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The impact of physical activity modification on the well-being of a cohort of children with an inherited arrhythmia or cardiomyopathy

Published online by Cambridge University Press:  14 April 2020

Susan Christian Open the ORCID record for Susan Christian [Opens in a new window] ,
Martin Somerville ,
Sherry Taylor ,
John C. Spence ,
Michael Giuffre  and
Joseph Atallah
Susan Christian*
Affiliation:
Department of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada
Martin Somerville
Affiliation:
Department of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada
Sherry Taylor
Affiliation:
Department of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada
John C. Spence
Affiliation:
Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
Michael Giuffre
Affiliation:
Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
Joseph Atallah
Affiliation:
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
*
Author for correspondence: Susan Christian, MSc PhD CGC, 826 Medical Sciences Building, University of Alberta, Edmonton, AlbertaT6G 2H7, Canada. Tel: +1 780 407 1015; Fax: +1 780 407 1761. E-mail: [email protected]
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Abstract

Background:

We evaluated a cohort of 35 children diagnosed with long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, hypertrophic cardiomyopathy, or arrhythmogenic right ventricular cardiomyopathy with regard to physical and psychosocial well-being.

Material and Methods:

Patients wore an accelerometer to record their time involved in moderate- to vigorous-intensity physical activity and completed the Pediatric Quality of Life Inventory and the Pediatric Cardiac Quality of Life Inventory. Parents were also asked to describe if their child had changed their physical activity because of their diagnosis and how difficult and upsetting it was for the child to adapt to the physical activity recommendations.

Results:

Patients were involved in less moderate- to vigorous-intensity physical activity per day (35 min/day versus 55 min/day) and had lower Pediatric Quality of Life Inventory total health scores (79 versus 84) compared to normative data. Overall, 51% of the cohort modified their physical activity in some way because of their diagnosis and changing physical activity was associated with lower Pediatric Quality of Life Inventory and Pediatric Cardiac Quality of Life Inventory scores.

Conclusion:

Our cohort was involved in less moderate- to vigorous-intensity physical activity and had lower Pediatric Quality of Life Inventory total health scores compared to normative paediatric data. Modifying one’s physical activity was associated with worse health-related quality of life scores, highlighting a vulnerable sub-group of children. These findings are useful for families and healthcare professionals caring for children who are adjusting to a new cardiac diagnosis of an inherited arrhythmia or cardiomyopathy.

Keywords

Long QT syndromecatecholaminergic polymorphic ventricular tachycardiahypertrophic cardiomyopathy or arrhythmogenic right ventricular cardiomyopathyphysical activityquality of life
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 5 , May 2020 , pp. 692 - 697
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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