Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK.
University of Birmingham, College of Medical and Dental Sciences, Birmingham, UK.
Cardiol Young. 2022 Feb;32(2):270-275. doi: 10.1017/S1047951121001864. Epub 2021 Apr 27.
Regular physical activity is safe and effective therapy for adults with CHD and is recommended by European Society of Cardiology guidelines. The COVID-19 pandemic poses enormous challenges to healthcare teams and patients when ensuring guideline compliance. We explored the implications of COVID-19 on physical activity levels in adult CHD patients.
A data-based questionnaire was distributed to adult CHD patients at a regional tertiary centre from October to November 2020.
Prior to the COVID-19 pandemic, 96 (79.3%) of 125 respondents reported participating in regular physical activity, with 66 (52.8%) meeting target levels (moderate physical activity for at least 150 minutes per week). Commonest motivations for physical activity were general fitness (53.6%), weight loss (36.0%), and mental health benefits (30.4%). During the pandemic, the proportion that met target levels significantly decreased from 52.8% to 40.8% (p = 0.03). The commonest reason was fear of COVID-19 (28.0%), followed by loss of motivation (23.2%) and gym/fitness centre closure (15.2%).
The COVID-19 pandemic has negatively impacted exercise levels of adult CHD patients. Most do not meet recommended physical activity levels, mainly attributable to fear of COVID-19. Even before the pandemic, only half of respondents met physical activity guidelines. Availability of online classes can positively impact exercise levels so could enhance guideline compliance. This insight into health perceptions and behaviours of adult CHD patients may help develop quality improvement initiatives to improve physical activity levels in this population.
定期进行身体活动是安全且有效的 CHD 成人治疗方法，欧洲心脏病学会指南推荐进行该治疗。COVID-19 大流行给医疗团队和患者确保遵循指南带来了巨大挑战。我们探讨了 COVID-19 对成年 CHD 患者身体活动水平的影响。
2020 年 10 月至 11 月，我们向一家地区性三级中心的成年 CHD 患者发放了基于数据的问卷。
在 COVID-19 大流行之前，125 名受访者中有 96 名（79.3%）报告定期进行身体活动，其中 66 名（52.8%）达到目标水平（每周至少进行 150 分钟的中等强度身体活动）。身体活动的最常见动机是一般健身（53.6%）、减肥（36.0%）和心理健康益处（30.4%）。在大流行期间，达到目标水平的比例从 52.8%显著下降至 40.8%（p = 0.03）。最常见的原因是担心 COVID-19（28.0%），其次是丧失动力（23.2%）和健身房/健身中心关闭（15.2%）。
COVID-19 大流行对成年 CHD 患者的运动水平产生了负面影响。大多数患者未达到推荐的身体活动水平，主要归因于对 COVID-19 的担忧。即使在大流行之前，也只有一半的受访者达到了身体活动指南。在线课程的提供可以积极影响运动水平，因此可以提高指南的遵循率。深入了解成年 CHD 患者的健康认知和行为，可能有助于制定质量改进举措，以提高该人群的身体活动水平。
