Pelosi C, Kauling R M, Cuypers J A A E, Utens E M W J, van den Bosch A E, Helbing W A, Legerstee J S, Roos-Hesselink J W
Department of Cardiology, Erasmus MC, Rotterdam, the Netherlands.
Academic Center for Child and Adolescent Psychiatry Levvel/Amsterdam UMC/ University of Amsterdam, the Netherlands.
Int J Cardiol Congenit Heart Dis. 2024 Apr 5;17:100512. doi: 10.1016/j.ijcchd.2024.100512. eCollection 2024 Sep.
Sports are associated with numerous physiological and psychological benefits. However, it is unclear to what extent adults with congenital heart disease(CHD) participate in sports and whether this is safe. Furthermore, little is known about lifestyle habits in this group.
Consecutive patients diagnosed with atrial septal defect, ventricular septal defect, pulmonary stenosis, tetralogy of Fallot and transposition of the great arteries who underwent open-heart surgery during childhood between 1968 and 1980 were included in a longitudinal follow-up study. Patients underwent cardiological investigations every 10 years and completed a questionnaire regarding sports participation in 2011 and in 2021.
Of the 2021 cohort(n = 204, mean age:50 years, 46%female), 49% participated in sports. Compared to the general Dutch population they invested less time in sport(female: p = 0.03, male: p = 0.03). Patients participating in sports had better exercise capacity (p < 0.001) and lower average heart rate(p < 0.001). Patients engaged in sports reported better physical and mental health when compared to the norm and non-sporters. Mortality and cardiac events did not differ significantly between the 2 groups. Finally, no difference in lifestyle was found between adults with CHD and the general population, only smoking was less often reported among adults with CHD(p = 0.036).
Adults with CHD are significantly less involved in sports than their peers. Patients who were engaged in sports had better physical and mental health compared to those who were not. Sport participation was associated with lower heart rate and better exercise capacity. No negative effect in terms of cardiac events was observed in sporters. No signs of bad lifestyle were observed in adults with CHD.
运动与众多生理和心理益处相关。然而，先天性心脏病（CHD）成人参与运动的程度以及这是否安全尚不清楚。此外，对于该群体的生活习惯知之甚少。
纳入1968年至1980年期间童年时期接受心脏直视手术的连续诊断为房间隔缺损、室间隔缺损、肺动脉狭窄、法洛四联症和大动脉转位的患者进行纵向随访研究。患者每10年接受一次心脏检查，并在2011年和2021年完成一份关于运动参与情况的问卷。
在2021年队列（n = 204，平均年龄：50岁，46%为女性）中，49%的人参与运动。与荷兰普通人群相比，他们在运动上投入的时间较少（女性：p = 0.03，男性：p = 0.03）。参与运动的患者运动能力更好（p < 0.001），平均心率更低（p < 0.001）。与正常人和不运动者相比，参与运动的患者报告的身心健康状况更好。两组之间的死亡率和心脏事件无显著差异。最后，CHD成人与普通人群在生活方式上未发现差异，仅CHD成人中报告吸烟的情况较少（p = 0.036）。
CHD成人参与运动的程度明显低于同龄人。与不运动的患者相比，参与运动的患者身心健康状况更好。运动参与与较低的心率和更好的运动能力相关。在运动者中未观察到心脏事件方面的负面影响。在CHD成人中未观察到不良生活方式的迹象。
