Klausen Susanne Hwiid, Wetterslev Jørn, Søndergaard Lars, Andersen Lars L, Mikkelsen Ulla Ramer, Dideriksen Kasper, Zoffmann Vibeke, Moons Philip
Research Unit for Womens and Childrens Health, Juliane Marie Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
J Adolesc Health. 2015 Apr;56(4):449-55. doi: 10.1016/j.jadohealth.2014.11.021. Epub 2015 Jan 31.
This study investigates whether subgroups of different health-related fitness (HrF) profiles exist among girls and boys with complex congenital heart disease (ConHD) and how these are associated with lifestyle behaviors.
We measured the cardiorespiratory fitness, muscle strength, and body composition of 158 adolescents aged 13-16 years with previous surgery for a complex ConHD. Data on lifestyle behaviors were collected concomitantly between October 2010 and April 2013. A cluster analysis was conducted to identify profiles with similar HrF. For comparisons between clusters, multivariate analyses of covariance were used to test the differences in lifestyle behaviors.
Three distinct profiles were formed: (1) Robust (43, 27%; 20 girls and 23 boys); (2) Moderately Robust (85, 54%; 37 girls and 48 boys); and (3) Less robust (30, 19%; 9 girls and 21 boys). The participants in the Robust clusters reported leading a physically active lifestyle and participants in the Less robust cluster reported leading a sedentary lifestyle. Diagnoses were evenly distributed between clusters.
The cluster analysis attributed some of the variability in cardiorespiratory fitness among adolescents with complex ConHD to lifestyle behaviors and physical activity. Profiling of HrF offers a valuable new option in the management of person-centered health promotion.
本研究调查患有复杂先天性心脏病（ConHD）的女孩和男孩中是否存在不同健康相关体能（HrF）特征的亚组，以及这些亚组如何与生活方式行为相关联。
我们测量了158名年龄在13 - 16岁、曾因复杂ConHD接受手术的青少年的心肺功能、肌肉力量和身体成分。在2010年10月至2013年4月期间同时收集了生活方式行为数据。进行聚类分析以识别具有相似HrF的特征。为了比较各聚类之间的差异，使用多变量协方差分析来检验生活方式行为的差异。
形成了三个不同的特征组：（1）强健组（43人，27%；20名女孩和23名男孩）；（2）中等强健组（85人，54%；37名女孩和48名男孩）；（3）较弱健组（30人，19%；9名女孩和21名男孩）。强健组的参与者报告称过着积极的体育生活方式，较弱健组的参与者报告称过着久坐不动的生活方式。诊断在各聚类之间均匀分布。
聚类分析将患有复杂ConHD的青少年心肺功能的一些变异性归因于生活方式行为和体育活动。HrF特征分析为以个人为中心的健康促进管理提供了一个有价值的新选择。
