Reduced Physical Activity During COVID-19 Pandemic in Children With Congenital Heart Disease

Hemphill, Nicole M.; Kuan, Mimi; Harris, Kevin C.

doi:10.1016/j.cjca.2020.04.038

Cited by 105 publications

(112 citation statements)

References 16 publications

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“…A study using prospective data from 823 adolescents around the age of 16 years in Croatia also showed that PA levels decreased and that there was a stronger decrease in adolescents living in urban areas 21 . Another study investigated step count changes in 109 children with congenital heart disease in Canada, showing that total steps decreased by 21–24% at the end of March and beginning of April 2020 as compared to the same time in 2019 22 . A study with 41 children between 6 and 18 years of age with obesity in Italy also showed that children reduced PA by almost 2.5 h per week 23 .…”

Section: Introductionmentioning

confidence: 99%

Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment

Schmidt

Anedda

Burchartz

et al. 2020

Sci Rep

437

442

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The impact of COVID-19 on social life has been drastic and global. However, the different numbers of cases and different actions in different countries have been leading to various interesting yet unexplored effects on human behavior. In the present study, we compare the physical activity and recreational screen time of a representative sample of 1711 4- to 17-year-olds before and during the strictest time of the first COVID-19 lockdown in Germany. We found that sports activity declined whereas recreational screen time increased. However, a substantial increase in habitual physical activities leads to an overall increase in physical activity among children and adolescents in Germany. The effects differ in size but not in their direction between age groups and are stable for boys and girls. We conclude from this natural experiment that physical activity among children and adolescents is highly context-driven and mutual and does not act as a functional opposite to recreational screen time.

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Section: Introductionmentioning

confidence: 99%

Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment

Schmidt

Anedda

Burchartz

et al. 2020

Sci Rep

437

442

View full text Add to dashboard Cite

show abstract

“…On the other hand, in wealthier countries, quarantine, social distancing, and parental difficulties led to unhealthy lifestyle modifications among adolescents with increased consumption of unhealthy foods and reduction in physical activity that may lead to obesity and sleep disorders [98][99][100][101][102]. Suggested steps to encourage physical activity during this period include incorporating physical activity into children's daily routine, using electronic devices for engaging children to physical activity, encouraging family members to join ongoing activities, and avoiding extended sitting [101].…”

Section: Indirect Consequences On Child Healthmentioning

confidence: 99%

COVID-19 in the Pediatric Population—Review and Current Evidence

Rabinowicz

Leshem

Pessach

2020

Curr Infect Dis Rep

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Purpose of Review Coronavirus disease 2019 (COVID-19) pandemic has major health and economic impacts. We review disease characteristics in children. Recent Findings Children comprise 1-2% of the diagnosed cases, and typically suffer mild disease. The median age of infected children is 3.3-11 years, and male/female ratio is 1.15-1.55. Common symptoms in children include upper respiratory symptoms (26-54%), cough (44-54%), fever (32-65%), and gastrointestinal (15-30%) symptoms. Substantial proportion (4-23%) are asymptomatic. Death rates are up to 0.7%. Risk factors associated with severe disease are neonatal age group, male gender, lower respiratory tract disease, and pre-existing medical conditions. Vertical transmission was reported. Multisystem inflammatory syndrome (MIS), characterized by fever, multisystem organ involvement, and laboratory markers of inflammation, causes critical illness in > 50% of cases and is increasingly reported from endemic countries. Indirect effects of the coronavirus epidemic include higher rates of psychiatric morbidities, education loss, unhealthy lifestyle changes, and increased child neglect. Vaccines are in clinical trials and immunogenicity has not yet been shown in children. Summary Overall, COVID-19 has lower incidence and causes milder disease in children compared with adult patients. MIS is a rare severe complication more common in children. More data on the efficacy and safety of antivirals in children are needed.

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“…A study including 109 children with congenital heart disease showed a decrease of steps by 21-24% around March 11, when the WHO declared the COVID-19 outbreak to be a pandemic [52].…”

Section: Physical Inactivitymentioning

confidence: 99%

Vascular Events, Vascular Disease and Vascular Risk Factors—Strongly Intertwined with COVID-19

Scutelnic

Heldner

2020

Curr Treat Options Neurol

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Purpose of review To elucidate the intertwining of vascular events, vascular disease and vascular risk factors and COVID-19. Recent findings Strokes are a leading cause of disability and death worldwide. Vascular risk factors are important drivers of strokes. There are unmodifiable vascular risk factors such as age and ethnicity and modifiable vascular risk factors. According to the INTERSTROKE study, the 10 most frequent modifiable vascular risk factors are arterial hypertension, physical inactivity, overweight, dyslipidaemia, smoking, unhealthy diet, cardiac pathologies, diabetes mellitus, stress/depression and overconsumption of alcohol. Also, infection and inflammation have been shown to increase the risk of stroke. There is high-quality evidence for the clinical benefits of optimal primary and secondary stroke prevention. The COVID-19 pandemic brought a new perspective to this field. Vascular events, vascular disease and vascular risk factors—and COVID-19—are strongly intertwined. An increased risk of vascular events—by multifactorial mechanisms—has been observed in COVID-19 patients. Also, a higher rate of infection with COVID-19, severe COVID-19 and bad outcome has been demonstrated in patients with pre-existing vascular disease and vascular risk factors. Summary At present, we suggest that regular interactions between healthcare professionals and patients should include education on COVID-19 and on primary and secondary vascular prevention in order to reduce the burden of disease in our ageing populations.

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Reduced Physical Activity During COVID-19 Pandemic in Children With Congenital Heart Disease

Cited by 105 publications

References 16 publications

Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment

Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment

COVID-19 in the Pediatric Population—Review and Current Evidence

Vascular Events, Vascular Disease and Vascular Risk Factors—Strongly Intertwined with COVID-19

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