Exercise prescription improves exercise tolerance in young children with CHD: a randomised clinical trial
| العنوان: | Exercise prescription improves exercise tolerance in young children with CHD: a randomised clinical trial |
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| المؤلفون: | Christopher Tennyson, Brian A McCrossan, M L Morrison, Brian Craig, Frank A Casey, Pascal P. McKeown, Brian Grant, Andrew J Sands, Sinead Callaghan |
| المصدر: | Open Heart Callaghan, S, Morrison, M L, McKeown, P P, Tennyson, C, Sands, A J, McCrossan, B, Grant, B, Craig, B G & Casey, F A 2021, ' Exercise prescription improves exercise tolerance in young children with CHD: a randomised clinical trial ', Open Heart, vol. 8, no. 1, e001599 . https://doi.org/10.1136/openhrt-2021-001599 Open Heart, Vol 8, Iss 1 (2021) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Heart Defects, Congenital, Male, medicine.medical_specialty, obesity, Heart disease, Cost-Benefit Analysis, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Intervention (counseling), Clinical endpoint, medicine, Diseases of the circulatory (Cardiovascular) system, Humans, 030212 general & internal medicine, Prospective Studies, Child, Life Style, Congenital heart disease, Exercise Tolerance, business.industry, Congenital Heart Disease, congenital, medicine.disease, Obesity, Test (assessment), Exercise Therapy, Clinical trial, cardiac rehabilitation, Prescriptions, RC666-701, Child, Preschool, Physical therapy, Quality of Life, heart defects, Female, Level of care, Exercise prescription, business, Cardiology and Cardiovascular Medicine, Follow-Up Studies |
| الوصف: | ObjectiveThe main objective of this study was to ascertain if a structured intervention programme can improve the biophysical health of young children with congenital heart disease (CHD). The primary end point was an increase in measureable physical activity levels following the intervention.MethodsPatients aged 5–10 years with CHD were identified and invited to participate. Participants completed a baseline biophysical assessment, including a formal exercise stress test and daily activity monitoring using an accelerometer. Following randomisation, the intervention group attended a 1 day education session and received an individual written exercise plan to be continued over the 4-month intervention period. The control group continued with their usual level of care. After 4 months, all participants were reassessed in the same manner as at baseline.ResultsOne hundred and sixty-three participants (mean age 8.4 years) were recruited, 100 of whom were male (61.3%). At baseline, the majority of the children were active with good exercise tolerance. The cyanotic palliated subgroup participants, however, were found to have lower levels of daily activity and significantly limited peak exercise performance compared with the other subgroups. One hundred and fifty-two participants (93.2%) attended for reassessment. Following the intervention, there was a significant improvement in peak exercise capacity in the intervention group. There was also a trend towards increased daily activity levels.ConclusionOverall physical activity levels are well preserved in the majority of young children with CHD. A structured intervention programme significantly increased peak exercise capacity and improved attitudes towards positive lifestyle changes. |
| وصف الملف: | application/pdf |
| تدمد: | 2053-3624 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::958dc084453914ba1dab44105a70361a https://pubmed.ncbi.nlm.nih.gov/33990433 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....958dc084453914ba1dab44105a70361a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20533624 |
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