Exercise training improves activity in adolescents with congenital heart disease

Morrison, M L; Sands, Andrew J; McCusker, Christopher G.; McKeown, Pascal; McMahon, M; Gordon, James M.; Grant, Brian; Craig, Brian; Casey, Frank

doi:10.1136/heartjnl-2013-303849

Cited by 58 publications

(66 citation statements)

References 27 publications

(15 reference statements)

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“…All six included studies were randomised controlled trials (RCT), conducted in Brazil, The Netherlands, Germany, Switzerland and Germany, Ireland or Australia . Across the included studies, there were 396 participants aged (mean ± standard deviation (SD)) 15 ± 3 years to 45 ± 12 years.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 37 to143 participants, with 183 (46%) being female. Studies included people with asthma ( n = 2), CF ( n = 2) and congenital heart disease ( n = 2) . Further study characteristics are presented in Appendix S2.…”

Section: Resultsmentioning

confidence: 99%

“…Performance bias (blinding of participants and personnel) was high across all studies, and only one study was rated as having a low risk of detection bias (blinding of outcome assessor). Intention‐to‐treat analysis was reported in three studies . Three studies reported not reaching the required sample size .…”

Section: Resultsmentioning

confidence: 99%

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Behaviour change techniques to optimise participation in physical activity or exercise in adolescents and young adults with chronic cardiorespiratory conditions: a systematic review

Sawyer

Lewthwaite

Gucciardi

et al. 2019

Internal Medicine Journal

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Participation in regular physical activity decreases the risk of developing cardiometabolic disease. However, the proportion of people who participate in the recommended amount of physical activity is low, with common barriers including competing interests and inclement weather. In people with chronic cardiorespiratory conditions, participation in physical activity is reduced further by disease‐specific barriers, time burden of treatment and unpleasant symptoms during physical activity. Addressing these barriers during adolescence and early adulthood may promote greater physical activity participation into older age. The aim of this review was to classify interventions aimed at optimising participation in physical activity as ‘promising’ or ‘not promising’ in people aged 15–45 years with chronic cardiorespiratory conditions and categorise the behaviour change techniques (BCT) within these interventions. Nine databases and registries were searched (October 2017) for studies that reported objective measures of physical activity before and after an intervention period. Interventions were classified as ‘promising’ if a between‐group difference in physical activity was demonstrated. Michie et al.’s (2013) v1 Taxonomy was used to unpack the BCT within interventions. Across the six included studies (n = 396 participants), 19 (20%) of 93 BCT were described. The interventions of three studies were classified as ‘promising’. The most commonly used BCT comprised goal setting, action planning and social support. Five BCT were solely used in ‘promising’ interventions. Our review demonstrated that only 20% of BCT have been utilised, and those BCT that were used only in ‘promising’ physical activity interventions in adolescents and adults with chronic cardiorespiratory conditions were isolated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Behaviour change techniques to optimise participation in physical activity or exercise in adolescents and young adults with chronic cardiorespiratory conditions: a systematic review

Sawyer

Lewthwaite

Gucciardi

et al. 2019

Internal Medicine Journal

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“…Measured peak oxygen consumption in adults with frequent physical activity improved over time compared with those who were sedentary [15]. In a randomized controlled trial of exercise training in adolescents with congenital heart disease, a structured exercise program increased maximum oxygen consumption at testing and doubled the number of participants reporting moderate to vigorous physical activity at home [16]. Counsel from cardiologists to encourage exercise and maintenance of healthy weight should be part of the care of the child, adolescent and adult with congenital heart disease.…”

Section: Discussionmentioning

confidence: 99%

Overweight predicts poorer exercise capacity in congenital heart disease patients

Kuehl

Tucker

Khan

et al. 2015

IJC Heart & Vasculature

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BackgroundOverweight (OW) and obesity (OB) are endemic in the United States and affect adolescents and adults with congenital heart disease (ACHD). Defining the burden of excess weight on the cardiovascular system in ACHD is the goal of this study. Limitation of exercise capacity due to overweight or obesity might be reversible with weight loss and improve quality of life for ACHD adults.MethodsExercise tests performed using a Bruce protocol and measurement of maximum oxygen consumption were retrospectively reviewed on 418 CHD patients. OW and OB were defined as the 85–95 or > 95 percentile respectively for age and gender or by adult criteria. Severity of CHD was assigned based on criteria published in standard guidelines.Results63 patients had mild, 198 moderate, and 157 severe heart disease. Each ACHD group was 32 to 34% OW or OB. Measured exercise time (ET) of CHD patients with moderate or severe heart disease was less than that of controls in each weight categories. However, OB or OW people have shorter ET than their normal weight peers with CHD. Multiple regression using ET as the dependent variable finds that female sex, relative BMI, and VE/VCO2 at peak exercise are all associated with lesser ET with high significance. Peak heart rate is associated with greater ET, with borderline significance. Severity of heart disease is not independently associated with ET.ConclusionsOW and OB are strongly associated with reduced ET in persons with congenital heart disease. Losing weight may improve exercise capacity in ACHD.

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“…60 The benefits of a structured exercise programme combined with psychological training for improving overall activity in adolescents with CHD has also recently been demonstrated. 61 In a study based on two large ACHD registries (including almost 40 000 patients between 1996 and 2005), 30-day inhospital mortality was lower in female than in male patients. 62 Male gender, along with pacemaker implantation, was also highly predictive of 3-year mortality after admission for HF in the Dutch CONgenital CORvitia (CONCOR) registry.…”

Section: Adult Congenital Heart Disease Managementmentioning

confidence: 99%

Almanac 2014: congenital heart disease

Kahr

Diller

2014

Heart

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Exercise training improves activity in adolescents with congenital heart disease

Abstract: ISRCTN27986270.

Cited by 58 publications

References 27 publications

Behaviour change techniques to optimise participation in physical activity or exercise in adolescents and young adults with chronic cardiorespiratory conditions: a systematic review

Behaviour change techniques to optimise participation in physical activity or exercise in adolescents and young adults with chronic cardiorespiratory conditions: a systematic review

Overweight predicts poorer exercise capacity in congenital heart disease patients

Almanac 2014: congenital heart disease

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