Geographical variation and predictors of physical activity level in adults with congenital heart disease

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Geographical variation and predictors of physical activity level in adults with congenital heart disease

Larsson, Lena (author): Umeå universitet,Avdelningen för medicin,Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden,Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States

Johansson, Bengt (author): Umeå universitet,Kardiologi,Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden

Sandberg, Camilla (author): Umeå universitet,Kardiologi,Avdelningen för fysioterapi,Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden

Apers, Silke (author): University of Leuven, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium

Kovacs, Adrienne H. (author): Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, OR, United States

Luyckx, Koen (author): University of Leuven, School Psychology and Development in Context, KU Leuven, Leuven, Belgium

Thomet, Corina (author): University of Bern, Center for Congenital Heart Disease, Inselspital — Bern University Hospital, Bern, Switzerland

Budts, Werner (author): Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; University of Leuven, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium

Enomoto, Junko (author): Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan

Sluman, Maayke A. (author): Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands

Wang, Jou-Kou (author): Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan

Jackson, Jamie L. (author): Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States

Khairy, Paul (author): Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada

Cook, Stephen C. (author): Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, United States

Alday, Luis (author): Division of Cardiology, Hospital de Niños, Córdoba, Argentina

Eriksen, Katrine (author): Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway

Dellborg, Mikael, 1954 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine

Berghammer, Malin, 1970- (author): Gothenburg University,Göteborgs universitet,Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences

Rempel, Gwen (author): University of Alberta, Northern Alberta Adult Congenital Heart Clinic, Edmonton, Canada

Menahem, Samuel (author): Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia

Caruana, Maryanne (author): Department of Cardiology, Mater Dei Hospital, Msida, MSD 2090, Malta

Tomlin, Martha (author): The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

Soufi, Alexandra (author): Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France

Fernandes, Susan M. (author): Adult Congenital Heart Disease Program at Stanford, Lucile Packard Children's Hospital, Stanford Health Care, Stanford School of Medicine, Palo Alto, CA, United States

White, Kamila (author): University of Missouri, Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center, Saint Louis, MO, United States

Callus, Edward (author): Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy

Kutty, Shelby (author): University of Nebraska Medical Center, Division of Pediatric Cardiology, Children's Hospital & Medical Center, Omaha, NE, United States

Moons, Philip, 1968 (author): Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences

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Elsevier, 2019
2019
English.
In: International Journal of Cardiology : Heart & Vasculature. - : Elsevier. - 2352-9067. ; 22, s. 20-25

Related links:: https://doi.org/10.1...; show more...; https://doi.org/10.1...; https://umu.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://gup.ub.gu.se...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Physical activity is important to maintain and promote health. This is of particular interest in patients with congenital heart disease(CHD) where acquired heart disease should be prevented. The World Health Organization (WHO) recommends a minimum of 2.5 h/week of physical activity exceeding 3 metabolic equivalents (METS) to achieve positive health effects. It is unknown whether physical activity levels (PAL) in adult CHD patients differ by country of origin.Methods3896 adults with CHD recruited from 15 countries over 5 continents completed self-reported instruments, including the Health Behaviour Scale (HBS-CHD), within the APPROACH-IS project. For each patient, we calculated whether WHO recommendations were achieved or not. Associated factors were investigated using Generalized Linear Mixed Models.ResultsOn average, 31% reached the WHO recommendations but with a great variation between geographical areas (India: 10%–Norway: 53%). Predictors for physical activity level in line with the WHO recommendations, with country of residence as random effect, were male sex (OR 1.78, 95%CI 1.52–2.08), NYHA-class I (OR 3.10, 95%CI 1.71–5.62) and less complex disease (OR 1.46, 95%CI 1.16–1.83). In contrast, older age (OR 0.97, 95%CI 0.96–0.98), lower educational level (OR 0.41, 95%CI 0.26–0.64) and being unemployed (OR 0.57, 95%CI 0.42–0.77) were negatively associated with reaching WHO recommendations.ConclusionsA significant proportion of patients with CHD did not reach the WHO physical activity recommendations. There was a large variation in physical activity level by country of origin. Based on identified predictors, vulnerable patients may be identified and offered specific behavioral interventions.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)

Keyword

Adult congenital heart disease
Physical activity level
Patient-reported outcome
Health-behaviour scale
Physical activity recommendation
Metabolic equivalent
Vårdvetenskap
Nursing science

Publication and Content Type

ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

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