Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease

APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD)

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Data on the differential impact of physical activity on perceived health status (PHS) in a large adult congenital heart disease (ACHD) patient population are lacking. We conducted a cross-sectional assessment of 4,028 ACHD patients recruited from 24 ACHD-specialized centers in 15 countries across 5 continents to examine the association between physical activity and PHS in a large international cohort of ACHD patients. A linear analog scale of the EuroQol-5D 3 level version and the 12-item Short Form Health Survey—version 2 were used to assess self-reported health status and the Health-Behavior Scale-Congenital Heart Disease was used as a subjective measurement of physical activity type, participation, and level. Correlation analyses and Wilcoxon Rank Sum tests examined bivariate relations between sample characteristics and PHS scores. Then, multivariable models were constructed to understand the impact of physical activity on PHS. Only 30% of our sample achieved recommended physical activity levels. Physically active patients reported better PHS than sedentary patients; however, the amount of physical activity was not associated with PHS. Further statistical analyses demonstrated that specifically sport participation regardless of physical activity level was a predictor of PHS. In conclusion, the majority of ACHD patients across the world are physically inactive. Sport participation appears to be the primary physical activity-related driver of PHS. By promoting sport-related exercise ACHD specialists thus may improve PHS in ACHD patients.

Original languageEnglish (US)
Pages (from-to)1437-1442
Number of pages6
JournalAmerican Journal of Cardiology
Volume122
Issue number8
DOIs
StatePublished - Oct 15 2018

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Health Status
Heart Diseases
Exercise
Sports
Nonparametric Statistics
Health
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD) (2018). Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease. American Journal of Cardiology, 122(8), 1437-1442. https://doi.org/10.1016/j.amjcard.2018.06.056

Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease. / APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD).

In: American Journal of Cardiology, Vol. 122, No. 8, 15.10.2018, p. 1437-1442.

Research output: Contribution to journalArticle

APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD) 2018, 'Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease', American Journal of Cardiology, vol. 122, no. 8, pp. 1437-1442. https://doi.org/10.1016/j.amjcard.2018.06.056
APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD). Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease. American Journal of Cardiology. 2018 Oct 15;122(8):1437-1442. https://doi.org/10.1016/j.amjcard.2018.06.056
APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD). / Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease. In: American Journal of Cardiology. 2018 ; Vol. 122, No. 8. pp. 1437-1442.
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abstract = "Data on the differential impact of physical activity on perceived health status (PHS) in a large adult congenital heart disease (ACHD) patient population are lacking. We conducted a cross-sectional assessment of 4,028 ACHD patients recruited from 24 ACHD-specialized centers in 15 countries across 5 continents to examine the association between physical activity and PHS in a large international cohort of ACHD patients. A linear analog scale of the EuroQol-5D 3 level version and the 12-item Short Form Health Survey—version 2 were used to assess self-reported health status and the Health-Behavior Scale-Congenital Heart Disease was used as a subjective measurement of physical activity type, participation, and level. Correlation analyses and Wilcoxon Rank Sum tests examined bivariate relations between sample characteristics and PHS scores. Then, multivariable models were constructed to understand the impact of physical activity on PHS. Only 30{\%} of our sample achieved recommended physical activity levels. Physically active patients reported better PHS than sedentary patients; however, the amount of physical activity was not associated with PHS. Further statistical analyses demonstrated that specifically sport participation regardless of physical activity level was a predictor of PHS. In conclusion, the majority of ACHD patients across the world are physically inactive. Sport participation appears to be the primary physical activity-related driver of PHS. By promoting sport-related exercise ACHD specialists thus may improve PHS in ACHD patients.",
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