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Patient reported outcomes are associated with physical activity level in adults with congenital heart disease.
Umeå University, Department of Public Health and Clinical Medicine, Umeå University, Sweden; Department of Nursing, Sweden.
Gothenburg University, Institute of Medicine, The Sahlgrenska Academy, Sweden..
Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Gothenburg, Centre for Person-Centred Care (GPCC), Sweden.ORCID-id: 0000-0002-4181-695x
Umeå University, Department of Public Health and Clinical Medicine, Sweden.
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2017 (Engelska)Ingår i: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 243, s. 174-179Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: In general, adults with congenital heart disease (CHD) have impaired exercise capacity, and approximately 50% do not reach current recommendations on physical activity. Herein we analysed factors associated with physical activity level (PAL) in adults with CHD by using patient-reported outcomes (PRO).

METHODS: Patients with CHD (n=471) were randomly selected from the national register on CHD and categorized according to complexity of lesions - simple (n=172, 39.1±14.6years), moderate (n=212, 39±14.1years), and severe (n=87, 31.7±10.7years). Participants completed a standardized questionnaire measuring PRO-domains including PAL. Variables associated with PAL were tested in multivariate logistic regression.

RESULTS: PAL was categorized into high (≥3 METs ≥2.5h/week, n=192) and low (≥3 METs <2.5h/week, n=279). Patients with low PAL were older (42.6 vs. 35.8years, p≤0.001), had more prescribed medications (51% vs. 39%, p=0.009), more symptoms (25% vs. 16%, p=0.02) and comorbidity (45% vs. 34% p=0.02). Patients with low PAL rated a lower quality of life (76.6 vs. 83.4, p<0.001), satisfaction with life (25.6 vs. 27.3, p=0.003), a lower Physical Component Summary score (PCS) (78.1 vs. 90.5, p<0.001) and Mental Component Summary score (MCS) (73.5 vs. 79.5, p<0.001). Complexity of heart lesion was not associated with PAL. The included PROs - separately tested in the model, together with age were associated with PAL.

CONCLUSIONS: PCS and MCS are stronger associated with PAL than age and medical factors. The use of these PROs could therefore provide valuable information of benefit for individualized advice regarding physical activity to patients with CHD.

Ort, förlag, år, upplaga, sidor
2017. Vol. 243, s. 174-179
Nyckelord [en]
Adult congenital heart disease, Adults, Congenital, Heart defect, Multicentre study, Physical activity
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:hv:diva-11384DOI: 10.1016/j.ijcard.2017.03.137ISI: 000406038100034PubMedID: 28747022Scopus ID: 2-s2.0-85025087939OAI: oai:DiVA.org:hv-11384DiVA, id: diva2:1135966
Forskningsfinansiär
Hjärt-Lungfonden, 20150579, 20130607
Anmärkning

Fundrs:  KU Leuven (Belgium), OT/11/033; Cardiac Children's Foundation Taiwan, CCF2013_02; Hjärt- och Lungsjukas Riksförbund,  E143-15; University of Gothenburg Centre for Person-centred Care; Heart Foundation of Northern Sweden,

Tillgänglig från: 2017-08-24 Skapad: 2017-08-24 Senast uppdaterad: 2019-02-18Bibliografiskt granskad

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