RT Journal Article
SR Electronic
T1 Exercise prescription improves exercise tolerance in young children with CHD: a randomised clinical trial
JF Open Heart
JO Open Heart
FD British Cardiovascular Society
SP e001599
DO 10.1136/openhrt-2021-001599
VO 8
IS 1
A1 Sinead Callaghan
A1 Margaret Louise Morrison
A1 Pascal P McKeown
A1 Christopher Tennyson
A1 Andrew J Sands
A1 Brian McCrossan
A1 Brian Grant
A1 Brian G Craig
A1 Frank A Casey
YR 2021
UL http://openheart.bmj.com/content/8/1/e001599.abstract
AB Objective The 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.Methods Patients 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.Results One 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.Conclusion Overall 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.De-identified participant data in form of Excel and SPSS data sheets are available from the research team on reasonable request. This is available from the first author Dr Sinead Callaghan (scallaghan@doctors.org.uk).