Dua Jaspal S, Cooper Ashley R, Fox Kenneth R, Graham Stuart Alan
Bristol Congenital Heart Centre, Bristol Heart Institute and Bristol Royal Infirmary, Bristol, UK.
Eur J Cardiovasc Prev Rehabil. 2007 Apr;14(2):287-93. doi: 10.1097/HJR.0b013e32808621b9.
Regular physical activity is associated with many health benefits in patients with cardiac disease. Advances in treatment have resulted in an increasing population of adults with congenital heart disease. Few data are available on physical activity levels and attitude to exercise in this group.
Prospective, cross-sectional study of patients attending the adult congenital heart disease clinic in a supra-regional centre.
Physical activity assessed over 1 week using two accelerometers. The Actigraph was used to measure total activity volume and intensity and the Caltrac used to measure energy expenditure in physical activity. Patients completed a questionnaire to assess exercise self-efficacy.
In all, 61 adults recruited (36 male; mean-age 31.7+/-10.9 years); divided into three groups according to New York Heart Association class [Group I (n=26; 14 male), Group II (n=18; 10 male), Group III (n=17; 11 male)]. Fourteen patients were overweight (body mass index 25-29.9) and seven obese (body mass index>30). Group 1 achieved similar activity levels to a sedentary reference population. Group II and III had significantly lower activity (55 and 40% of Group I). Most study patients failed to achieve UK national guidelines for physical activity (Groups I: 77%, II: 84%, III: 100%). Despite this, questionnaire responses suggested a willingness to participate in exercise in the majority of each group.
Adults with congenital heart disease have a range of physical activity levels between normal and severely limited. Most patients showed a willingness to participate in exercise but were uncertain of the safety or benefit. Intervention to increase physical activity levels may be a low risk, low cost treatment strategy.
规律的体育活动对心脏病患者有诸多健康益处。治疗方法的进步使得患有先天性心脏病的成年人口不断增加。关于该群体的体育活动水平和运动态度的资料很少。
对一家区域中心成人先天性心脏病门诊患者进行的前瞻性横断面研究。
使用两个加速度计在1周内评估体育活动。用活动记录仪测量总活动量和强度，用卡尔追踪器测量体育活动中的能量消耗。患者完成一份问卷以评估运动自我效能感。
共招募了61名成年人（36名男性；平均年龄31.7±10.9岁）；根据纽约心脏协会分级分为三组[I组（n = 26；14名男性），II组（n = 18；10名男性），III组（n = 17；11名男性）]。14名患者超重（体重指数25 - 29.9），7名肥胖（体重指数>30）。I组的活动水平与久坐的参照人群相似。II组和III组的活动水平显著较低（分别为I组的55%和40%）。大多数研究患者未达到英国体育活动的国家指南要求（I组：77%，II组：84%，III组：100%）。尽管如此，问卷回复表明每组中的大多数人都愿意参与运动。
患有先天性心脏病的成年人的体育活动水平在正常到严重受限之间。大多数患者表示愿意参与运动，但对安全性或益处不确定。增加体育活动水平的干预措施可能是一种低风险、低成本的治疗策略。
