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Physical activity and obesity in children with congenital cardiac disease

Published online by Cambridge University Press:  23 May 2011

Trenda D. Ray ,
Angela Green  and
Karen Henry
Trenda D. Ray*
Affiliation:
Ambulatory Care Services, Arkansas Children's Hospital, 1 Children's Way, Little Rock, Arkansas, United States of America
Angela Green
Affiliation:
Ambulatory Care Services, Arkansas Children's Hospital, 1 Children's Way, Little Rock, Arkansas, United States of America
Karen Henry
Affiliation:
Ambulatory Care Services, Arkansas Children's Hospital, 1 Children's Way, Little Rock, Arkansas, United States of America
*
Correspondence to: Trenda Ray, PhD, APN, University of Arkansas for Medical Sciences, 4301 W. Markham, Slot 721, Little Rock 72205-7199, Arkansas, USA. Tel: (office) 526-6990, ext. 8767; Fax: 501-686-5694; E-mail: [email protected]; [email protected]
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Abstract

Background

Children with congenital cardiac disease experience challenges in developing healthy patterns of physical activity due to decreased exercise capacity and parental fear and confusion about what is permissible. The purpose of this study was to describe physical activity habits in children 10–14 years of age with congenital cardiac disease and the relationship of those habits to obesity as defined by body mass index.

Methods

This cross-sectional study used self-report measures and clinical data to describe the association between physical activity participation and body mass index in 10- to 14-year-old children with congenital cardiac disease. Further, physical activity levels were compared between children who were overweight or obese and those who were not.

Results

Children (n = 84; 51 males; 33 females) reported low rates of physical activity compared to reports on healthy children. Only 9.5% were overweight (body mass index between the 85th and 94th percentile), and alarmingly 26% were obese (body mass index at or above the 95th percentile). Physical activity and body mass index were not significantly correlated (r = −0.11, p = 0.45) and there was no significant difference in mean physical activity (t = 0.67) between children who were overweight or obese and those who were not.

Conclusions

Children in this study reported low rates of physical activity and a higher obesity rate than was reported in previous studies. However, the two were not significantly correlated. Further research is indicated to determine the specific factors contributing to obesity and to test interventions to combat obesity in children with congenital cardiac disease.

Keywords

Body Mass Indexpediatricexercise
Type
Original Articles
Information
Cardiology in the Young , Volume 21 , Issue 6 , 28 October 2011 , pp. 603 - 607
Copyright
Copyright © Cambridge University Press 2011

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References

1.Stefan, M, Hopman, W, Smythe, J. Effect of activity restriction owing to heart disease on obesity. Arch Pediatr Adolesc Med 2005; 159: 477–481.CrossRefGoogle ScholarPubMed
2.Lefkowitz, R, Willerson, J. Prospects for cardiovascular research. JAMA 2001; 285: 581–587.CrossRefGoogle ScholarPubMed
3.Bjorbaekmo, W, Engelsrud, G. I am almost like a fish: an investigation of how children with congenital heart disease experience and perform movement in daily life. Child: Care, Health Dev 2008; 34: 781–788.CrossRefGoogle Scholar
4.Kovacs, A, Sears, S, Saidi, A. Biopsychosocial experiences of adults with congenital heart disease: review of the literature. Am Heart J 2005; 150: 193–201.CrossRefGoogle ScholarPubMed
5.Uzark, K, Jones, K, Slusher, J, Limbers, C, Burwinkle, T, Varni, J. Quality of life in children with heart disease as perceived by children and parents. Pediatrics 2008; 121: e1060–e1067.CrossRefGoogle ScholarPubMed
6.Reybrouck, T, Rogers, R, Weymans, M, et al. Serial cardiorespiratory exercise testing in patients with congenital heart disease. Eur J Pediatr 1995; 154: 801–806.CrossRefGoogle ScholarPubMed
7.McCrindle, B, Williams, R, 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
8.Fredriksen, P, 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 1999; 80: 409–416.CrossRefGoogle ScholarPubMed
9.Ray, T. Obesity in Congenital Heart Disease: What Does It Mean? Cardiology 2008: Eleventh Annual Update on Pediatric Cardiovascular Disease. Scottsdale AZ (ed.). Poster Presentation, 2008 (not yet published).Google Scholar
10.Pinto, N, Marino, B, Wernovsky, G, de Ferranti, S, Walsh, Z. Obesity is a common comorbidity in children with congenital and acquired heart disease. Pediatrics 2007; 120: e1157–e1164.CrossRefGoogle ScholarPubMed
11.Daniels, S.R., Arnett, D.K., Eckel, R.H. et al. Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment [Electronic version]. Circulation 2005; 111: 1999–2012.CrossRefGoogle Scholar
12.Lobstein, T, Baur, L, Uauy, R. Obesity Reviews 2004; 5: 4–85.Google Scholar
13.Trost, S, Ward, D, McGraw, B, Pate, R. Validity of the previous day physical activity recall (PDPAR) in fifth-grade children. Pediatr Exerc 1999; 11: 341–348.CrossRefGoogle Scholar
14.Ainsworth, B, Haskell, W, Leon, A, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993; 25: 71–80.CrossRefGoogle ScholarPubMed
15.Welk, G, Dzewaltowski, D, Hill, J. Comparison of the computerized ACTIVITYGRAM Instrument and the Previous Day Physical Activity Recall for assessing physical activity in children. Res Q Exerc Sport 2004; 75: 370–380.CrossRefGoogle ScholarPubMed
16.Fox, K, Riddoch, C. Charting the physical activity patterns of contemporary children and adolescents. Proc Nutr Soc 2000; 59: 497–504.CrossRefGoogle ScholarPubMed
17.Children's Nutrition Research Center at Baylor College of Medicine. Childrens BMI-Percentile-for-Age Calculator, 2007, from http://www.bcm.edu/cnrc/bodycomp/bmiz2.html.Google Scholar
18.Centers for Disease Control and Prevention. Defining overweight and obesity. Centers for Disease Control and Prevention, 2008, Retrieved 17 March 2009, from www.cdc.gov/nccdphp/dnpa/obesity/defining.htmGoogle Scholar
19.Centers for Disease Control and Prevention. Physical Activity for Everyone. (Online). Retrieved 5 November 2008 from http://www.cdc.gov/physicalactivity/everyone/guidelines/children.htmlGoogle Scholar
20.Pate, R, Colabianchi, N, Porter, D, Almeida, M, Lobelo, F, Dowda, M. Physical activity and neighborhood resources in high school girls. Am J Prev Med 2008; 34: 413–419.CrossRefGoogle ScholarPubMed
21.Ray, T, Henry, K. Self-efficacy and physical activity in children with congenital heart disease: is there a relationship? J Special Pediatr Nurs 2011; 16: 105–112.Google Scholar
22.SPSS for Windows. Rel.14.01. SPSS Inc., Chicago, 2005.Google Scholar