Objectively measured physical activity levels of young children with congenital heart disease

Stone, Nicola D.; Obeid, Joyce; Dillenburg, Rejane; Milenkovic, Jovana; MacDonald, Maureen J.; Timmons, Brian W.

doi:10.1017/s1047951114000298

Cited by 35 publications

(49 citation statements)

References 14 publications

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“…Another small study (in Ontario, Canada) found that very young children aged 3 to 5 years with coarctation of the aorta or Tetralogy of Fallot (n=10) achieved ≈72 min/day MVPA on average, which was no different from healthy age‐matched controls . These high levels of activity are likely explained by a combination of the very young age range (because PA decreases with age) and the researchers' use of a much lower accelerometry sampling interval (3 seconds), to capture the sporadic high‐intensity activity typical of young children, and a lower MVPA threshold; combined, these measures will lead to higher estimates of MVPA compared with our analytical approach.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies reported children with severe types of CHD being significantly less active than their peers, whereas other studies that covered a broader spectrum of CHD found activity levels that were comparable to peers . These studies have inherent limitations because they were conducted in children with specific lesions or were small in number . In addition, very little is known about sedentary behavior in this population; sedentary behavior is increasingly recognized as a risk factor for cardiovascular disease, independent of PA …”

Section: Introductionmentioning

confidence: 99%

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Physical Activity and Sedentary Behavior in Children With Congenital Heart Disease

Voss

Duncombe

Dean

et al. 2017

JAHA

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BackgroundChildren with congenital heart disease (CHD) are thought to have low levels of physical activity (PA), but few studies have used objective measures of PA in this population.Methods and ResultsWe recruited patients with mild, moderate, and severe CHD and cardiac transplant recipients, aged 8 to 19 years, from pediatric cardiology clinics throughout British Columbia and Yukon, Canada. Participants were fitted with an ActiGraph accelerometer to be worn over the right hip for 7 days. Daily means were estimated for a variety of accelerometry‐derived metrics, including moderate‐to‐vigorous PA and percentage of sedentary time if they had at least 3 valid days of accelerometry data. Participants also completed a PA questionnaire. We included 90 participants (aged 13.6±2.7 years; 54% male), of which 26 had mild CHD, 26 had moderate CHD, 29 had severe CHD, and 9 were cardiac transplant recipients. Median daily moderate‐to‐vigorous PA was 43 min/day (interquartile range: 28.9–56.9 min/day), and 8% met PA guidelines of 60 minutes of moderate‐to‐vigorous PA at least 6 days a week. There were no significant differences in any accelerometry‐derived metric according to CHD severity. Boys were significantly more active and less sedentary than girls. Activity declined and sedentary behaviors increased with age in both sexes. Sports participation was common, including competitive out‐of‐school clubs (57%). PA restrictions from cardiologists were rare (15%).ConclusionsWe found normal age–sex patterns of PA in children with CHD. There were no differences in PA by CHD severity, suggesting that sociocultural factors are likely important determinants of PA in these children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical Activity and Sedentary Behavior in Children With Congenital Heart Disease

Voss

Duncombe

Dean

et al. 2017

JAHA

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“…Smaller studies on children with complex CHD reported lower physical activity, [9][10][11] whereas more recent studies on a broad spectrum of CHD revealed these children to be of similar activity as healthy peers. [12][13][14][15][16] Commercially available activity trackers, known as wearables, offer an opportunity for unique insights and have already been used in other clinical pediatric settings and in small cohorts of children with CHD. [17][18][19]20,21 Although an overall clear picture of physical activity in children with CHD is lacking, the reliability, validity and objectivity of such wearables has been validated.…”

mentioning

confidence: 99%

Children with Congenital Heart Disease Are Active but Need to Keep Moving: A Cross-Sectional Study Using Wrist-Worn Physical Activity Trackers

Brudy

Hock

Häcker

et al. 2020

The Journal of Pediatrics

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Objective To compare daily physical activity of children with congenital heart disease (CHD) with healthy peers measured using wearables bracelets in a large cohort. Additionally, subjectively estimated and objectively measured physical activity was compared. Study design From September 2017 to May 2019, 162 children (11.8 AE 3.2 years; 60 girls) with various CHD participated in a self-estimated and wearable-based physical activity assessment. Step-count and moderate-tovigorous physical activity were recorded with the Garmin vivofit jr. for 7 consecutive days and compared with a reference cohort (RC) of 96 healthy children (10.9 AE 3.8 years; 49 girls). Results Children with CHD were active and 123 (75.9%) achieved 60 minutes physical activity on a weekly average according to the World Health Organization criteria as 81 (84.3%) of the healthy peers did (P = .217). After correction for age, sex, and seasonal effects, only slightly lower step count (CHD: 10 206 AE 3178 steps vs RC: 11 142 AE 3136 steps; P = .040) but no lower moderate-to-vigorous physical activity (CHD: 80.5 AE 25.6 minutes/ day vs RC: 81.5 AE 25.3 minutes/day; P = .767) occurred comparing CHD with RC. In children with CHD higher age (P = .004), overweight or obesity (P = .016), complex severity (P = .046), and total cavopulmonary connection (P = .027) were associated with not meeting World Health Organization criteria. Subjective estimation of daily moderate-to-vigorous physical activity was fairly correct in half of all children with CHD. Conclusions Even though the majority is sufficiently active, physical activity needs to be promoted in overweight or obese patients, patients with complex CHD severity, and in particular in those with total cavopulmonary connection.

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“…Patients with CHD are not immune to the growing trend of obesity and inactivity in North America. 33,34 In a study of more than 700 children with CHD, 28% were overweight and 17% had at least 1 BMI calculation indicating obesity. 35 The etiology of obesity is multifactorial and includes poor nutritional choices and physical inactivity from perceived handicap by the child or parent, possibly an offshoot of the "vulnerable child syndrome."…”

Section: Obesitymentioning

confidence: 99%

The Care of Children With Congenital Heart Disease in Their Primary Medical Home

et al. 2017

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Congenital heart disease (CHD) is the most common birth anomaly. With advances in repair and palliation of these complex lesions, more and more patients are surviving and are discharged from the hospital to return to their families. Patients with CHD have complex health care needs that often must be provided for or coordinated for by the primary care provider (PCP) and medical home. This policy statement aims to provide the PCP with general guidelines for the care of the child with congenital heart defects and outlines anticipated problems, serving as a repository of current knowledge in a practical, readily accessible format. A timeline approach is used, emphasizing the role of the PCP and medical home in the management of patients with CHD in their various life stages.

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Objectively measured physical activity levels of young children with congenital heart disease

Abstract: Children aged 3-5 years old with congenital heart disease have comparable physical activity levels to age-, sex-, and season-matched controls, and many do not meet Canadian Physical Activity Guidelines.

Cited by 35 publications

References 14 publications

Physical Activity and Sedentary Behavior in Children With Congenital Heart Disease

Physical Activity and Sedentary Behavior in Children With Congenital Heart Disease

Children with Congenital Heart Disease Are Active but Need to Keep Moving: A Cross-Sectional Study Using Wrist-Worn Physical Activity Trackers

The Care of Children With Congenital Heart Disease in Their Primary Medical Home

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