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Objectively assessed physical activity and sedentary behaviour does not differ between children and adolescents with and without a congenital heart defect: a pilot examination

Published online by Cambridge University Press:  23 June 2011

Lauren A. Ewalt ,
Michael J. Danduran ,
Scott J. Strath ,
Victoria Moerchen  and
Ann M. Swartz
Lauren A. Ewalt
Affiliation:
Physical Activity and Health Research Laboratory, Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America
Michael J. Danduran
Affiliation:
Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, United States of America
Scott J. Strath
Affiliation:
Physical Activity and Health Research Laboratory, Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America
Victoria Moerchen
Affiliation:
Pediatric Neuromotor Laboratory, Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America
Ann M. Swartz*
Affiliation:
Physical Activity and Health Research Laboratory, Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America
*
Correspondence to: Dr A. M. Swartz, PhD, Department of Human Movement Sciences, University of Wisconsin-Milwaukee, Enderis Hall Room 453, P.O. Box 413, Milwaukee, Wisconsin 53201-0413, United States of America. Tel: +1 414 229 4242; Fax: +1 414 229 2619; E-mail: [email protected]
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Abstract

Objectives

To objectively evaluate and describe physical activity levels in children with a stable congenital heart defect and compare those levels with children who do not have a congenital heart defect.

Methods

We matched 21 pairs of children for gender and grade in school and gave them an accelerometer-based motion sensor to wear for 7 consecutive days.

Results

Physical activity levels did not differ between children with and without a congenital heart defect. During the 7 days of monitoring, children in this study spent most of their time in sedentary behaviours, that is, 6.7 hours of the 13 monitored hours, 54 minutes in moderate-intensity physical activity, and 12 minutes in vigorous-intensity physical activity. Less than one-fifth of all participants, with or without a congenital heart defect, accumulated sufficient physical activity to meet current physical activity recommendations for children and adolescents.

Conclusion

Children with a stable congenital heart defect have activity behaviours that are similar to children without a congenital heart defect. Habitual physical activity in children with a congenital heart defect should be encouraged early on in life to develop strong physical activity habits that will hopefully follow them across their lifespan.

Keywords

Schoolchildrenaccelerometer-based motion sensorhealthy controlsexercise
Type
Original Articles
Information
Cardiology in the Young , Volume 22 , Issue 1 , February 2012 , pp. 34 - 41
Copyright
Copyright © Cambridge University Press 2011

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References

1. Kavey, RE, Allada, V, Daniels, SR, et al. Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association Expert Panel on Population and Prevention Science; the Councils on Cardiovascular Disease in the Young, Epidemiology and Prevention, Nutrition, Physical Activity and Metabolism, High Blood Pressure Research, Cardiovascular Nursing, and the Kidney in Heart Disease; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics. Circulation 2006; 114: 2710–2738.CrossRefGoogle Scholar
2. Karsdorp, PA, Everaerd, W, Kindt, M, Mulder, BJ. Psychological and cognitive functioning in children and adolescents with congenital heart disease: a meta-analysis. J Pediatr Psychol 2007; 32: 527–541.CrossRefGoogle ScholarPubMed
3. Douard, H, Labbe, L, Barat, JL, Broustet, JP, Baudet, E, Choussat, A. Cardiorespiratory response to exercise after venous switch operation for transposition of the great arteries. Chest 1997; 111: 23–29.Google Scholar
4. Fredriksen, PM, Ingjer, F, Nystad, W, Thaulow, E. A comparison of VO2(peak) between patients with congenital heart disease and healthy subjects, all aged 8–17 years. Eur J Appl Physiol Occup Physiol 1999; 80: 409–416.CrossRefGoogle ScholarPubMed
5. Massin, MM, Hovels-Gurich, H, Seghaye, MC. Atherosclerosis lifestyle risk factors in children with congenital heart disease. Eur J Cardiovasc Prev Rehabil 2007; 14: 349–351.Google Scholar
6. Stefan, MA, Hopman, WM, Smythe, JF. Effect of activity restriction owing to heart disease on obesity. Arch Pediatr Adolesc Med 2005; 159: 477–481.CrossRefGoogle ScholarPubMed
7. Rhodes, J, Curran, TJ, Camil, L, et al. Impact of cardiac rehabilitation on the exercise function of children with serious congenital heart disease. Pediatrics 2005; 116: 1339–1345.CrossRefGoogle ScholarPubMed
8. Fraser, GE, Phillips, RL, Harris, R. Physical fitness and blood pressure in school children. Circulation 1983; 67: 405–412.CrossRefGoogle ScholarPubMed
9. Kirkcaldy, BD, Shephard, RJ, Siefen, RG. The relationship between physical activity and self-image and problem behaviour among adolescents. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 544–550.Google Scholar
10. Parfitt, G, Eston, RG. The relationship between children's habitual activity level and psychological well-being. Acta Paediatr 2005; 94: 1791–1797.CrossRefGoogle ScholarPubMed
11. Janssen, I. Physical activity guidelines for children and youth. Can J Public Health 2007; 98 (Suppl 2): S109–S121.Google ScholarPubMed
12. National Association for Sport and Physical Education. Physical activity for children: a statement of guidelines for children ages 5–12. American Alliance for Health, Physical Education, Recreation and Dance, Sewickley, PA, 2004.Google Scholar
13. Welk, G, Corbin, C, Dale, D. Measurement issues in the assessment of physical activity in children. Res Q Exerc Sport 2000; 71 (Suppl 2): S59–S73.Google Scholar
14. Trost, SG, Ward, DS, Moorehead, SM, Watson, PD, Riner, W, Burke, JR. Validity of the computer science and applications (CSA) activity monitor in children. Med Sci Sports Exerc 1998; 30: 629–633.CrossRefGoogle Scholar
15. Matthews, C, Chen, K, Freedson, P, et al. Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008; 167: 875–881.Google Scholar
16. Janz, K. Validation of the CSA accelerometer for assessing children's physical activity. Med Sci Sports Exerc 1994; 26: 369–375.CrossRefGoogle ScholarPubMed
17. Puyau, MR, Adolph, AL, Vohra, FA, Butte, NF. Validation and calibration of physical activity monitors in children. Obes Res 2002; 10: 150–157.Google Scholar
18. Trost, S, McIver, K, Pate, R. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc 2005; 37: S531–S543.CrossRefGoogle ScholarPubMed
19. Wickel, EE, Eisenmann, JC. Contribution of youth sport to total daily physical activity among 6- to 12-yr-old boys. Med Sci Sports Exerc 2007; 39: 1493–1500.CrossRefGoogle ScholarPubMed
20. Masse, LC, Fuemmeler, BF, Anderson, CB, et al. Accelerometer data reduction: a comparison of four reduction algorithms on select outcome variables. Med Sci Sports Exerc 2005; 37: S544–S554.CrossRefGoogle ScholarPubMed
21. Trost, SG, Pate, RR, Sallis, JF, et al. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc 2002; 34: 350–355.CrossRefGoogle ScholarPubMed
22. Freedson, P, Pober, D, Janz, KF. Calibration of accelerometer output for children. Med Sci Sports Exerc 2005; 37 (Suppl 11): S523–S530.Google Scholar
23. Cohen, J. Statistical power analysis for the behavioral sciences. Lawrence Earlbaum Associates, Hillsdale, NJ, 1988.Google Scholar
24. Cohen, J. A power primer. Psychol Bull 1992; 112: 155–159.CrossRefGoogle ScholarPubMed
25. Saris, WH. Habitual physical activity in children: methodology and findings in health and disease. Med Sci Sports Exerc 1986; 18: 253–263.CrossRefGoogle ScholarPubMed
26. Katzmarzyk, PT, Malina, RM, Bouchard, C. Physical activity, physical fitness, and coronary heart disease risk factors in youth: the Quebec Family Study. Prev Med 1999; 29: 555–562.CrossRefGoogle ScholarPubMed
27. Lunt, D, Briffa, T, Briffa, NK, Ramsay, J. Physical activity levels of adolescents with congenital heart disease. Aust J Physiother 2003; 49: 43–50.CrossRefGoogle ScholarPubMed
28. Fredriksen, PM, Ingjer, E, Thaulow, E. Physical activity in children and adolescents with congenital heart disease. Aspects of measurements with an activity monitor. Cardiol Young 2000; 10: 98–106.Google Scholar
29. McCrindle, BW, Williams, RV, Mital, S, et al. Physical activity levels in children and adolescents are reduced after the Fontan procedure, independent of exercise capacity, and are associated with lower perceived general health. Arch Dis Child 2007; 92: 509–514.CrossRefGoogle ScholarPubMed
30. Pate, RR, Freedson, PS, Sallis, JF, et al. Compliance with physical activity guidelines: prevalence in a population of children and youth. Ann Epidemiol 2002; 12: 303–308.CrossRefGoogle Scholar
31. Baquet, G, Stratton, G, Van Praagh, E, Berthoin, S. Improving physical activity assessment in prepubertal children with high-frequency accelerometry monitoring: a methodological issue. Prev Med 2007; 44: 143–147.Google Scholar
32. Treuth, MS, Schmitz, K, Catellier, DJ, et al. Defining accelerometer thresholds for activity intensities in adolescent girls. Med Sci Sports Exerc 2004; 36: 1259–1266.Google ScholarPubMed
33. Eaton, DK, Kann, L, Kinchen, S, et al. Youth risk behavior surveillance – United States, 2005. J Sch Health 2006; 76: 353–372.Google Scholar
34. U.S. Department of Health and Human Services: Office of Disease Prevention and Health promotion. Healthy People 2010 2000; 15: 3.Google Scholar