Document Detail


Physical activity levels in adults with congenital heart disease.
MedLine Citation:
PMID:  17446809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Regular physical activity is associated with many health benefits in patients with cardiac disease. Advances in treatment have resulted in an increasing population of adults with congenital heart disease. Few data are available on physical activity levels and attitude to exercise in this group. DESIGN: Prospective, cross-sectional study of patients attending the adult congenital heart disease clinic in a supra-regional centre. METHODS: Physical activity assessed over 1 week using two accelerometers. The Actigraph was used to measure total activity volume and intensity and the Caltrac used to measure energy expenditure in physical activity. Patients completed a questionnaire to assess exercise self-efficacy. RESULTS: In all, 61 adults recruited (36 male; mean-age 31.7+/-10.9 years); divided into three groups according to New York Heart Association class [Group I (n=26; 14 male), Group II (n=18; 10 male), Group III (n=17; 11 male)]. Fourteen patients were overweight (body mass index 25-29.9) and seven obese (body mass index>30). Group 1 achieved similar activity levels to a sedentary reference population. Group II and III had significantly lower activity (55 and 40% of Group I). Most study patients failed to achieve UK national guidelines for physical activity (Groups I: 77%, II: 84%, III: 100%). Despite this, questionnaire responses suggested a willingness to participate in exercise in the majority of each group. CONCLUSIONS: Adults with congenital heart disease have a range of physical activity levels between normal and severely limited. Most patients showed a willingness to participate in exercise but were uncertain of the safety or benefit. Intervention to increase physical activity levels may be a low risk, low cost treatment strategy.
Authors:
Jaspal S Dua; Ashley R Cooper; Kenneth R Fox; Alan Graham Stuart
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  14     ISSN:  1741-8267     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-09-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  287-93     Citation Subset:  IM    
Affiliation:
Bristol Congenital Heart Centre, Bristol Heart Institute and Bristol Royal Infirmary, Bristol, UK. jaspaldua@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Analysis of Variance
Cross-Sectional Studies
Energy Metabolism
Exercise
Exercise Tolerance
Female
Great Britain / epidemiology
Heart Defects, Congenital / epidemiology,  physiopathology*
Humans
Male
Middle Aged
Motor Activity*
Obesity / epidemiology,  physiopathology
Patient Compliance
Practice Guidelines as Topic
Prospective Studies
Questionnaires
Research Design
Self Efficacy
Severity of Illness Index
Sex Factors

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


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