Inactive Lifestyles Among Young Children With Innocent Murmurs or Congenital Heart Disease, Regardless of Disease Severity or Treatment

Longmuir, Patricia E.; Wang, Stella; Timmons, Brian W.; Mondal, Tapas; Cinanni, N.; Cristofaro, Natascja A. Di; Dillenburg, Rejane; Adamo, Kristi B.; Tremblay, Mark S.; Lee, Suzie

doi:10.1016/j.cjca.2021.09.014

Cited by 7 publications

(1 citation statement)

References 43 publications

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“…Children with simple or complex congenital heart defects (CHD) are often less active [7], unable to achieve the 180 mins of daily activity recommended for the optimal health of young children [8], even when these children have age-appropriate motor skills [9,10]. Highly inactive infants with CHD become the most inactive school age children [11], suggesting that an effective intervention to enhance active play should target children with CHD in infancy.…”

Section: Introductionmentioning

confidence: 99%

Preventing sedentary lifestyles among young children born with congenital heart defects: A feasibility study of physical activity rehabilitation after surgical or catheterization intervention

Ramanan,

Lee,

Maharajh

et al. 2023

PLoS ONE

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Background Children with congenital heart disease (CHD) often have inactive lifestyles and motor skill deficits beginning in infancy. The least active infants continue to be the least active children at school age. Enhancing physical activity and motor development in infancy, at the time of CHD treatment, may prevent inactive lifestyle habits. Methods All children being treated, through surgery or catheterization, for congenital heart disease are eligible if they are 3 to 72 months of age at enrollment. The Peabody Motor Development Scales (Version 2) and 7-day accelerometry (Actigraph GT9X Link) assess motor skills and physical activity prior to treatment and 7 weeks, 6 months and 12 months post-treatment. Participants are randomized 3:1 to intervention:control. Until 7 weeks post-treatment, intervention activities focus on regaining pre-treatment mobility and midline crossing. From 7 weeks to 6 months post-treatment, the intervention is individualized to each child’s assessment results and is parent-led, delivered at home and play-based. Conclusion This feasibility study will provide essential data for a randomized controlled trial to evaluate play-based, parent-delivered interventions optimized to support age-appropriate physical activity and motor skills among young children with CHD. Preliminary intervention efficacy data will inform an evidence-based sample size calculation, optimize intervention timing, and identify hypotheses on the motor skill—physical activity connection and the impact of play-based, parent-led interventions during recovery from CHD treatment. Long-term, the goal is to optimize motor skill and active lifestyles among young children with CHD, enabling their healthy growth and development and enhancing childhood quality of life. Trial registration Clinical trials registration: NCT04619745.

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