Geographical variation and predictors of physical activity level in adults with congenital heart diseasePeter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, OR, United States.
University of Leuven, School Psychology and Development in Context, KU Leuven, Leuven, Belgium.
University of Bern, Center for Congenital Heart Disease, Inselspital — Bern University Hospital, Bern, Switzerland.
Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; University of Leuven, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan.
Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands.
Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States.
Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada.
Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, United States.
Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden;Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; nstitute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden.
University of Alberta, Northern Alberta Adult Congenital Heart Clinic, Edmonton, Canada.
Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia.
Department of Cardiology, Mater Dei Hospital, Msida, MSD 2090, Malta.
The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
Adult Congenital Heart Disease Program at Stanford, Lucile Packard Children's Hospital, Stanford Health Care, Stanford School of Medicine, Palo Alto, CA, United States.
University of Missouri, Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center, Saint Louis, MO, United States.
Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy.
University of Nebraska Medical Center, Division of Pediatric Cardiology, Children's Hospital & Medical Center, Omaha, NE, United States.
University of Leuven, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden; Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
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2019 (English)In: International Journal of Cardiology : Heart & Vasculature, E-ISSN 2352-9067, Vol. 22, p. 20-25Article in journal (Refereed) Published
Abstract [en]
Physical activity is important to maintain and promote health. This is of particular interest in patients with congenital heart disease(CHD) where acquired heart disease should be prevented. The World Health Organization (WHO) recommends a minimum of 2.5 h/week of physical activity exceeding 3 metabolic equivalents (METS) to achieve positive health effects. It is unknown whether physical activity levels (PAL) in adult CHD patients differ by country of origin.
Methods
3896 adults with CHD recruited from 15 countries over 5 continents completed self-reported instruments, including the Health Behaviour Scale (HBS-CHD), within the APPROACH-IS project. For each patient, we calculated whether WHO recommendations were achieved or not. Associated factors were investigated using Generalized Linear Mixed Models.
Results
On average, 31% reached the WHO recommendations but with a great variation between geographical areas (India: 10%–Norway: 53%). Predictors for physical activity level in line with the WHO recommendations, with country of residence as random effect, were male sex (OR 1.78, 95%CI 1.52–2.08), NYHA-class I (OR 3.10, 95%CI 1.71–5.62) and less complex disease (OR 1.46, 95%CI 1.16–1.83). In contrast, older age (OR 0.97, 95%CI 0.96–0.98), lower educational level (OR 0.41, 95%CI 0.26–0.64) and being unemployed (OR 0.57, 95%CI 0.42–0.77) were negatively associated with reaching WHO recommendations.
Conclusions
A significant proportion of patients with CHD did not reach the WHO physical activity recommendations. There was a large variation in physical activity level by country of origin. Based on identified predictors, vulnerable patients may be identified and offered specific behavioral interventions.
Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 22, p. 20-25
Keywords [en]
Adult congenital heart disease, Physical activity level, Patient-reported outcome, Health-behaviour scale, Physical activity recommendation, Metabolic equivalent
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-13176DOI: 10.1016/j.ijcha.2018.11.004ISI: 000462184100005PubMedID: 30511012Scopus ID: 2-s2.0-85056806669OAI: oai:DiVA.org:hv-13176DiVA, id: diva2:1267584
Funder
Swedish Heart Lung Foundation, 20130607
Note
Funding: Research Fund-KU Leuven, Leuven, Belgium (OT/11/033), Cardiac Children's Foundation, Taiwan (CCF2013_02).
2018-12-032018-12-032020-02-04Bibliographically approved