Exercise capacity and impact of exercise training in patients after a Fontan procedure: A review

Brassard, Patrice; Bédard, Élisabeth; Jobin, Jean; Rodés‐Cabau, Josep; Poirier, Paul

doi:10.1016/s0828-282x(06)70266-5

Cited by 46 publications

(31 citation statements)

References 70 publications

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“…Improvements have been reported after exercise training for all three domains (figure 1); however, the effects of exercise training on muscular function in patients with a Fontan circulation are not yet well established. 17 During submaximal exercise, heart rates of children with a Fontan circulation were decreased, whereas oxygen uptake did not change, increasing the oxygen pulse. An increased oxygen pulse is a reflection of an increased stroke volume and/or an increased peripheral oxygen extraction.…”

Section: Study Outcome Measure Resultsmentioning

confidence: 97%

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Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Takken¹,

Hulzebos²,

Blank³

et al. 2007

NHJL

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It is well documented that children with a Fontan circulation have a reduced exercise capacity. One of the modalities to improve exercise capacity might be exercise training. We performed a systematic literature review on the effects of exercise training in patients with a Fontan circulation. Six published studies were included that reported on the effects of exercise training in 40 patients. All studies had a small sample size and/or did not include a control group.Based on the six published studies we can conclude that children who have undergone a Fontan operation and who are in a stable haemodynamic condition can safely participate in an exercise training programme and that exercise training results in an improved exercise capacity. However, more research is needed to establish the optimal exercise mode, dose-response relation, and the effects of exercise training on cardiac function, peripheral muscle function, physical activity, and health-related quality of life. (Neth Heart J 2007;15:142-7.).

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Section: Study Outcome Measure Resultsmentioning

confidence: 97%

“…17 Inai et al found a reduced muscle blood flow during exercise in children with a Fontan circulation as measured with near-infrared spectroscopy. 18 Mertens et al reported slower oxygen uptake kinetics in patients with a Fontan circulation, reflecting the impaired oxygen delivery at the working muscles.…”

mentioning

confidence: 99%

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Takken¹,

Hulzebos²,

Blank³

et al. 2007

NHJL

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“…This recommendation is based on small studies that have shown evidence of improvement in some measures of fitness without evidence of clinical deterioration in those participating in moderate-intensity exercise training and resistance training. 40,41 However, the safety of participation in highintensity or high-duration sports is unknown. Additionally, evaluation and optimization of lung function before sports participation is recommended.…”

Section: Fontan Proceduresmentioning

confidence: 99%

Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease

Hare¹,

Ackerman²,

Evangelista³

et al. 2015

Circulation

162

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“…Data concerning the effect of exercise training in pediatric patients with CHD after cardiac surgery are now available. Although cardiac surgery is quite common in children, it is not yet known whether exercise is beneficial in restoring capacity to normal levels; moreover, the available studies have included small numbers of patients and show mixed results [3]. This scenario makes it difficult to establish recommendations about exercise training.…”

Section: Introductionmentioning

confidence: 99%

Impact of Exercise Training in Aerobic Capacity and Pulmonary Function in Children and Adolescents After Congenital Heart Disease Surgery: A Systematic Review with Meta-analysis

et al. 2015

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The aim of the study was to examine the effects of exercise training on aerobic capacity and pulmonary function in children and adolescents after congenital heart disease surgery. We searched MEDLINE, Cochrane Controlled Trials Register, EMBASE, (from the earliest date available to January 2015) for controlled trials that evaluated the effects of exercise training on aerobic capacity and pulmonary function (forced expiratory volume in 1 s and forced vital capacity) in children and adolescents after congenital heart disease surgery. Weighted mean differences and 95 % confidence intervals (CIs) were calculated,, and heterogeneity was assessed using the I (2) test. Eight trials (n = 292) met the study criteria. The results suggested that exercise training compared with control had a positive impact on peak VO2. Exercise training resulted in improvement in peak VO2 weighted mean difference (3.68 mL kg(-1) min(-1), 95 % CI 1.58-5.78). The improvement in forced expiratory volume in 1 s and forced vital capacity after exercise training was not significant. Exercise training may improve peak VO2 in children and adolescents after congenital heart disease surgery and should be considered for inclusion in cardiac rehabilitation. Further larger randomized controlled trials are urgently needed to investigate different types of exercise and its effects on the quality of life.

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Exercise capacity and impact of exercise training in patients after a Fontan procedure: A review

Cited by 46 publications

References 70 publications

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease

Impact of Exercise Training in Aerobic Capacity and Pulmonary Function in Children and Adolescents After Congenital Heart Disease Surgery: A Systematic Review with Meta-analysis

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