Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-17T01:18:28.619Z Has data issue: false hasContentIssue false
  • English
  • Français

Effect of physical training in children and adolescents with congenital heart disease

Published online by Cambridge University Press:  19 August 2008

Per Morten Fredriksen ,
N. Kahrs ,
S. Blaasvaer ,
E. Sigurdsen ,
O. Gundersen ,
O. Roeksund ,
G. Norgaand ,
J.T. Vik ,
O. Soerbye  and
F. Ingjer
...Show all authors
Per Morten Fredriksen*
Affiliation:
Pediatric Heart Section, The National Hospital, University of OsloOslo, Norway
N. Kahrs
Affiliation:
Department of Sport and Social Science, Norwegian University of Sport and Physical EducationOslo, Norway
S. Blaasvaer
Affiliation:
Beitostølen Healthsports Centre, Oslo, Norway
E. Sigurdsen
Affiliation:
Valnesfjord Rehabilitation Hospital, FauskeOslo, Norway
O. Gundersen
Affiliation:
Valnesfjord Rehabilitation Hospital, FauskeOslo, Norway
G. Norgaand
Affiliation:
Department of Pediatrics, Haukeland Hospital, Bergen, Oslo, Norway
J.T. Vik
Affiliation:
Dep. of Physical Medicine and Rehabilitation, University Hospital of Trondheim, Oslo, Norway
O. Soerbye
Affiliation:
Region Center for Education and Research, Center for Child and Adolescent Psychiatry, University of Oslo, Oslo, Norway
F. Ingjer
Affiliation:
Laboratory of Physiology, Norwegian University of Sport and Physical Education, Oslo, Norway
E. Thaulow
Affiliation:
Pediatric Heart Section, The National Hospital, University of OsloOslo, Norway
*
Per Morten Fredriksen, Pediatric Heart Section, The National Hospital Pilestreder 32, 0027 Oslo, Norway, Tel +47 22 86 90 92, Fax +47 22 86 91 01. E-mail [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In order to test the effect of systematic supervised physical training, we divided a total of 129 children and adolescents with congenital heart disease into a group undergoing intervention and a control group. All patients underwent exercise tests, measurements of physical activity, and a survey of psychosocial factors. An improvement in uptake of peak level of oxygen was observed after intervention. There was also an improvement in physical activity in both groups measured by a monitor, although this was significant only in those with intervention. The psychosocial scales measured by the Child Behavior Checklist showed a decrease in internalizing scores for those subjected to intervention. This was decreased due to decreased withdrawal and somatic complaints. In conclusion, we recommend systematic supervised training, including testing of routine follow-ups, in patients with congenital heart disease.

Keywords

Childrenadolescentsphysical exerciseactivity levelpsychosocial behavior
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 2 , March 2000 , pp. 107 - 114
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Bar-Or, O, Terjung, RL, editors. Ex Sport Sci Rev. New York. Physical conditioning in children with cardiorespiratory disease. 1985. 305–333.Google Scholar
2.Andren-Sandberg, A. Sports training of children and adoles cents; growth and maturation more important than training as determinant of endurance in the young. Lakartidningen 1998; 95: 4480–4487.Google Scholar
3.Rowland, TW. Oxygen uptake and endurance fitness in children: A developmental perspective. Ped Ex Sci 1989; 1: 313–328.Google ScholarPubMed
4.Vaccaro, P, Mahon, A. Cardiorespiratory responses to endurance training in children. Sports Med. 1987; 4: 352–363.CrossRefGoogle ScholarPubMed
5.Barber, G. Blimkie, CJR, Bar-Or, O, editors. New Horiz Fed Ex Sci. 1 ed. Human Kinetics, Champaign. Training and the pedi atric patient: A cardiologist's perspective. 1995; 137–146.Google Scholar
6.Achenbach, T.M. Integrative Guide for the 1991 CBCL/4–18, YSR and TRF-profiles. Department of psychiatry. University of Vermont. 1991.Google Scholar
7.Fredriksen, PM, Ingjer, F, Nystad, W, Thaulow, E. Aerobic testing of children and adolescents – a comparison of two treadmill-protocols. Scand J Med Sci Sports 1998; 8: 203–207.CrossRefGoogle ScholarPubMed
8.Fredriksen, PM, Ingjer, F, Thaulow, E. Physical activity in children and adolescents with congenital heartdisease. Aspects of measurements with an activity monitor. Cardiology in the Young. 1999; (accepted)CrossRefGoogle Scholar
9.Krahenbuhl, GS, Skinner, JS, Kohrt, WM. Developmental aspects of maximal aerobic power in children. Ex Sport Sci Rev. 1985; 13: 503–538.Google ScholarPubMed
10.Rowland, TW“Normalizing” maximal oxygen uptake, or the search for the Holy Grail (per kg). Fed Ex Sci 1991; 3: 95–102.Google Scholar
11.Rogers, DM, Turley, KR, Kujawa, KI, Harper, KM, Wilmore, JH. Allometric scaling factors for oxygen uptake during exercise in children. Fed Ex Sci 1995; 7: 12–25.Google Scholar
12.Leger, L, Mercier, D. Gross energy cost of horizontal treadmill and track running. Sports Med. 1984; 1: 270–277.CrossRefGoogle ScholarPubMed
13.Tryon, WW, Williams, R. Fully proportional actigraphy: A new instrument. Behavior Reseach Methods, Instruments & Computers. 1996; 28: 392–403.Google Scholar
14.Shephard, RJ, Balady, GJ. Exercise as Cardiovascular Therapy. Circulation 1999; 99: 963–972.Google Scholar
15.Thomas, JR, Nelson, JK. Gilly, H, editors. Research Methods in Physical Activity. 2 ed. Human Kinetics, Champaign. Differences among groups. 1990, 7, 129–162.Google Scholar
16.Goldberg, B, Fripp, RR, Lister, G, Luke, J, Nicholas, JA, Talner, NS. Effect of physical training on exercise performance of children following surgical repair of congenital heart disease. Pediatrics. 1981; 68: 691–699.CrossRefGoogle ScholarPubMed
17.Driscoll, DJ. Exercise rehabilitation programs for children with congenital heart disease: A note of caution. Fed Ex Sci 1990; 2: 191–196.Google Scholar
18.Ruttenberg, HD, Adams, TD, Orsmond, GS, Conlee, RK, Fisher, AG. Effects of exercise training on aerobic fitness in children after open heart surgery. Pediatr Cardiol 1983; 4: 19–24.CrossRefGoogle ScholarPubMed
19.Sklansky, MS, Pivarnik, JM, Smith, EO, Morris, J, Bricker, JT. Exercise training hemodynamics and the prevalence of arrhythmias in children following tetralogy of Fallot repair. Ped Ex Sci 1994; 6: 188–200.Google Scholar
20.Fredriksen, FM, Ingjer, F, Nysrad, W, and Thaulow, E. A comparison of VO2peak between patients with CHD and healthy subjects, all aged 8–17 years. Eur J Appl Physiol 1999; (accepted)CrossRefGoogle ScholarPubMed