Perceived Health Mediates Effects of Physical Activity on Quality of Life in Patients With a Fontan Circulation

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Perceived Health Mediates Effects of Physical Activity on Quality of Life in Patients With a Fontan Circulation

Holbein, Christina E (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Veldtman, Gruschen R (författare): King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

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

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Kovacs, Adrienne H (författare): University of Toronto, Peter Munk Cardiac Centre, University Health Network,Toronto, Canada; Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA

Luyckx, Koen (författare): KU Leuven - University of Leuven, School Psychology and Development in Context, Leuven, Belgium ;UNIBS, University of the Free State Bloemfontein, Bloemfontein, South Africa

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

Chidambarathanu, Shanti (författare): Pediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India

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

Eriksen, Katrine (författare): Adult Congenital Heart Disease Center, Oslo University Hospital - Rikshospitalet, Oslo, Norway

Jackson, Jamie L (författare): Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio, USA

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

Fernandes, Susan M (författare): Stanford University School of Medicine, Department of Pediatrics and Medicine, Division of Pediatric Cardiology and Cardiovascular Medicine, Palo Alto, California, USA

Johansson, Bengt (författare): Umeå universitet,Avdelningen för medicin,Umeå University, Department of Public Health and Clinical Medicine,Umeå, Sweden

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

Dellborg, Mikael, 1954 (författare): 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- (författare): Gothenburg University,Göteborgs universitet,Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institutionen för vårdvetenskap och hälsa,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Health and Care Sciences

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

Caruana, Maryanne (författare): Department of Cardiology, Mater Dei Hospital, Birkirkara, Malta

Kutty, Shelby (författare): University of Nebraska Medical Center/ Children's Hospital and Medical Center, Adult Congenital Heart Disease Center, Omaha, Nebraska

Mackie, Andrew S (författare): University of Alberta, Division of Cardiology, Stollery Children's Hospital,Edmonton, Canada

Thomet, Corina (författare): University of Bern, Center for Congenital Heart Disease, Department of Cardiology, Inselspital - Bern University Hospital, Bern, Switzerland

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

White, Kamila (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

Sluman, Maayke A (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA: KU Leuven – University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium

Callus, Edward (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden

Cook, Stephen C (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Cape Town, Cape Town, Department of Paediatrics and Child Health, South Africa

Khairy, Paul (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Toronto, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada

Cedars, Ari (författare): Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, Oregon

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Elsevier BV, 2019
2019
Engelska.
Ingår i: American Journal of Cardiology. - : Elsevier BV. - 0002-9149 .- 1879-1913. ; 124:1, s. 144-150

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Patients with a Fontan circulation are at risk of a sedentary lifestyle. Given the direct relationship between physical activity and health, promotion of physical activity has the potential to improve outcomes, including quality of life (QOL). This study aimed to describe self-reported physical activity levels in adult Fontan patients and examine associations between physical activity, perceived health status and QOL. The sample consisted of 177 Fontan patients (Mage = 27.5 ± 7.6 years, 52% male) who reported their physical activity, perceived health status, and QOL as part of the cross-sectional Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study. Descriptive statistics and univariate analyses of variance with planned contrasts were computed to describe physical activity characteristics. Mediation analyses tested whether perceived health status variables mediated the association between physical activity and QOL. Forty-six percent of patients were sedentary while only 40% met international physical activity guidelines. Higher physical activity was associated with younger age, lower NYHA class, higher perceived general health, and greater QOL. Patients who commuted by walking and engaged in sports reported better perceived health and QOL. Mediation analyses revealed that perceived general health but not NYHA functional class mediated the association between physical activity and QOL (αβ = 0.22, 95% confidence interval = 0.04 to 0.49). In conclusion, Fontan patients likely benefit from regular physical activity, having both higher perceived general health and functional capacity; greater perceived health status may contribute to enhanced QOL. In conclusion, these data support the pivotal role of regular physical activity for Fontan patients.

Ämnesord

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)

Nyckelord

quality of life
fontan circulation
physical activity
Vårdvetenskap
Nursing science

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin

Artiklar i publikationen: American Journal ...

Av lärosätet: Högskolan Väst; Umeå universitet; Göteborgs universitet

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