Sports participation in adults with congenital heart disease

2015 ◽  
Vol 187 ◽  
pp. 175-182 ◽  
Author(s):  
Petra Opić ◽  
Elisabeth M.W.J. Utens ◽  
Judith A.A.E. Cuypers ◽  
Maarten Witsenburg ◽  
Annemien van den Bosch ◽  
...  
2014 ◽  
Vol 10 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Peter N. Dean ◽  
Catherine W. Gillespie ◽  
Elizabeth Anne Greene ◽  
Gail D. Pearson ◽  
Adelaide S. Robb ◽  
...  

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Astrid M De Souza ◽  
Nicholas Tran ◽  
Kaelan Naylor ◽  
Kim Hoskins ◽  
Hilary Romans ◽  
...  

Introduction: Underlying structural lesions in congenital heart disease (CHD) result in differences in anatomy and physiology that may affect peak aerobic capacity (VO 2peak ). The relationship between sports participation and VO 2peak is unclear in these patients. The aim of this study was to determine if children with CHD who participated in sports had a higher VO 2peak than those who did not. Methods: Two-year, single-centre, retrospective review (May 2016-November 2018). Fifty-eight CHD patients were included: 9 aortic valve disease; 13 coarctation; 6 Ross procedure for aortic stenosis; 20 tetralogy of Fallot, and 10 transposition of the great arteries. Sports participation was categorized into 3 groups: 0-1 days/week; 2-3 days/week; and ≥4 days/week. A validated institutional treadmill protocol (BCCH) was used. Criteria for a maximal test included: VO 2 plateau, respiratory exchange ratio>1.0, and/or a peak heart rate >200 bpm. VO 2peak z-scores, % VO 2 at ventilatory threshold, and O 2 Pulse were calculated. Medians and interquartile ranges are reported. P<0.05 was considered statistically significant. Results: Those who participated in sports ≥2-3 days/week had a significantly higher VO 2peak [39.9 (34.6, 48.1) vs 30.3 (27.8, 39.6) mL/min/kg; p<0.001], VO 2peak z-score [-0.84 (-1.28,-0.30) vs -1.89 (-2.37, -1.16); p=0.002], and O 2 Pulse [0.20 (0.19, 0.25) vs 0.16 (0.14, 0.21) mL/beat/kg; p=0.004] compared to those who participated 0-1 day/week, respectively. There were no differences between those who participated in sports 2-3 days/week and ≥4 days/week. VO 2peak was similar between CHD lesions (p=0.21). Conclusions: VO 2peak is higher in those who participate in sports compared to those who do not. It is unclear whether those who have a higher VO 2peak are more inclined to participate in sports or whether sports participation leads to a higher VO 2peak . The role of exercise rehabilitation in the 0-1 day/week group needs to be explored.


2020 ◽  
Vol 52 (7S) ◽  
pp. 167-167
Author(s):  
Astrid-Marie De Souza ◽  
Kathryn Armstrong ◽  
Nicholas Tran ◽  
Kaelan C. Naylor ◽  
Hilary V. Romans ◽  
...  

2014 ◽  
Vol 63 (12) ◽  
pp. A574 ◽  
Author(s):  
Peter N. Dean ◽  
Catherine W. Gillespie ◽  
Elizabeth Greene ◽  
Gail Pearson ◽  
Adelaide S. Robb ◽  
...  

2017 ◽  
Vol 65 (3) ◽  

Introduction: Adequate physical activity is important for a healthy and age-appropriate development in children and adolescents with congenital heart disease (CHD). To enable each child with CHD individual and harmless physical ­activity an exam by a pediatric cardiologist/sports medicine physician, specific recommendations based on residual findings and structures of care are needed. Methods: A selective review of the literature in PubMed was performed to retrieve current guidelines and review ­articles. Further, data from the MoMo-study as part of the population-based German KiGGS-study were analysed regarding the habitual physical activity in children with CHD compared to the healthy counterpart. Results: There are three options to perform sports as child with CHD: 1. Sports with healthy peers: Model “Sports at school and in clubs”; 2. Sports within a group of children with CHD: Model “Sports Heart Group”, 3. Model “Individual sports”. Preliminary results from MoMo show that children and adolescents with CHD do not differ from the health counterparts in sports participation in clubs nor in daily ­habitual physical activity behavior. Conclusions: Results of the subgroup analysis of the ­MoMo-study are encouraging as children with heart disease, even though often physical handicapped, are as motivated to participate in sports and regular physical activity, preferably with healthy people. Pediatric cardiologists/sports medicine physicians should provide the necessary support to youth with CHD to enable them to be as active as possible without harm.


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