration between tertiary expert centers and local non-specialist services, as well as networking between expert physicians in CHD and PAH and geneticists/epidemiologists, with the inclusion of PAH-CHD patients in national and international registries with a detailed genotypic/phenotypic characterization.
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Affiliation(s)
- George Giannakoulas
- Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.
| | - Michael A Gatzoulis
- Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, UK; National Heart and Lung Institute, Imperial College, London, UK
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Recreational scuba diving in patients with congenital heart disease: Time for new guidelines. Arch Cardiovasc Dis 2016; 109:504-10. [PMID: 27364729 DOI: 10.1016/j.acvd.2016.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Revised: 02/09/2016] [Accepted: 02/11/2016] [Indexed: 01/02/2023]
Abstract
The number of recreational scuba divers is steadily increasing. In its latest recommendations, the French Federation of Undersea Studies and Sports listed congenital heart disease as a formal and final contraindication to scuba diving. On the other hand, with the progress made in their management, the prognosis and quality of life of patients with congenital heart diseases have improved considerably, enabling them to engage in physical and sports endeavours, which are known to confer general health and psychological benefits. As a consequence, the ability of these patients to dive has become a regular and recurrent issue. We review the various types of scuba diving, the physical performance required for its practice, its effects on cardiovascular function and the elements that need to be considered before recommending whether it can be practiced safely at various levels of difficulty. Because of the diversity and broad heterogeneity of congenital heart diseases, a detailed evaluation of each patient's performance based on clinical criteria common to all congenital heart diseases is recommended.
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Duppen N, Etnel JR, Spaans L, Takken T, van den Berg-Emons RJ, Boersma E, Schokking M, Dulfer K, Utens EM, Helbing W, Hopman MT. Does exercise training improve cardiopulmonary fitness and daily physical activity in children and young adults with corrected tetralogy of Fallot or Fontan circulation? A randomized controlled trial. Am Heart J 2015; 170:606-14. [PMID: 26385046 DOI: 10.1016/j.ahj.2015.06.018] [Citation(s) in RCA: 73] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 06/12/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND Many patients with congenital heart disease do not meet current public health guidelines to participate in moderate-to-vigorous physical activity for ≥60 minutes per day. They are less fit than their healthy peers. We hypothesized that exercise training would increase cardiopulmonary fitness and daily physical activity in these patients. We therefore assessed effects of an exercise training program on cardiopulmonary fitness and daily physical activity in patients with corrected tetralogy of Fallot (ToF) or Fontan circulation. METHODS In a multicenter prospective controlled trial, patients with ToF or Fontan circulation (age 10-25 years) were randomized, 56 patients to the exercise group and 37 to the control group. The exercise group participated in a 12-week standardized aerobic exercise training program. The control group continued lifestyle as usual. Cardiopulmonary exercise testing and activity measurements were performed before and after 12 weeks. RESULTS Peak oxygen uptake increased in the exercise group by 5.0% (1.7 ± 4.2 mL/kg per minute; P = .011) but not in the control group (0.9 ± 5.2 mL/kg per minute; P = not significant). Workload increased significantly in the exercise group compared with the control group (6.9 ± 11.8 vs 0.8 ± 13.9 W; P = .047). Subgroup analysis showed a significant increase in pre-to-post peak oxygen uptake in the exercise group of ToF patients but not in the exercise group of Fontan patients. Percentage of measured time spent in moderate-to-vigorous activity at baseline was 13.6% ± 8.6%, which did not significantly change after training. CONCLUSIONS Aerobic exercise training improved cardiopulmonary fitness in patients with ToF but not in patients with Fontan circulation. Exercise training did not change daily physical activity.
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Affiliation(s)
- Nienke Duppen
- Department of Pediatrics, Division of Cardiology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands; Department of Radiology, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Jonathan R Etnel
- Department of Pediatrics, Division of Cardiology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Laura Spaans
- Department of Pediatrics, Division of Cardiology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Tim Takken
- Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands
| | | | - Eric Boersma
- Department of Cardiology, Thorax Center, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Michiel Schokking
- Department of Pediatrics Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Karolijn Dulfer
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Elisabeth M Utens
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands
| | - Willem Helbing
- Department of Pediatrics, Division of Cardiology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands; Department of Radiology, Erasmus Medical Center, Rotterdam, the Netherlands.
| | - Maria T Hopman
- Department of Integrative Physiology, Radboud University Medical Center, Nijmegen, the Netherlands
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Dontje ML, Feenstra M, de Greef MH, Nieuwland W, Hoendermis ES. Are Grown-ups with Congenital Heart Disease Willing to Participate in an Exercise Program? CONGENIT HEART DIS 2013; 9:38-44. [DOI: 10.1111/chd.12069] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/22/2013] [Indexed: 12/17/2022]
Affiliation(s)
- Manon L. Dontje
- Professorship in Health Care and Nursing; Hanze University of Applied Sciences; Groningen The Netherlands
- Department of Epidemiology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
| | - Marlies Feenstra
- Institute of Human Movement Sciences; University of Groningen; Groningen The Netherlands
| | - Mathieu H.G. de Greef
- Institute of Human Movement Sciences; University of Groningen; Groningen The Netherlands
| | - Wybe Nieuwland
- Department of Cardiology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
| | - Elke S. Hoendermis
- Department of Cardiology; University of Groningen, University Medical Center Groningen; Groningen The Netherlands
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A call for adult congenital heart disease patient participation in cardiac rehabilitation. Int J Cardiol 2011; 150:345-6. [DOI: 10.1016/j.ijcard.2011.05.031] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2011] [Accepted: 05/13/2011] [Indexed: 11/20/2022]
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Exercise testing and prescription in patients with congenital heart disease. Int J Pediatr 2010; 2010. [PMID: 20871857 PMCID: PMC2943096 DOI: 10.1155/2010/791980] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2010] [Revised: 05/06/2010] [Accepted: 07/27/2010] [Indexed: 12/19/2022] Open
Abstract
The present paper provides a review of the literature regarding exercise testing, exercise capacity, and the role of exercise training in patients with congenital heart disease (CHD). Different measures of exercise capacity are discussed, including both simple and more advanced exercise parameters. Different groups of patients, including shunt lesions, pulmonary valvar stenosis, patients after completion of Fontan circulation, and patients with pulmonary arterial hypertension are discussed separately in more detail. It has been underscored that an active lifestyle, taking exercise limitations and potential risks of exercise into account is of utmost importance. Increased exercise capacity in these patients is furthermore correlated with an improvement of objective and subjective quality of life.
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