Kao Ching-Chiu, Chang Pi-Chen, Chiu Ching-Wen, Wu Lee-Pin, Tsai Jen-Chen
Department of Nursing, Taipei Medical University-Wan Fang Medical Center, Taipei 116, Taiwan.
Appl Nurs Res. 2009 Aug;22(3):191-7. doi: 10.1016/j.apnr.2007.12.002. Epub 2009 Jan 14.
Congenital heart disease (CHD) is a common childhood health problem. The incidence of CHD is estimated between 8 and 10 per 1,000 children in Taiwan. Evidence indicates that exercise capacity for children with CHD can reach the level of children with no CHD after surgical repair. However, it is necessary to further investigate if their physical activity is comparable to their peers who have no CHD to prevent chronic disease caused by physical inactivity. This study aimed to investigate the differences of physical activity level (PAL) between Taiwanese children with no CHD and children after total correction for CHD. A case control design was used in this study. During the study period, 68 schoolchildren were recruited: 34 children with CHD and 34 age- and gender-matched children who have no CHD. The data collection tools included three-day physical activity record (3DPAR) and RT3 triaxial accelerator. The average total energy expenditure (TEE) measured by both 3DPAR and RT3 triaxial accelerator were lower for boys with CHD than boys with no CHD (t = -3.39, p = .002; t = -3.43, p = .002). PAL was also lower for boys with CHD than for boys with no CHD (t = -2.29, p = .03). Whereas, TEE did not differ between girls with CHD and girls with no CHD (t = 0.58, p = .57; t = -0.27, p = .79). Overall, the level of moderate-to-vigorous physical activity (MVPA) was similar between children with CHD and children with no CHD. These results suggest that boys with CHD engage in less physical activity than do boys with no CHD. Both children with CHD and children with no CHD should be encouraged to engage in more physical activity especially MVPA.
先天性心脏病（CHD）是儿童常见的健康问题。据估计，台湾地区每1000名儿童中CHD的发病率在8至10例之间。有证据表明，CHD患儿在手术修复后运动能力可达到无CHD儿童的水平。然而，有必要进一步研究他们的身体活动是否与无CHD的同龄人相当，以预防因缺乏身体活动导致的慢性病。本研究旨在调查台湾无CHD儿童与CHD完全矫正术后儿童的身体活动水平（PAL）差异。本研究采用病例对照设计。在研究期间，招募了68名学童：34名CHD患儿和34名年龄及性别匹配的无CHD儿童。数据收集工具包括三日身体活动记录（3DPAR）和RT3三轴加速度计。通过3DPAR和RT3三轴加速度计测量的CHD男孩的平均总能量消耗（TEE）低于无CHD男孩（t = -3.39，p = .002；t = -3.43，p = .002）。CHD男孩的PAL也低于无CHD男孩（t = -2.29，p = .03）。然而，CHD女孩和无CHD女孩的TEE没有差异（t = 0.58，p = .57；t = -0.27，p = .79）。总体而言，CHD患儿和无CHD患儿的中度至剧烈身体活动（MVPA）水平相似。这些结果表明，CHD男孩比无CHD男孩的身体活动更少。应鼓励CHD患儿和无CHD患儿都进行更多身体活动，尤其是MVPA。
