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Determinants of physical activity in young adults with tetralogy of Fallot

Published online by Cambridge University Press:  20 November 2012

Roselien Buys ,
Werner Budts ,
Christophe Delecluse  and
Luc Vanhees
Roselien Buys*
Affiliation:
Department of Rehabilitation Sciences, Research Center for Cardiovascular and Respiratory Rehabilitation, University of Leuven, Tervuursevest, Leuven, Belgium
Werner Budts
Affiliation:
Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium
Christophe Delecluse
Affiliation:
Department of Biomedical Kinesiology, Research Centre for Exercise and Health, University of Leuven, Leuven, Belgium
Luc Vanhees
Affiliation:
Department of Rehabilitation Sciences, Research Center for Cardiovascular and Respiratory Rehabilitation, University of Leuven, Tervuursevest, Leuven, Belgium
*
Correspondence to: R. Buys, PhD, Department of Rehabilitation Sciences, Research Center for Cardiovascular and Respiratory Rehabilitation, University of Leuven, Tervuursevest 101 – bus 1501, B-3001 Heverlee, Belgium. Tel:+32 486388176; Fax: +32 16 329197; E-mail: [email protected]
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Abstract

Background

Although sports participation is allowed to most adult patients with corrected tetralogy of Fallot, a reduced exercise tolerance and reduced perceived physical functioning is often present in these patients. We aimed to investigate daily physical activity in adults with tetralogy of Fallot and to investigate the underlying determinants of physical activity in daily life.

Methods

We studied 73 patients with tetralogy of Fallot (53 male; mean age 27.3 ± 7.9 years) who underwent echocardiography and cardiopulmonary exercise testing, and who completed questionnaires about physical activity and perceived health status. All variables were compared with data from a general population. Relationships were studied by Pearson or Spearman correlation coefficients with correction for multiple testing.

Results

Patients were significantly less active compared with the general population (p > 0.05), 55% of all patients were sedentary, 27% had an active or moderately active lifestyle, and 18% of the group had a vigorously active lifestyle. Peak oxygen uptake (71 ± 16%; p < 0.0001) was significantly reduced and related to reduced physical activity levels (r = 0.229; p = 0.017) and perceived physical functioning (r = 0.361; p = 0.002).

Conclusions

Adult patients with tetralogy of Fallot have a sedentary lifestyle and are less active than the general population. Inactivity significantly contributes to reduced exercise capacity, in addition to the impairment based on the cardiac condition. Moreover, reduced exercise capacity and the intensity of sports performed in daily life are related to perceived physical functioning. Individual patient counselling on physical activity might be a low-cost, high-benefit measure to be taken in this patient population.

Keywords

Tetralogy of Fallotphysical activityexercise capacityshort form 36
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014 , pp. 20 - 26
Copyright
Copyright © Cambridge University Press 2012 

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