Geographical variation and predictors of physical activity level in adults with congenital heart disease
Journal
IJC Heart and Vasculature
Journal Volume
22
Pages
20-25
Date Issued
2019
Author(s)
Larsson L.
Johansson B.
Sandberg C.
Apers S.
Kovacs A.H.
Luyckx K.
Thomet C.
Budts W.
Enomoto J.
Sluman M.A.
Jackson J.L.
Khairy P.
Cook S.C.
Alday L.
Eriksen K.
Dellborg M.
Berghammer M.
Rempel G.
Menahem S.
Caruana M.
Tomlin M.
Soufi A.
Fernandes S.M.
White K.
Callus E.
Kutty S.
Moons P.
APPROACH-IS Consortium, the International Society for Adult Congenital Heart Disease (ISACHD)
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. ? 2018
Subjects
Adult congenital heart disease; Health-behaviour scale; Metabolic equivalent; Patient-reported outcome; Physical activity level; Physical activity recommendation
SDGs
Other Subjects
adult; alcohol consumption; APPROACH IS; Article; congenital heart disease; cross-sectional study; educational status; employment status; exercise; female; follow up; geographic pathology; health behavior; Health Behaviour Scale; heart injury; human; major clinical study; male; marriage; medical decision making; medical ethics; metabolic equivalent; New York Heart Association class; patient-reported outcome; physical activity; prediction; priority journal; questionnaire; self report; smoking; world health organization
Publisher
Elsevier Ireland Ltd
Type
journal article