دورية أكاديمية
أعرض في EDS

Decreased Muscle Strength in Children With Repaired Tetralogy of Fallot: Relation With Exercise Capacity.

التفاصيل البيبلوغرافية
العنوان: Decreased Muscle Strength in Children With Repaired Tetralogy of Fallot: Relation With Exercise Capacity.
المؤلفون: Eshuis G; Department of Pediatric Cardiology University of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Center for Congenital Heart Disease Groningen The Netherlands., van Duinen H; Department of Biomedical Sciences of Cells & Systems, Section of Anatomy & Medical Physiology University of Groningen, University Medical Center Groningen Groningen The Netherlands., Lelieveld OTHM; Department of Rehabilitation University of Groningen, University Medical Center Groningen Groningen The Netherlands., Hegeman AK; Department of Rehabilitation University of Groningen, University Medical Center Groningen Groningen The Netherlands., Nijenhuis H; Department of Pediatric Cardiology University of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Center for Congenital Heart Disease Groningen The Netherlands., Willems TP; Department of Radiology University of Groningen, University Medical Center Groningen Groningen The Netherlands., Hepping AM; Roessingh Center for Rehabilitation Enschede The Netherlands.; Department of Orthopedics University of Groningen, University Medical Center Groningen Groningen The Netherlands., Maurits N; Department of Neurology University of Groningen, University Medical Center Groningen Groningen The Netherlands., du Marchie Sarvaas GJ; Department of Pediatric Cardiology University of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Center for Congenital Heart Disease Groningen The Netherlands., Berger RMF; Department of Pediatric Cardiology University of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Center for Congenital Heart Disease Groningen The Netherlands.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2023 Jun 06; Vol. 12 (11), pp. e027937. Date of Electronic Publication: 2023 May 23.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Tetralogy of Fallot*/surgery, Humans ; Child ; Female ; Adolescent ; Young Adult ; Adult ; Male ; Exercise Tolerance/physiology ; Prospective Studies ; Hand Strength ; Cross-Sectional Studies ; Exercise Test/methods ; Oxygen
مستخلص: Background The aim of this study is to describe muscle strength in pediatric patients with repaired tetralogy of Fallot compared with healthy peers and to analyze the correlation between muscle strength and peak oxygen uptake, exercise capacity (mL/min). Methods and Results A prospective, cross-sectional study was carried out in the University Medical Center Groningen between March 2016 and December 2019, which included 8 -to-19-year-old patients with repaired tetralogy of Fallot. Exclusion criteria comprised the following: Down syndrome, unstable pulmonary disease and severe scoliosis affecting pulmonary function, neuromuscular disease, and mental or physical limitations that prohibit the execution of the functional tests. Muscle strength was compared with 2 healthy pediatric cohorts from the Northern Netherlands. Handgrip strength, maximal voluntary isometric contraction, and dynamic muscle strength in correlation with peak oxygen uptake, exercise capacity (mL/min) were the main outcomes of the study. The 67 patients with repaired tetralogy of Fallot (42% female; aged 12.9 [interquartile range, 10.0-16.3] years old) were compared with healthy children. The patients showed reduced grip strength ( z -score [mean±SD] -1.5±1.2, P <0.001), and total muscle strength ( z -score -0.9±1.3, P <0.001). Dynamic strength (Bruininks-Oseretsky test) was significantly reduced ( z -score -0.3±0.8, P =0.001), but running, speed, and agility were normal ( z -score 0.1±0.7, P =0.4). Univariate correlation analyses showed strong correlations between absolute peak oxygen uptake, exercise capacity (mL/min), and muscle strength (grip strength r =0.83, total muscle strength r =0.88; P <0.001). In multivariate analyses, including correction for age and sex, total muscle strength (B 0.3; P =0.009), and forced vital capacity (B 0.5; P =0.02) correlated with peak oxygen uptake, exercise capacity (mL/min), independent of conventional cardiovascular parameters. Conclusions Children with repaired tetralogy of Fallot show reduced muscle strength, which strongly correlated with their exercise performance.
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فهرسة مساهمة: Keywords: handgrip; handheld dynamometry; muscle strength; peak VO2; tetralogy of Fallot
المشرفين على المادة: S88TT14065 (Oxygen)
تواريخ الأحداث: Date Created: 20230523 Date Completed: 20230607 Latest Revision: 20230801
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10381998
DOI: 10.1161/JAHA.122.027937
PMID: 37218581
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.122.027937