Physical activity among children with congenital heart defects in Germany : a nationwide survey

peer-reviewed
Erstveröffentlichung
2020-04-30Authors
Siaplaouras, Jannos
Niessner, Claudia
Helm, Paul C.
Jahn, Annika
Flemming, Markus
Wissenschaftlicher Artikel
Published in
Frontiers in Pediatrics ; 8 (2020). - Art.-Nr. 170. - eISSN 2296-2360
Link to original publication
https://dx.doi.org/10.3389/fped.2020.00170Institutions
UKU. Klinik für Kinder- und JugendmedizinExternal cooperations
Deutsches Zentrum für Herz-Kreislauf-ForschungKarlsruher Institut für Technologie
Coaching Competence Cooperation
Johannes Gutenberg-Universität Mainz
Universität zu Köln
Document version
published version (publisher's PDF)Abstract
Objective: In children with congenital heart defects (CHD), a sedentary lifestyle should be avoided and usually WHO recommendations on physical activity (PA) are supposed to be followed. In order to obtain representative data of the actual amount of PA (and potential influencing factors) in children with CHD we performed a nationwide online survey.
Methods: All patients aged 6–17 years registered in the German National Register for CHD were contacted by email and asked to participate in the survey using the comprehensive questionnaire of the “Motorik-Modul” from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), thus allowing the comparison with a representative age-matched subset of 3.385 participants of the KiGGS study. The questionnaire for CHD-patients was amended by specific questions regarding medical care, sports recommendations and PA restrictions.
Results: Complete datasets of 1.198 patients (mean age of 11.6 ± 3.1 years) were available for evaluation. Compared to the reference group, CHD patients significantly less frequently reached the WHO recommended level of 60 min of daily PA (8.8 vs. 12%; p < 0.001). Enjoyment in sports was almost equally distributed across CHD and reference groups, and strongly correlated with the level of PA (r = 0.41; p < 0.001). Remarkably, 49.2% of children with complex CHD, 31.7% with moderate, and even 13.1% with simple CHD were advised by their physician to restrict PA.
Conclusions: According to this nationwide survey, PA is markedly reduced in children with CHD. An important reason for this might be an unexpected high rate of physician-recommended restrictions on levels of PA.
Project uulm
Sport bei angeborenen Herzfehlern (S-BAHn) / Fördergemeinschaft Deutsche Kinderherzzentren / W-B-016/2016
Kompetenznetz Angeborene Herzfehler / BMBF / 01GI0601
Kompetenznetz Angeborene Herzfehler / BMBF / 01GI0601
Subject headings
[GND]: Herzfehler | Angeborene Krankheit | Kind | Körperliche Aktivität[MeSH]: Heart defects, Congenital | Child | Exercise | Surveys and questionnaires
[Free subject headings]: congenital heart defect (CHD) | physical activities and sports | pediatric cardiology | exercise limitation
[DDC subject group]: DDC 610 / Medicine & health
Metadata
Show full item recordDOI & citation
Please use this identifier to cite or link to this item: http://dx.doi.org/10.18725/OPARU-42878
Siaplaouras, Jannos et al. (2022): Physical activity among children with congenital heart defects in Germany : a nationwide survey. Open Access Repositorium der Universität Ulm und Technischen Hochschule Ulm. http://dx.doi.org/10.18725/OPARU-42878
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