Andersson Alva, Lundahl Frida, Cider Åsa, Dellborg Mikael, Ashman Kröönström Linda
Institute of Neuroscience and Physiology/Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Occupational and Physical Therapy Department, Sahlgrenska University Hospital, Östra Hospital, Gothenburg, Sweden.
Int J Cardiol Congenit Heart Dis. 2023 Feb 1;11:100442. doi: 10.1016/j.ijcchd.2023.100442. eCollection 2023 Mar.
We aimed to investigate functional muscular power in the lower extremity in adults with congenital heart disease (ACHD) and compare results with those of healthy persons. Secondarily, we set out to assess muscle power in relation to age, sex, and complexity of ACHD.
Between 2013 and 2019, 1126 patients attended the ACHD Unit of Sahlgrenska University Hospital/Östra and performed a test battery to determine physical fitness. Of these patients, 559 who performed the Timed-Stands Test (TST)-which requires 10 stands from a chair at the maximal possible speed-were included in the study.
Patients with ACHD performed the TST slower than reference (14.6 s [12.0-18.0] vs. 11.7 s [9.8-14.3], p < 0.001). Men with ACHD performed the TST more rapidly or according to reference in 8% of patients aged 18-39 years, 21% of patients aged 40-65 years, and 55% of patients aged >65 years. Women with ACHD performed the TST more rapidly or according to reference in 21% of patients aged 18-39 years, 56% of patients aged 40-65 years, and 32% of patients aged >65 years. Men with ACHD performed the TST significantly faster than women with ACHD (p < 0.001).
Decreased functional muscle power was observed in patients with ACHD and was most pronounced in patients aged 18-39 years. Decreased muscle power is important to detect and requires further assessment because it may contribute to an increased risk of falling and developing lifestyle related diseases.
我们旨在研究先天性心脏病成人患者（ACHD）下肢的功能性肌肉力量，并将结果与健康人进行比较。其次，我们着手评估肌肉力量与年龄、性别以及ACHD复杂性之间的关系。
2013年至2019年间，1126名患者前往萨尔格伦斯卡大学医院/东院区的ACHD科室，并进行了一组测试以确定身体素质。在这些患者中，559名进行了定时起立测试（TST）（该测试要求以尽可能快的速度从椅子上起立10次）的患者被纳入研究。
ACHD患者完成TST的速度比对照组慢（14.6秒[12.0 - 18.0] vs. 11.7秒[9.8 - 14.3]，p < 0.001）。18 - 39岁的ACHD男性患者中，8%完成TST的速度更快或与对照组相当；40 - 65岁的患者中，这一比例为21%；65岁以上的患者中，这一比例为55%。18 - 39岁的ACHD女性患者中，21%完成TST的速度更快或与对照组相当；40 - 65岁的患者中，这一比例为56%；65岁以上的患者中，这一比例为32%。ACHD男性患者完成TST的速度显著快于ACHD女性患者（p < 0.001）。
观察到ACHD患者的功能性肌肉力量下降，在18 - 39岁的患者中最为明显。肌肉力量下降很重要，需要进一步评估，因为它可能会增加跌倒风险以及患与生活方式相关疾病的风险。
