Exercise training in paediatric congenital heart disease: fit for purpose?
Nurul Hidayah AmirDan M DorobantuCurtis A WadeyMassimo CaputoA Graham StuartGuido E PielesCraig Anthony WilliamsPublished in: Archives of disease in childhood (2021)
Exercise and physical activity (PA) have been shown to be effective, safe and feasible in both healthy children and children with congenital heart disease (CHD). However, implementing exercise training as an intervention is still not routine in children with CHD despite considerable evidence of health benefits and well-being. Understanding how children with CHD can safely participate in exercise can boost participation in PA and subsequently reduce inactivity-related diseases. Home-based exercise intervention, with the use of personal wearable activity trackers, and high-intensity interval training have been beneficial in adults' cardiac rehabilitation programmes. However, these remain underutilised in paediatric care. Therefore, the aims of this narrative review were to synthesise prescribed exercise interventions in children with CHD, identify possible limitation to exercise training prescription and provide an overview on how to best integrate exercise intervention effectively for this population into daily practice.
Keyphrases
- physical activity
- young adults
- high intensity
- healthcare
- randomized controlled trial
- congenital heart disease
- emergency department
- skeletal muscle
- resistance training
- public health
- intensive care unit
- primary care
- palliative care
- blood pressure
- climate change
- mental health
- sleep quality
- depressive symptoms
- body composition
- health information
- clinical practice
- human health