Regular exercise at recommended levels can be performed and should be encouraged in all patients with congenital heart disease. Many can attend sports with no restrictions. Special concern should be given to those patients with a significant ventricular dysfunction or recent history or risk of arrhythmia.
Increasing physical activity and reduction of sedentary behaviour play important roles in health promotion and prevention of lifestyle-related diseases in children and adolescents. However, the question of how much physical activity is useful for which target group is still a matter of debate. International guidelines (World Health Organization; European Association for the Study of Obesity), which are mainly based on expert opinions, recommend 60 min of physical activity every day. Age- and sex-specific features and regional differences are not taken into account. Therefore, expert consensus recommendations for promoting physical activity of children and adolescents in Germany were developed with special respect to national data, but also with respect to aspects of specific target groups, e.g., children with a lower socio-economic status (SES) or with migration background. They propose 90 min/day of physical activity, or at least 12,000 steps daily. Additionally, lifestyle factors, especially restriction of media consumption, were integrated. The recommendations provide orientation for parents and caregivers, for institutions such as schools and kindergartens as well as for communities and stakeholders.
Regular exercise at recommended levels can be performed and should be encouraged in all patients with congenital heart disease. Many can attend sports with no restrictions. Special concern should be given to those patients with a significant ventricular dysfunction or recent history or risk of arrhythmia.
After TOF-R with TAP, the progression of PR has very individual dynamics, resulting in extremely varying redo-free intervals. Concomitant pulmonary stenosis seems to exaggerate progression of PR. PVR results in effective reduction of diastolic dimensions of severely dilated RV and in improvement of validity class. Referred PVR in no-risk cases seems to be justified.
Zusammenfassung
Hintergrund
Der Nutzen von k?rperlicher Aktivit?t bzw. einer Reduktion von vermeidbarer Sitzzeit ist im Kindes- und Jugendalter unbestritten.
Methode
Auf Basis einer qualit?tsgesicherten Literaturrecherche wurden die Empfehlungen f?r Deutschland aktualisiert und erweitert. Sie umfassen nun dezidiert das S?uglings-, Kleinkind-, Kindergarten- und Grundschulalter sowie Jugendliche.
Ergebnisse und Schlussfolgerung
Generell gilt, je mehr Bewegung desto h?her der gesundheitliche Benefit. Ab dem Kindergartenalter sollten mindestens 180, ab Grundschulalter mind. 90?min Bewegungszeit pro Tag erreicht werden. Vermeidbare Sitzzeiten, insbesondere Bildschirmmedien, sollen dagegen auf ein Minimum reduziert werden.
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