Dokuz Eylül University - Health Science Institute, Izmir - Turquia.
Acıbadem University - Department of Physiotherapy and Rehabilitation, Istanbul - Turquia.
Arq Bras Cardiol. 2023 Sep;120(9):e20230022. doi: 10.36660/abc.20230022.
Despite reports of reduced physical fitness in children with congenital heart disease (CHD), no specific performance evaluations for activities of daily living have been conducted.
The aim was to compare the activities of daily living, quality of life, posture, physical fitness and physical activity levels of children with CHD with healthy controls (HC).
The study included 30 children aged 6-14 diagnosed with moderate or severe CHD and 30 age-sex-matched HC. The sociodemographic and clinical data of the participants were recorded. All participants went through several tests, namely the TGlittre-P test for activities of daily living, the 6-minute walk test (6MWT) for functional capacity, the Fitnessgram test battery for physical fitness, the hand dynamometer for measuring grip strength, the pedometer for measuring physical activity, and both the child and parents reported the Pediatric Quality of Life Inventory (PedsQL) for evaluating the quality of life, in addition to posture analyses. Values of p < 0.05 were considered statistically significant.
Individuals with CHD had a longer TGlittre-P test completion time and a shorter 6MWT distance than HC (TGlittre-P: CHD 3.45 [3.24-4.02]min vs. HC 3.10 [2.57-3.23]min, 6MWT: CHD 514.00 [412.50-566.00]m vs. HC 591.50 [533.00-631.00]m). For the CHD group, sit-ups, push-ups, trunk lift, and sit-and-reach test scores within the Fitnessgram battery, grip strength, posture, and quality of life scores were lower than those for the HC group. Physical activity levels were similar in the groups.
The performance of activities of daily living, functional capacity, physical fitness, posture, and quality of life of children with moderate and severe CHD were affected compared to healthy peers.
尽管有报道称先天性心脏病 (CHD) 患儿的身体适应性降低，但目前尚未对日常生活活动进行专门的评估。
旨在比较患有中重度 CHD 患儿与健康对照组 (HC) 之间的日常生活活动、生活质量、姿势、身体适应性和身体活动水平。
本研究纳入了 30 名年龄在 6-14 岁之间、被诊断为中重度 CHD 的患儿和 30 名年龄、性别相匹配的 HC。记录参与者的社会人口学和临床数据。所有参与者都接受了多项测试，包括用于评估日常生活活动的 TGlittre-P 测试、用于评估功能能力的 6 分钟步行测试（6MWT）、用于评估身体适应性的 Fitnessgram 测试组合、用于测量握力的握力计、用于测量身体活动的计步器，以及儿童和父母都报告了用于评估生活质量的儿科生活质量量表（PedsQL），此外还进行了姿势分析。p 值 < 0.05 被认为具有统计学意义。
与 HC 相比，CHD 患儿的 TGlittre-P 测试完成时间更长，6MWT 距离更短（TGlittre-P：CHD 3.45 [3.24-4.02]min vs. HC 3.10 [2.57-3.23]min，6MWT：CHD 514.00 [412.50-566.00]m vs. HC 591.50 [533.00-631.00]m）。在 Fitnessgram 测试组合中，CHD 组的仰卧起坐、俯卧撑、躯干提升和坐立前屈测试得分、握力、姿势和生活质量得分均低于 HC 组。两组的身体活动水平相似。
与健康同龄人相比，中重度 CHD 患儿的日常生活活动、功能能力、身体适应性、姿势和生活质量均受到影响。
