1. Physical Activity Patterns in Children and Adolescents With Heart Disease
- Author
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Anitha Parthiban, Kelli M. Teson, Jessica S. Watson, David A. White, Girish S. Shirali, Erik A. Willis, Brian F Birnbaum, and Chaitanya Panchangam
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Heart Diseases ,Heart disease ,Physical activity ,Physical Therapy, Sports Therapy and Rehabilitation ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Interquartile range ,Internal medicine ,Accelerometry ,medicine ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Child ,Exercise ,Sedentary time ,business.industry ,medicine.disease ,Pulmonary hypertension ,medicine.anatomical_structure ,Ventricle ,Case-Control Studies ,Heart failure ,Pediatrics, Perinatology and Child Health ,Cardiology ,Female ,Late afternoon ,Sedentary Behavior ,business ,human activities - Abstract
Purpose: To quantify the differences in daily physical activity (PA) patterns, intensity-specific volumes, and PA bouts in youth with and without heart disease (HD). Methods: Seven-day PA was measured on children/adolescents with HD (n = 34; median age 12.4 y; 61.8% male; 70.6% single ventricle, 17.7% heart failure, and 11.8% pulmonary hypertension) and controls without HD (n = 22; median age 12.3 y; 59.1% male). Mean counts per minute were classified as sedentary, light, and moderate to vigorous PA (MVPA), and bouts of MVPA were calculated. PA was calculated separately for each hour of wear time from 8:00 to 22:00. Multilevel linear mixed modeling compared the outcomes, stratifying by group, time of day, and day part (presented as median percentage of valid wear time [interquartile range]). Results: Compared with the controls, the HD group had more light PA (33.9% [15%] vs 29.6% [9.5%]), less MVPA (1.7% [2.5%] vs 3.2% [3.3%]), and more sporadic bouts (97.4% [5.7%] vs 89.9% [9.2%]), but fewer short (2.0% [3.9%] vs 7.1% [5.7%]) and medium-to-long bouts (0.0% [1.9%] vs 1.6% [4.6%]) of MVPA. The HD group was less active in the late afternoon, between 15:00 and 17:00 (P Conclusion: Children/adolescents with HD exhibit differences in intensity-specific volumes, PA bouts, and daily PA patterns compared with controls.
- Published
- 2020