Factors of physical activity in children after congenital heart disease repair

Pomeshkina S.A.; Kulavskaya M.V.; Barbarash O.L.

doi:https://doi.org/10.17116/kardio202417021158

Close metadata

Recommended articles:

Efficiency of complex medical rehabilitation after pulmonary endarterectomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):629-636

Validation of ballistocardiography data for predicting the sleep efficiency in healthy individuals and patients with insomnia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(10):60-66

The influence of hydrokinesitherapy on motor and cardiorespiratory functions in hereditary myopathy of childhood. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11-2):88-95

Simultaneous autoplastic repair and diastasis recti correction for linea alba hernias. Russian Journal of Evidence-Based Gastroenterology. 2024;(4):34-39

Sanogenetic commonality of ultraviolet irradiation of blood and intravenous ozone therapy. Choice of the optimal method of this impact for rehabilitation of patients after nephrolitholapaxy. Regenerative Biotechnologies, Preventive, Digital and Predictive Medicine. 2024;(4):95-99

Predictors of Engagement and Active participation of Patients with Uncontrolled Hypertension in the Telehealth Surveillance Program. Russian Journal of Preventive Medicine. 2024;(12):37-43

Effectiveness of the second stage program of medical rehabilitation of patients with ischemic heart disease. Russian Journal of Preventive Medicine. 2024;(12):75-80

Assessment of risk of developing fractures and sarcopenia and quality of life of patients with chronic kidney disease at the outpatient stage. Russian Journal of Preventive Medicine. 2024;(12):88-91

Organizational issues of reproductive health protection of adolescent girls in the system of the Federal Medical and Biological Agency of Russia. Russian Bulletin of Obstetrician-Gynecologist. 2024;(6):7-13

Physical medical rehabilitation of patients with dystrophinopathies: dynamics of the disease’s course considering clinical anthropometric indicators. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6):31-39

Abstract:

The problem of sedentary lifestyle in children with congenital heart disease after surgery is described in this review. There are behavioral risk factors like overprotection by parents, restrictions inspired by doctors and teachers and children`s fear of physical activity in addition to traditional risk factors such as cardiac disease severity or physical training. Perhaps, behavioral risk factors have more influence on physical activity compared to cardiac disease severity or physical training. Modern data explain the necessity of complex approaches to rehabilitation of children with congenital heart disease. These approaches may be effective for physical activity stimulation in these patients, improvement of physical functioning, quality of life and life expectancy.

Keywords:

congenital heart disease

physical activity

physical training

quality of life

rehabilitation

Authors:

Pomeshkina S.A.

Research Institute for Complex Issues of Cardiovascular Diseases

ORCID: 0000-0003-3333-216X

Kulavskaya M.V.

Research Institute for Complex Issues of Cardiovascular Diseases

ORCID: 0000-0002-9739-3036

Barbarash O.L.

Research Institute for Complex Issues of Cardiovascular Diseases

SPIN RSCI: 5373-7620
Scopus AuthorID: 56699731800
ResearcherID: A-4834-2017
ORCID: 0000-0002-4642-3610

Received:

15.03.2023

Accepted:

23.05.2023

Close metadata

References:

Puri K, Allen HD, Qureshi AM. Congenital heart disease. Pediatr Rev. 2017;38:471-486. https://doi.org/10.1542/pir.2017-0032
Liu Y, Chen S, Zühlke L, et al. Global birth prevalence of congenital heart defects 1970-2017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol. 2019;48:455-463. https://doi.org/10.1093/ije/dyz009
Best KE, Rankin J. Long-Term survival of individuals born with congenital heart disease: A systematic review and meta-analysis. J Am Hear Assoc Cardiovasc Cerebrovasc Dis. 2016;5:e002846. https://doi.org/10.1161/JAHA.115.002846
Warnes CA, Liberthson R, Danielson GK, et al. Task Force 1: The changing profile of congenital heart disease in adult life. Journal of the American College of Cardiology. 2001;37(5):1170-1175. https://doi.org/10.1016/S0735-1097(01)01272-4
Van der Bom T, Bouma BJ, Meijboom FJ, Zwinderman AH, Mulder BJ. The prevalence of adult congenital heart disease, results from a systematic review and evidence based calculation. Am Heart J. 2012;164:568-575.
Ehlken N, Lichtblau M, Klose H, et al. Exercise training improves peak oxygen consumption and haemodynamics in patients with severe pulmonary arterial hypertension and inoperable chronic thrombo-embolic pulmonary hypertension: A prospective, randomized, controlled trial. Eu Heart J. 2016;37:35-44.
Norozi K, Wessel A, Alpers V, et al. Incidence and risk distribution of heart failure in adolescents and adults with congenital heart disease after c ardiac surgery. Am J Cardiol. 2006;97:1238-1243.
Pinto NM, Marino BS, Wernovsky G, de Ferranti SD, Walsh AZ, Laronde M, Hyland K, Dunn SO Jr, Cohen MS. Obesity is a common comorbidity in children with congenital and acquired heart disease. Pediatrics. 2007;120(5):e1157-e1164. https://doi.org/10.1542/peds.2007-0306
Moons P, Van Deyk K, Dedroog D, Troost E, Budts W. Prevalence of cardiovascular risk factors in adults with congenital heart disease. Eur J Cardiovasc Prev Rehabil. 2006;13:612-616.
Olsen M, Marino B, Kaltman J, et al. Myocardial infarction in adults with congenital heart disease. Am J Cardiol. 2017;120:2272-2277. https://doi.org/10.1016/j.amjcard.2017.08.050
Dean PN, Gillespie CW, Greene EA, et al. Sports participation and quality of life in adolescents and young adults with congenital heart disease. Congenit Heart Dis. 2015;10:169-179. https://doi.org/10.1111/chd.12221
Golbidi S, Laher I. Exercise and the cardiovascular system. Cardiol Res Pract. 2012;2012:210852. https://doi.org/10.1155/2012/210852
Pomeshkina SA. Exercise training and endothelial dysfunction. CardioSomatics. 2014;5(1):63-66. (In Russ.).
Downing J, Balady GJ. The role of exercise training in heart failure. J Am Coll Cardiol. 2011;58:561-569.
Warburton DER, Bredin SSD. Health benefits of physical activity: A systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32:541-556.
Takken T, Giardini A, Reybrouck T, et al. Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: A report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart andLung Exercise Group, and the Association for European Paediatric Cardiology. Eur J Prev Cardiol. 2012;19(5):1034-1065. https://doi.org/10.1177/1741826711420000
Dulfer K, Helbing WA, Duppen N, Utens EM. Associations between exercise capacity, physical activity, and psychosocial functioning in children with congenital heart disease: A systematic review. Eur J Prev Cardiol. 2014;21:1200-1215.
De Ferranti SD, Steinberger J, Ameduri R, et al. Cardiovascular risk reduction in high-risk pediatric patients: A Scientific Statement From the American Heart Association. Circulation. 2019;139:e603-e634.
Longmuir PE, Wang S, Timmons BW, Mondal T, Cinanni NL, Di Cristofaro NA, Dillenburg R, Adamo K, Tremblay MS, Lee S. Inactive Lifestyles Among Young Children With Innocent Murmurs or Congenital Heart Disease, Regardless of Disease Severity or Treatment. Can J Cardiol. 2022;38(1):59-67. https://doi.org/10.1016/j.cjca.2021.09.014
McCrindle BW, Williams RV, Mital S, Clark BJ, Russell JL, Klein G, Eisenmann JC. Physical activity levels in children and adolescents are reduced after the Fontan procedure, independent of exercise capacity, and are associated with lower perceived general health. Arch Dis Child. 2007;92:509-514. https://doi.org/10.1136/adc.2006.105239
World Health Organization. A guide for population-based approaches to increasing levels of physical activity: implementation of the WHO global strategy on diet, physical activity and health. 2007. https://apps.who.int/iris/handle/10665/43612
Voss C, Harris KC. Physical activity evaluation in children with congenital heart disease. Heart. 2017;103(18):1408-1412. PMID: 28490620. https://doi.org/10.1136/heartjnl-2017-311340
Casey FA, Craig BG, Mulholland HC. Quality of life in surgically palliated complex congenital heart disease. Arch Dis Child. 1994;70:382-386.
Stone N, Obeid J, Dillenburg R, et al. Objectively measured physical activity levels of young children with congenital heart disease. Cardiol Young. 2015;25:520-525.
Brudy L, Hock J, Häcker AL, et al. Children with congenital heart disease are active but need to keep moving: A cross-sectional study using wrist-worn physical activity trackers. J Pediatr. 2020;217:13-19.
Voss C, Duncombe SL, Dean PH, de Souza AM, Harris KC. Physical activity and sedentary behavior in children with congenital heart disease. J Am Heart Assoc. 2017;6:e004665.
Härtel JA, Herberg U, Jung T, et al. Physical activity and heart rate monitoring in Fontan patients — should we recommend activities in higher intensities? PLoS One. 2020;15:e0228255.
Moschovi D, Kapetanakis EI, Sfyridis PG, Rammos S, Mavrikaki E. Physical activity levels and self-efficacy of Greek children with congenital heart disease compared to their healthy peers. Hellenic J Cardiol. 2020;61(3):180-186. https://doi.org/10.1016/j.hjc.2019.01.002
Massin MM, Hovels-Gurich HH, Gerard P, Seghaye MC. Physical activity patterns of children after neonatal arterial switch operation. Ann Thorac Surg. 2006;81:665-670.
Longmuir PE, Brothers JA, de Ferranti SD, et al. Promotion of physical activity for children and adults with congenital heart disease: A scientific statement from the American Heart Association. Circulation. 2013;127:2147-2159.
Ray TD, Green A, Henry K. Physical activity and obesity in children with congenital cardiac disease. Cardiol Young. 2011;21: 603-607.
Hedlund ER, Lundell B, Villard L, Sjoberg G. Reduced physical exercise and health-related quality of life after Fontan palliation. Acta Paediatr. 2016;105:1322-1328.
Biddle SJH, Atkin AJ, Cavill N, Foster C. Correlates of physical activity in youth: a review of quantitative systematic reviews. Int Rev Sport Exerc Psychol. 2011;4:25-49.
Reybrouck T, Gewillig M. Pediatric Exercise Science and Medicine. 2008;421-430.
Mertens L, Rogers R, Reybrouck T, et al. Cardiopulmonary reponse to exercise after the Fontan operation — a cross-sectional and longitudinal evaluation. Cardiol Young. 2008;6:136-142.
Chen C-W, Chen Y-C, Chen M-Y, et al. Health-promoting behavior of adolescents with congenital heart disease. J Adolesc Health. 2007;41:602-609.
Kuan MT-Y. Physical activity and aortic stiffness in children with congenital heart disease. University of British Columbia. 2020. https://doi.org/10.14288/1.0390338
Lunt D, Briffa T, Briffa NK, Ramsay J. Physical activity levels of adolescents with congenital heart disease. Aust J Physiother. 2003;49:43-50.
Van Deutekom AW, Lewandowski AJ. Physical activity modification in youth with congenital heart disease: A comprehensive narrative review. Pediatr Res. 2021;89(7):1650-1658. https://doi.org/10.1038/s41390-020-01194-8
Swan L, Hillis WS. Exercise prescription in adults with congenital heart disease: a long way to go. Heart. 2000;83:685-687.
Stefan MA, Hopman WM, Smythe JF. Effect of activity restriction owing to heart disease on obesity. Arch Pediatr Adolesc Med. 2005;159:477-481.
Longmuir PE, McCrindle BW. Physical activity restrictions for children after the Fontan operation: Disagreement between parent, cardiologist, and medical record reports. Am Heart J. 2009;157:853-859. https://doi.org/10.1016/j.ahj.2009.02.014
Bergman AB, Stamm SJ. The morbidity of cardiac nondisease in schoolchildren. N Engl J Med. 1967;276:1008-1013.
Casey FA, Craig BG, Mulholland HC. Quality of life in surgically palliated complex congenital heart disease. Arch Dis Child. 1994;70:382-386.
Lambert LM, Minich LL, Newburger JW, et al. Parent-versus child-reported functional health status after the Fontan procedure. Pediatrics. 2009;124:e942-e949.
Bennett EV, Voss C, Faulkner G, Harris KC. From ‘it makes me feel free’ to ‘they won’t let me play’: The body and physical activity-related perceptions and experiences of children with congenital heart disease and their parents. Qual Res Sport Exerc Health. 2021;13:325-341. https://doi.org/10.1080/2159676X.2019.1710858
Jaeschke L, Steinbrecher A, Luzak A, Puggina A, Aleksovska K, Buck C, Burns C, Cardon G, Carlin A, Chantal S, et al. Socio-cultural determinants of physical activity across the life course: A ‘Determinants of Diet and Physical Activity’ (DEDIPAC) umbrella systematic literature review. Int J Behav Nutr Phys Act. 2017;14:173.
Bar-Mor G, Bar-Tal Y, Krulik T, Zeevi B. Self-efficacy and physical activity in adolescents with trivial, mild, or moderate congenital cardiac malformations. Cardiol Young. 2000;10:561-566.
Moola F, Faulkner GE, Kirsh JA, Kilburn J. Physical activity and sport participation in youth with congenital heart disease: perceptions of children and parents. Adapt Phys Activ Q. 2008;25:49-70.
Ray TD, Henry K. Self-efficacy and physical activity in children with congenital heart disease: is there a relationship? J Spec Pediatr Nurs. 2011;16:105-112.
Longmuir PE, Corey M, McCrindle BW. Interactions with Home and Health Environments Discourage Physical Activity: Reports from Children with Complex Congenital Heart Disease and Their Parents. Int J Environ Res Public Health. 2021;18(9):4903.