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

APPROACH-IS Consortium, the International Society for Adult Congenital Heart Disease (ISACHD)

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: 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. Methods: 3896 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. Results: On 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. Conclusions: A 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.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalIJC Heart and Vasculature
Volume22
DOIs
StatePublished - Mar 1 2019

Fingerprint

Heart Diseases
Exercise
Metabolic Equivalent
Health Behavior
Health
Norway
India
Linear Models

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

APPROACH-IS Consortium, & the International Society for Adult Congenital Heart Disease (ISACHD) (2019). Geographical variation and predictors of physical activity level in adults with congenital heart disease. IJC Heart and Vasculature, 22, 20-25. https://doi.org/10.1016/j.ijcha.2018.11.004

Geographical variation and predictors of physical activity level in adults with congenital heart disease. / APPROACH-IS Consortium; the International Society for Adult Congenital Heart Disease (ISACHD).

In: IJC Heart and Vasculature, Vol. 22, 01.03.2019, p. 20-25.

Research output: Contribution to journalArticle

APPROACH-IS Consortium & the International Society for Adult Congenital Heart Disease (ISACHD) 2019, 'Geographical variation and predictors of physical activity level in adults with congenital heart disease', IJC Heart and Vasculature, vol. 22, pp. 20-25. https://doi.org/10.1016/j.ijcha.2018.11.004
APPROACH-IS Consortium, the International Society for Adult Congenital Heart Disease (ISACHD). Geographical variation and predictors of physical activity level in adults with congenital heart disease. IJC Heart and Vasculature. 2019 Mar 1;22:20-25. https://doi.org/10.1016/j.ijcha.2018.11.004
APPROACH-IS Consortium ; the International Society for Adult Congenital Heart Disease (ISACHD). / Geographical variation and predictors of physical activity level in adults with congenital heart disease. In: IJC Heart and Vasculature. 2019 ; Vol. 22. pp. 20-25.
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abstract = "Background: 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. Methods: 3896 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. Results: On 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. Conclusions: A 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.",
keywords = "Adult congenital heart disease, Health-behaviour scale, Metabolic equivalent, Patient-reported outcome, Physical activity level, Physical activity recommendation",
author = "{APPROACH-IS Consortium} and {the International Society for Adult Congenital Heart Disease (ISACHD)} and Lena Larsson and Bengt Johansson and Camilla Sandberg and Silke Apers and Adrienne Kovacs and Koen Luyckx and Corina Thomet and Werner Budts and Junko Enomoto and Sluman, {Maayke A.} and Wang, {Jou Kou} and Jackson, {Jamie L.} and Paul Khairy and Cook, {Stephen C.} and Luis Alday and Katrine Eriksen and Mikael Dellborg and Malin Berghammer and Gwen Rempel and Samuel Menahem and Maryanne Caruana and Martha Tomlin and Alexandra Soufi and Fernandes, {Susan M.} and Kamila White and Edward Callus and Shelby Kutty and Philip Moons",
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T1 - Geographical variation and predictors of physical activity level in adults with congenital heart disease

AU - APPROACH-IS Consortium

AU - the International Society for Adult Congenital Heart Disease (ISACHD)

AU - Larsson, Lena

AU - Johansson, Bengt

AU - Sandberg, Camilla

AU - Apers, Silke

AU - Kovacs, Adrienne

AU - Luyckx, Koen

AU - Thomet, Corina

AU - Budts, Werner

AU - Enomoto, Junko

AU - Sluman, Maayke A.

AU - Wang, Jou Kou

AU - Jackson, Jamie L.

AU - Khairy, Paul

AU - Cook, Stephen C.

AU - Alday, Luis

AU - Eriksen, Katrine

AU - Dellborg, Mikael

AU - Berghammer, Malin

AU - Rempel, Gwen

AU - Menahem, Samuel

AU - Caruana, Maryanne

AU - Tomlin, Martha

AU - Soufi, Alexandra

AU - Fernandes, Susan M.

AU - White, Kamila

AU - Callus, Edward

AU - Kutty, Shelby

AU - Moons, Philip

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Background: 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. Methods: 3896 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. Results: On 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. Conclusions: A 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.

AB - Background: 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. Methods: 3896 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. Results: On 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. Conclusions: A 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.

KW - Adult congenital heart disease

KW - Health-behaviour scale

KW - Metabolic equivalent

KW - Patient-reported outcome

KW - Physical activity level

KW - Physical activity recommendation

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