Peripheral and respiratory muscle strength in children and adolescents with CHD: systematic review and meta-analysis

Niedermeyer, Camila Da Cunha; Shizukuishi, Maria Luiza Yumi; Schaan, Camila Wohlgemuth; Lukrafka, Janice Luísa

doi:10.1017/s1047951122003092

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…The data of a systematic review and meta-analysis published in October 2022, confirmed that children and adolescents (under 18 years of age) with CHD have reduced muscle strength compared to the control group (-34 .07 N•m), and although the meta-analysis did not reveal any significant difference in hand muscle strength between these two groups (0 .08 N•m), it showed a decrease in muscle strength of limbs in the group of children with CHDs . The authors also noted that patients with CHDs are characterized by lower strength of respiratory muscles [16] .…”

Section: Muscle Strengthmentioning

confidence: 97%

Features of Physical and Motor Development of Children with Congenital Heart Diseases

Savova,

Zavarina,

Shvedunova

et al. 2024

I.P. Pavlov Russian Medical Biological Herald

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INTRODUCTION: Children with congenital heart diseases (CHD) have certain peculiarities of development determined by the pathology of the cardiovascular system. The type, severity of CHD, the age of correction of the disorder and a number of other factors have a direct impact on the severity of its non-cardiologic complications, such as disorders in physical and motor development attributable to specific conditions of formation of the nervous system in children with CHD. AIM: To systematize the currently available data on the peculiarities of physical and motor development of children with CHD and their underlying factors, to justify the importance of a more in-depth examination of children at all stages of their development and of the need to correct the identified disorders starting from the moment of their diagnosis. The review presents the data on the incidence and peculiarities of deviations in motor development of children with CHD at different age periods; describes factors predisposing to their development, as well as the possibilities of diagnosis and correction of such disorders. Besides, information is provided on the development of the balance function that is also impaired in this cohort of patients. Since the physical and motor development of children are closely interrelated and related to the development of the nervous and muscular systems, and the muscle strength and balance are integral components of some motor skills, each of these parameters is considered in a separate section of the article. Acyanotic heart diseases are more commonly associated with disorders in the weight gain, and cyanotic ones — with retardation of children in growth and body mass. Another manifestation of retardation of physical development of children with CHD is deficit of muscle mass development reflected in the research-confirmed reduction of muscle strength in this category of patients. Disorders in fine and/or large motor skills are noted in one to two thirds of children with CHD from an early age to adulthood. Disorders in the motor sphere in childhood entail physical inactivity, psychological and cognitive problems, difficulties in socialization significantly reducing the quality of life. CONCLUSION: Children with CHD are characterized by peculiarities of the physical and motor development, which have a significant impact on the child’s life. Therefore, currently of paramount importance is not only examination of the cardiovascular system of children with CHD, but also their physical and motor development, as well as timely identification of deviations in the physical and motor development and their targeted rehabilitation.

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Section: Muscle Strengthmentioning

confidence: 97%

Features of Physical and Motor Development of Children with Congenital Heart Diseases

Savova,

Zavarina,

Shvedunova

et al. 2024

I.P. Pavlov Russian Medical Biological Herald

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show abstract

“…Most young people with CHD are less physically active than their healthy peers, 14 putting them at risk of becoming sedentary adults and acquiring latent chronic diseases. 15 Barriers to physical activity in youth with CHD are multifactorial: reduced aerobic capacity inherent to the cardiac disease, 2 impaired muscle function, 16 impaired lung function, 17 low self-concept and self-efficacy, 18 parental attitude, 19 home and health environment, 20 or restriction recommendations by physicians. 21 Ultimately, adults with CHD have a higher burden of adverse cardiovascular events relative to the general population and a high prevalence of smoking, obesity, hypertension, hyperlipidaemia, and diabetes mellitus.…”

Section: Introductionmentioning

confidence: 99%

Early hybrid cardiac rehabilitation in congenital heart disease: the QUALIREHAB trial

Amedro,

Gavotto,

Huguet

et al. 2024

European Heart Journal

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Background and Aims Cardiopulmonary fitness in congenital heart disease (CHD) decreases faster than in the general population resulting in impaired health-related quality of life (HRQoL). As the standard of care seems insufficient to encourage and maintain fitness, an early hybrid cardiac rehabilitation programme could improve HRQoL in CHD. Methods The QUALIREHAB multicentre, randomized, controlled trial evaluated and implemented a 12-week centre- and home-based hybrid cardiac rehabilitation programme, including multidisciplinary care and physical activity sessions. Adolescent and young adult CHD patients with impaired cardiopulmonary fitness were randomly assigned to either the intervention (i.e. cardiac rehabilitation) or the standard of care. The primary outcome was the change in HRQoL from baseline to 12-month follow-up in an intention-to-treat analysis. The secondary outcomes were the change in cardiovascular parameters, cardiopulmonary fitness, and mental health. Results The expected number of 142 patients was enroled in the study (mean age 17.4 ± 3.4 years, 52% female). Patients assigned to the intervention had a significant positive change in HRQoL total score [mean difference 3.8; 95% confidence interval (CI) 0.2; 7.3; P = .038; effect size 0.34], body mass index [mean difference −0.7 kg/m2 (95% CI −1.3; −0.1); P = .022; effect size 0.41], level of physical activity [mean difference 2.5 (95% CI 0.1; 5); P = .044; effect size 0.39], and disease knowledge [mean difference 2.7 (95% CI 0.8; 4.6); P = .007; effect size 0.51]. The per-protocol analysis confirmed these results with a higher magnitude of differences. Acceptability, safety, and short-time effect of the intervention were good to excellent. Conclusions This early hybrid cardiac rehabilitation programme improved HRQoL, body mass index, physical activity, and disease knowledge, in youth with CHD, opening up the possibility for the QUALIREHAB programme to be rolled out to the adult population of CHD and non-congenital cardiac disease.

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Exploring frailty: muscle strength, functional capacity, activities of daily living and cognition in adult congenital heart disease

Topcuoglu,

Vardar Yagli,

Aykan

et al. 2024

Disability and Rehabilitation

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Peripheral and respiratory muscle strength in children and adolescents with CHD: systematic review and meta-analysis

Cited by 4 publications

References 46 publications

Features of Physical and Motor Development of Children with Congenital Heart Diseases

Features of Physical and Motor Development of Children with Congenital Heart Diseases

Early hybrid cardiac rehabilitation in congenital heart disease: the QUALIREHAB trial

Exploring frailty: muscle strength, functional capacity, activities of daily living and cognition in adult congenital heart disease

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