Moola Fiona, McCrindle Brian W, Longmuir Patricia E
Graduate Department of Exercise Sciences, The Hospital for Sick Children, University of Toronto, Toronto, Ontario.
Paediatr Child Health. 2009 Mar;14(3):167-70. doi: 10.1093/pch/14.3.167.
While most youth with congenital heart disease have simple structural lesions and near-normal activity tolerance and functioning, youth with complex structural defects may be affected by significant morbidity. Efforts are being made to consider the impact of exercise and physical activity on quality of life. The benefits of physical activity are well documented; however, the levels of participation and self-efficacy for activity remain low, thus increasing the risk of obesity and cardiovascular morbidity. Rehabilitation is a novel and emerging area, and decisions regarding advocacy versus restriction of physical activity may pose a challenge for both cardiologists and nonspecialists. The present article outlines the rationale for physical activity recommendations in youth with surgically corrected congenital heart disease and the psychosocial determinants of participation. Clinical recommendations and future directions are proposed.
虽然大多数先天性心脏病青年患者具有简单的结构病变，活动耐量和功能接近正常，但患有复杂结构缺陷的青年患者可能会受到严重发病情况的影响。目前正在努力考虑运动和体育活动对生活质量的影响。体育活动的益处有充分的文献记载；然而，参与水平和活动自我效能仍然较低，从而增加了肥胖和心血管疾病的发病风险。康复是一个新兴领域，对于心脏病专家和非专科医生而言，在提倡还是限制体育活动方面做出决策可能会面临挑战。本文概述了对接受过手术矫正的先天性心脏病青年患者进行体育活动建议的基本原理以及参与体育活动的社会心理决定因素。并提出了临床建议和未来方向。
