Abstract
OBJECTIVE: To depict objectively measured moderate-to-vigorous physical activity (MVPA), motor performance (MP), cardiorespiratory fitness (CRF), organized sports participation, parental perceptions of vulnerability and parenting style in children with a Critical Congenital Heart Disease (CCHD), and to explore whether these factors are associated with MVPA.
STUDY DESIGN: A prospective observational cohort study in 62 7-10 years old children with a CCHD.
RESULTS: On average, children with CCHD spent 64 min on MVPA per day (accelerometry), 61 % met the international WHO physical activity guideline. Only 12 % had >60 min of MVPA daily. Eighteen percent had a motor delay (movement-assessment-battery-for children-II) and 38 % showed a below average CRF (cardiopulmonary exercise test using the Godfrey ramp protocol). Seventy-seven percent participated in organized sports activities at least once a week. Twenty-one percent of the parents are classified as overprotective (parent protection scale) and 7.3 % consider their child as being vulnerable (child vulnerability scale). A significant positive association was found between MVPA and MP (rs = 0.359), CRF(V̇O 2peak/ml/kg: rs = 0.472 and W peak/kg: rs = 0.396) and sports participation (rs = 0.286). Children who were perceived as vulnerable by their parents showed a significantly lower MVPA (rs = -0.302). No significant associations were found between mean MVPA and parental overprotection.
CONCLUSION: Even though the majority of school aged children with a CCHD is sufficiently active, counseling parents regarding the importance of sufficient MVPA and sports participation, especially in parents who consider their child being vulnerable, could be useful. Since motor delays can be detected at an early age, motor development could be an important target to improve exercise capacity and sports participation to prevent inactivity in children with a CCHD.
| Original language | English |
|---|---|
| Article number | 105870 |
| Pages (from-to) | 1-10 |
| Number of pages | 10 |
| Journal | Early Human Development |
| Volume | 186 |
| Early online date | 29 Sept 2023 |
| DOIs | |
| Publication status | Published - Nov 2023 |
Bibliographical note
Publisher Copyright:© 2023 Elsevier B.V.
Funding
Data are available from the corresponding author: The authors would like to thank the patients and their parents who participated in the study and all those involved in the Hart op Weg outpatient clinic and the Congenital Heart Disease Life Span research group. The study was made possible through financial support from the Hartekind foundation and the Stichting Vrienden van het Wilhelmina Kinderziekenhuis . The funding sources were not involved in the conduct of the research or preparation of the article. Data are available from the corresponding author: The authors would like to thank the patients and their parents who participated in the study and all those involved in the Hart op Weg outpatient clinic and the Congenital Heart Disease Life Span research group. The study was made possible through financial support from the Hartekind foundation and the Stichting Vrienden van het Wilhelmina Kinderziekenhuis. The funding sources were not involved in the conduct of the research or preparation of the article.We would like to thank the patients and their parents who participated in the study and all those involved in the Hart op Weg outpatient clinic and the Congenital Heart Disease Life Span research group. Furthermore, we would like to thank Z Fejzic MD and K. ten Dam MD for their help in collecting the CRF data. The study was made possible through financial support from the Hartekind foundation and the Stichting Vrienden van het Wilhelmina Kinderziekenhuis. The funding sources were not involved in the conduct of the research or preparation of the article. The authors have no financial relationships relevant to this article to disclose. This study was not subject to the Medical Research Involving Human Subjects Act (WMO) according to the Ethics Committee of University of Utrecht (reference number 13/442; 5 September 2013). Informed consent was obtained from all subjects involved in the study. Signed parental informed consent was obtained for participation in our registry. We would like to thank the patients and their parents who participated in the study and all those involved in the Hart op Weg outpatient clinic and the Congenital Heart Disease Life Span research group. Furthermore, we would like to thank Z Fejzic MD and K. ten Dam MD for their help in collecting the CRF data. The study was made possible through financial support from the Hartekind foundation and the Stichting Vrienden van het Wilhelmina Kinderziekenhuis . The funding sources were not involved in the conduct of the research or preparation of the article.
| Funders | Funder number |
|---|---|
| Hartekind foundation | |
| Stichting Vrienden van het Wilhelmina Kinderziekenhuis | |
| Universiteit Utrecht | 13/442 |
Keywords
- Cardiorespiratory fitness
- Critical congenital heart defect
- Motor performance
- Overprotection
- Parental perceptions of child vulnerability
- Physical activity
- Sports participation