Factors associated with low physical activity levels following pediatric cardiac transplantation

Banks, Laura; Dipchand, Anne I.; Manlhiot, Cedric; Millar, Kyle; McCrindle, Brian W.

doi:10.1111/j.1399-3046.2012.01706.x

Cited by 14 publications

(27 citation statements)

References 25 publications

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“…08957 x age (yr))–(0 . 000038 x counts/min x age (yr)) *One study [31] recruited healthy control and patient participants at the same time and measured MVPA and ST in the same way as (referred to here as studies with control group); 5 studies [27–29, 33, 34] compared patient data with other studies-previous published studies (referred to here as studies with comparison groups); and1 study [32] reported patient data in relation to recommendations.…”

Section: Resultsmentioning

confidence: 99%

“…This included children who had received different types of cardiac surgery [29, 31, 32], including complex surgery such as a fontan repair [28, 33, 34], or cardiac transplantation [27]. In all cases the patients were studied at least 6 months after surgery while well, clinically stable, free of acute illness, and living in the community.…”

Section: Resultsmentioning

confidence: 99%

“…In all cases the patients were studied at least 6 months after surgery while well, clinically stable, free of acute illness, and living in the community. As summarised in Table 2, average daily MVPA in these studies ranged from a low of 8 (range, 4–11) min/day [27] to a high of 49 (range, 34–60) min/day [33]. In 6/7 of eligible studies reported mean daily time spent in MVPA in minutes and in six studies mean daily MVPA failed to reach the recommended 60 minutes.…”

Section: Resultsmentioning

confidence: 99%

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Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Elmesmari

Reilly

Martin³

et al. 2017

PLoS ONE

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ContextModerate-to-vigorous physical activity (MVPA) and sedentary time (ST) are important for child and adolescent health.ObjectiveTo examine habitual levels of accelerometer measured MVPA and ST in children and adolescents with chronic disease, and how these levels compare with healthy peers.MethodsData sources: An extensive search was carried out in Medline, Cochrane library, EMBASE, SPORTDiscus and CINAHL from 2000–2017.Study selection: Studies with accelerometer-measured MVPA and/or ST (at least 3 days and 6 hours/day to provide estimates of habitual levels) in children 0–19 years of age with chronic diseases but without co-morbidities that would present major impediments to physical activity. In all cases patients were studied while well and clinically stable.ResultsOut of 1592 records, 25 studies were eligible, in four chronic disease categories: cardiovascular disease (7 studies), respiratory disease (7 studies), diabetes (8 studies), and malignancy (3 studies). Patient MVPA was generally below the recommended 60 min/day and ST generally high regardless of the disease condition. Comparison with healthy controls suggested no marked differences in MVPA between controls and patients with cardiovascular disease (1 study, n = 42) and type 1 diabetes (5 studies, n = 400; SMD -0.70, 95% CI -1.89 to 0.48, p = 0.25). In patients with respiratory disease, MVPA was lower in patients than controls (4 studies, n = 470; SMD -0.39, 95% CI -0.80, 0.02, p = 0.06). Meta-analysis indicated significantly lower MVPA in patients with malignancies than in the controls (2 studies, n = 90; SMD -2.2, 95% CI -4.08 to -0.26, p = 0.03). Time spent sedentary was significantly higher in patients in 4/10 studies compared with healthy control groups, significantly lower in 1 study, while 5 studies showed no significant group difference.ConclusionsMVPA in children/adolescents with chronic disease appear to be well below guideline recommendations, although comparable with activity levels of their healthy peers except for children with malignancies. Tailored and disease appropriate intervention strategies may be needed to increase MVPA and reduce ST in children and adolescents with chronic disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Elmesmari

Reilly

Martin³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

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“…Twenty‐nine articles underwent full‐text review, with an additional 13 articles excluded due to participant age (n=7), lack of exercise testing (n=3), and articles not in English (n=3). A total of 16 studies were included in this systematic review: six prospective cross‐sectional, five retrospective longitudinal, four retrospective cross‐sectional, and one case series . Validity appraisal scores ranged from 6/9 to 8/9.…”

Section: Resultsmentioning

confidence: 99%

Exercise capacity following pediatric heart transplantation: A systematic review

Peterson

Szmuszkovicz

et al. 2017

Pediatric Transplantation

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Pediatric HTs account for 13% of all HTs with >60% of recipients surviving at least 10 years post-HT. The purpose of this systematic review is to synthesize the literature on exercise capacity of pediatric HT recipients to improve understanding of the mechanisms that may explain the decreased exercise capacity. Six databases were searched for studies that compared the exercise capacity of HT recipients ≤21 years old with a control group or normative data. Sixteen studies were included. Pediatric HT recipients, as compared to controls or normative data, exhibit significantly higher resting HR, and at peak exercise exhibit significantly decreased HR, VO , power, work, minute ventilation, and exercise duration. Peak VO appears to improve within the first 2.5 years post-HT; peak work remains constant; and there is inconclusive evidence that peak HR, HR recovery, and HR reserve improve with time since HT. These results are discussed in the context of the mechanisms that may explain the impaired exercise capacity of pediatric HT recipients, including chronotropic incompetence, graft dysfunction, side effects of immunosuppression therapy, and deconditioning. In addition, the limited literature on rehabilitation after pediatric HT is summarized.

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“…Banks et al [18] observed low moderate-to-vigorous physical activity (MVPA) levels in pediatric cardiac transplantation recipients. Banks et al [18] observed low moderate-to-vigorous physical activity (MVPA) levels in pediatric cardiac transplantation recipients.…”

Section: Research On Pediatric Transplantation Patientsmentioning

confidence: 99%

Adherence with immunosuppression in heart transplant recipients

Vitinius

Ziemke

Albert

2015

Current Opinion in Organ Transplantation

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Factors associated with low physical activity levels following pediatric cardiac transplantation

Abstract: Pediatric cardiac transplantation recipients may be indicated to participate in cardiac rehabilitation to optimize physical activity levels.

Cited by 14 publications

References 25 publications

Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Exercise capacity following pediatric heart transplantation: A systematic review

Adherence with immunosuppression in heart transplant recipients

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