Document Detail

Home-Based Rehabilitation Enhances Daily Physical Activity and Motor Skill in Children Who Have Undergone the Fontan Procedure.
MedLine Citation:
PMID:  23354148     Owner:  NLM     Status:  Publisher    
This randomized trial compared physical activity enhancing exercise prescription and education programs in 61 children (36 male) with single-ventricle physiology after Fontan. After Fontan, children are less active than recommended for optimal health. They are often geographically dispersed and unable to attend weekday programs. Participants, 5.9-11.7 years of age who were status 5.3 years post-Fontan, received 12-month, parent-delivered home programs to enhance physical activity, motor skill, fitness, and activity attitudes. Daily moderate-to-vigorous physical activity (MVPA) was measured at baseline and again at 6, 12, and 24 months. Secondary outcomes were gross motor skill, fitness, and activity attitudes. Gross motor skill (p = .01) was significantly greater at the end of the 2-year study period for both intervention groups combined. MVPA at 2 years was significantly greater (p = .03) than the predicted decrease with age. Spring season (85 ± 25 min), male sex (69 ± 21 min), greater baseline activity (0.3 ± 0.1 min/baseline minute), and better gross motor skill (1.1 ± 0.4 min/percentile) increased weekly MVPA in a multivariable repeated-measures regression model adjusted for intervention, maturation during the 2-year study, sex, season, and baseline activity. Benefits were not influenced by type of rehabilitation, compliance, or rural/urban location. Home-based, pediatric physical activity rehabilitation enhances physical activity, gross motor skill, exercise capacity, and physical fitness among preadolescent children after Fontan regardless of rural/urban location. Prescribed education and exercise programs are similarly effective for providing the important health benefits of daily physical activity. Enhanced gross motor skill is associated with increased MVPA despite exercise capacity limitations after Fontan. Rehabilitation attenuates the expected decrease in MVPA with age.
Patricia E Longmuir; Pascal N Tyrrell; Mary Corey; Guy Faulkner; Jennifer L Russell; Brian W McCrindle
Related Documents :
18519138 - Juvenile hormone esterase activity in the pupating and diapausing larvae of sesamia non...
25025318 - Effect of exercise on balance, strength and reaction time in older people.
24747278 - Does the inverted-u function disappear in expert athletes? an analysis of the attention...
24886928 - Comparison of thoracic bioimpedance with acetylene uptake for measuring cardiac output.
15177518 - Angiotensin receptor blockade improves arterial distensibility and reduces exercise-ind...
19516158 - Modification of vascular function after handgrip exercise training in 73- to 90-yr-old ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-25
Journal Detail:
Title:  Pediatric cardiology     Volume:  -     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prevalence of metabolic syndrome among rural women in a primary health centre area in Tamil Nadu.
Next Document:  Supracardiac Total Anomalous Pulmonary Venous Connection With Bilateral (Right and Left) Vertical Ve...