Assessment of Physical Activity in Children and Adolescents with Congenital Heart Defects
DOI:
https://doi.org/10.12970/2311-052X.2014.02.03.5Keywords:
Congenital heart defect, children, physical activity, assessment.Abstract
Disorder of the cardiovascular system is the most common cause of death worldwide and sufficient physical activity plays an import role in preventing these deaths. Children and adolescents with congenital heart defect are at risk of living a sedentary life as a result of overprotection and uncertainty regarding physical activity recommendations. Assessment of physical activity level should therefore be part of regular follow-up in this population. A whole range of subjective and objective measure instruments of physical activity are available. However, not all are suitable in children and adolescents. Questionnaires have the advantage of being inexpensive and simple, but reduced recall capability of children and adolescents and low-to-moderate correlation with objective measures of physical activity are of concern. At present a single unobtrusive motion sensor allowing valid and long-term monitoring of physical activity may be the best choice.
References
Santulli G. Epidemiology of cardiovascular disease in the 21st century: Updated numbers and updated facts. Journal of Cardiovascular Disease 2013; 1: 1-2.
Blair SN, Kohl HW, 3rd, Paffenbarger RS, Jr., Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. Jama 1989; 262: 2395-401. http://dx.doi.org/10.1001/jama.1989.03430170057028
Biddle SJ, Gorely T, Stensel DJ. Health-enhancing physical activity and sedentary behaviour in children and adolescents. J Sports Sci 2004; 22: 679-701. http://dx.doi.org/10.1080/02640410410001712412
Santulli G, Ciccarelli M, Trimarco B, Iaccarino G. Physical activity ameliorates cardiovascular health in elderly subjects: The functional role of the beta adrenergic system. Front Physiol 2013; 4: 209. http://dx.doi.org/10.3389/fphys.2013.00209
Grontved A, Ried-Larsen M, Moller NC, et al. Youth screen-time behaviour is associated with cardiovascular risk in young adulthood: The european youth heart study. Eur J Prev Cardiol 2014; 21: 49-56. http://dx.doi.org/10.1177/2047487312454760
Pate RR, Mitchell JA, Byun W, Dowda M. Sedentary behaviour in youth. Br J Sports Med 2011; 45: 906-13. http://dx.doi.org/10.1136/bjsports-2011-090192
Halliday M, Selvadurai H, Sherwood M, Fitzgerald DA. Exercise in children with common congenital heart lesions: Balancing benefits with risks. Journal of paediatrics and child health 2013; 49: 795-9. http://dx.doi.org/10.1111/jpc.12388
Lunt D, Briffa T, Briffa NK, Ramsay J. Physical activity levels of adolescents with congenital heart disease. Aust J Physiother 2003; 49: 43-50. http://dx.doi.org/10.1016/S0004-9514(14)60187-2
Buys R, Budts W, Delecluse C, Vanhees L. Determinants of physical activity in young adults with tetralogy of fallot. Cardiol Young 2014; 24: 20-26. http://dx.doi.org/10.1017/S1047951112001898
Buys R, Budts W, Delecluse C, Vanhees L. Exercise capacity, physical activity, and obesity in adults with repaired aortic coarctation. J Cardiovasc Nurs 2013; 28: 66-73. http://dx.doi.org/10.1097/JCN.0b013e318239f430
Muller J, Hess J, Hager A. Daily physical activity in adults with congenital heart disease is positively correlated with exercise capacity but not with quality of life. Clin Res Cardiol 2012; 101: 55-61. http://dx.doi.org/10.1007/s00392-011-0364-6
Diller GP, Dimopoulos K, Okonko D, et al. Exercise intolerance in adult congenital heart disease: Comparative severity, correlates, and prognostic implication. Circulation 2005; 112: 828-35. http://dx.doi.org/10.1161/CIRCULATIONAHA.104.529800
Hager A, Hess J. Comparison of health related quality of life with cardiopulmonary exercise testing in adolescents and adults with congenital heart disease. Heart 2005; 91: 517-20. http://dx.doi.org/10.1136/hrt.2003.032722
Stone N, Obeid J, Dillenburg R, et al.Objectively measured physical activity levels of young children with congenital heart disease. Cardiol Young 2014: 1-6. http://dx.doi.org/10.1017/S1047951114000298
Longmuir PE, Russell JL, Corey M, Faulkner G, McCrindle BW. Factors associated with the physical activity level of children who have the fontan procedure. Am Heart J 2011; 161: 411-7. http://dx.doi.org/10.1016/j.ahj.2010.11.019
Byun W, Dowda M, Pate RR. Correlates of objectively measured sedentary behavior in us preschool children. Pediatrics 2011; 128: 937-45. http://dx.doi.org/10.1542/peds.2011-0748
Budts W, Borjesson M, Chessa M, et al.Physical activity in adolescents and adults with congenital heart defects: Individualized exercise prescription. Eur Heart J 2013; 34: 3669-74. http://dx.doi.org/10.1093/eurheartj/eht433
Baquet G, Stratton G, Van Praagh E, Berthoin S. Improving physical activity assessment in prepubertal children with high-frequency accelerometry monitoring: A methodological issue. Prev Med 2007; 44: 143-7. http://dx.doi.org/10.1016/j.ypmed.2006.10.004
Bailey RC, Olson J, Pepper SL, Porszasz J, Barstow TJ, Cooper DM. The level and tempo of children's physical activities: An observational study. Med Sci Sports Exerc 1995; 27: 1033-41. http://dx.doi.org/10.1249/00005768-199507000-00012
Welk GJ, Corbin CB, Dale D. Measurement issues in the assessment of physical activity in children. Res Q Exerc Sport 2000; 71: S59-73.
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Rep 1985; 100: 126-31.
Katch VL, McArdle WD, Katch FI. Energy expenditure during rest and physical activity; Essentials of exercise physiology. Baltimore, Lippincott William & Wilkins, 2011, pp 237 - 262.
FAO/WHO/UNU: Human energy requirements: Report of joint fao/who/unu expert consultation. Rome, 2001,
Fletcher GF, Balady GJ, Amsterdam EA, et al. Exercise standards for testing and training: A statement for healthcare professionals from the american heart association. Circulation 2001; 104: 1694-740. http://dx.doi.org/10.1161/hc3901.095960
Boreham C, Riddoch C. The physical activity, fitness and health of children. J Sports Sci 2001; 19: 915-29. http://dx.doi.org/10.1080/026404101317108426
Adamo KB, Prince SA, Tricco AC, Connor-Gorber S, Tremblay M. A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: A systematic review. Int J Pediatr Obes 2009; 4: 2-27. http://dx.doi.org/10.1080/17477160802315010
Strath SJ, Kaminsky LA, Ainsworth BE, et al. Guide to the assessment of physical activity: Clinical and research applications: A scientific statement from the american heart association. Circulation 2013; 128: 2259-79. http://dx.doi.org/10.1161/01.cir.0000435708.67487.da
Bouchard C, Tremblay A, Leblanc C, Lortie G, Savard R, Theriault G. A method to assess energy expenditure in children and adults. Am J Clin Nutr 1983; 37: 461-7.
Sternfeld B, Jiang SF, Picchi T, Chasan-Taber L, Ainsworth B, Quesenberry CP, Jr. Evaluation of a cell phone-based physical activity diary. Med Sci Sports Exerc 2012; 44: 487-95. http://dx.doi.org/10.1249/MSS.0b013e3182325f45
Bringolf-Isler B, Grize L, Mader U, Ruch N, Sennhauser FH, Braun-Fahrlander C. Assessment of intensity, prevalence and duration of everyday activities in swiss school children: A cross-sectional analysis of accelerometer and diary data. Int J Behav Nutr Phys Act 2009; 6: 50. http://dx.doi.org/10.1186/1479-5868-6-50
Sallis JF, Saelens BE. Assessment of physical activity by self-report: Status, limitations, and future directions. Res Q Exerc Sport 2000; 71: S1-14.
Moore HJ, Ells LJ, McLure SA, et al. The development and evaluation of a novel computer program to assess previous-day dietary and physical activity behaviours in school children: The synchronised nutrition and activity program (snap). Br J Nutr 2008; 99: 1266-74. http://dx.doi.org/10.1017/S0007114507862428
Prochaska JJ, Sallis JF, Long B. A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med 2001; 155: 554-9. http://dx.doi.org/10.1001/archpedi.155.5.554
Crocker PR, Bailey DA, Faulkner RA, Kowalski KC, McGrath R. Measuring general levels of physical activity: Preliminary evidence for the physical activity questionnaire for older children. Med Sci Sports Exerc 1997; 29: 1344-9. http://dx.doi.org/10.1097/00005768-199710000-00011
Kowalski KC, Crocker PRE, Kowalski NP. Convergent validity of the physical activity questionnaire for adolescents. Pediatr Exercise Science 1997; 9: 342-52.
Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science 1998; 280: 867-73. http://dx.doi.org/10.1126/science.280.5365.867
Going SB, Levin S, Harrell J, et al. Physical activity assessment in american indian schoolchildren in the pathways study. Am J Clin Nutr 1999; 69: 788S-795S.
Sallis JF, Buono MJ, Roby JJ, Micale FG, Nelson JA. Seven-day recall and other physical activity self-reports in children and adolescents. Med Sci Sports Exerc 1993; 25: 99-108. http://dx.doi.org/10.1249/00005768-199301000-00014
Haraldsdottir J, Hermansen B. Repeated 24h recalls with young schoolchildren. A feasible alternative to diet history from parents? Eur J Clin Nutr 1995; 49: 729-39.
Cale L. Self-report measures of children´s physical activity: Recommendations for future development and a new alternative measure. Health Educ J 1994; 53: 439-53. http://dx.doi.org/10.1177/001789699405300408
Chinapaw MJ, Mokkink LB, van Poppel MN, van Mechelen W, Terwee CB. Physical activity questionnaires for youth: A systematic review of measurement properties. Sports Med 2010; 40: 539-63. http://dx.doi.org/10.2165/11530770-000000000-00000
Biddle SJ, Gorely T, Pearson N, Bull FC. An assessment of self-reported physical activity instruments in young people for population surveillance: Project alpha. Int J Behav Nutr Phys Act 2011; 8: 1. http://dx.doi.org/10.1186/1479-5868-8-1
Brener ND, Kann L, McManus T, Kinchen SA, Sundberg EC, Ross JG. Reliability of the 1999 youth risk behavior survey questionnaire. J Adolesc Health 2002; 31: 336-42. http://dx.doi.org/10.1016/S1054-139X(02)00339-7
Bonomi AG, Westerterp KR. Advances in physical activity monitoring and lifestyle interventions in obesity: A review. Int J Obes (Lond) 2012; 36: 167-77. http://dx.doi.org/10.1038/ijo.2011.99
Westerterp KR. Reliable assessment of physical activity in disease: An update on activity monitors. Curr Opin Clin Nutr Metab Care 2014; 17: 401-6. http://dx.doi.org/10.1097/MCO.0000000000000080
Coward WA: Stable isotopic methods for measuring energy expenditure. The doubly-labelled-water (2h2(18)o) method: Principles and practice. Proc Nutr Soc 1988; 47: 209-18. http://dx.doi.org/10.1079/PNS19880037
Jones PJ, Winthrop AL, Schoeller DA, Swyer PR, Smith J, Filler RM, Heim T. Validation of doubly labeled water for assessing energy expenditure in infants. Pediatr Res 1987; 21: 242-6. http://dx.doi.org/10.1203/00006450-198703000-00007
Antos SA, Albert MV, Kording KP. Hand, belt, pocket or bag: Practical activity tracking with mobile phones. J Neurosci Methods 2014; 231: 22-30. http://dx.doi.org/10.1016/j.jneumeth.2013.09.015
Janz KF, Witt J, Mahoney LT. The stability of children's physical activity as measured by accelerometry and self-report. Med Sci Sports Exerc 1995; 27: 1326-32. http://dx.doi.org/10.1249/00005768-199509000-00014
Bassett JR, Strath SJ. Use of pedometers to assess physical activity; Physical activity assessment for health-related research. Champaign, IL, Human Kinetics, 2002, pp 163-77.
Duncan JS, Schofield G, Duncan EK, Hinckson EA. Effects of age, walking speed, and body composition on pedometer accuracy in children. Res Q Exerc Sport 2007; 78: 420-8. http://dx.doi.org/10.1080/02701367.2007.10599442
Beets MW, Patton MM, Edwards S. The accuracy of pedometer steps and time during walking in children. Med Sci Sports Exerc 2005; 37: 513-20. http://dx.doi.org/10.1249/01.MSS.0000155395.49960.31
Oliver M, Schofield GM, Kolt GS, Schluter PJ. Pedometer accuracy in physical activity assessment of preschool children. J Sci Med Sport 2007; 10: 303-10. http://dx.doi.org/10.1016/j.jsams.2006.07.004
De Craemer M, De Decker E, Santos-Lozano A, et al. Validity of the omron pedometer and the actigraph step count function in preschoolers. J Sci Med Sport 2014. http://dx.doi.org/10.1016/j.jsams.2014.06.001
Oliver M, Schofield GM, Kolt GS. Physical activity in preschoolers: Understanding prevalence and measurement issues. Sports Med 2007; 37: 1045-70. http://dx.doi.org/10.2165/00007256-200737120-00004
Tremblay MS, Leblanc AG, Carson V, et al. Canadian physical activity guidelines for the early years (aged 0-4 years). Appl Physiol Nutr Metab 2012; 37: 345-69. http://dx.doi.org/10.1139/h2012-018
Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting The population health science of sedentary behavior. Exerc Sport Sci Rev 2010; 38: 105-13. http://dx.doi.org/10.1097/JES.0b013e3181e373a2
Plasqui G, Bonomi AG, Westerterp KR. Daily physical activity assessment with accelerometers: New insights and validation studies. Obes Rev 2013; 14: 451-62. http://dx.doi.org/10.1111/obr.12021
Plasqui G, Westerterp KR. Physical activity assessment with accelerometers: An evaluation against doubly labeled water. Obesity (Silver Spring) 2007; 15: 2371-9. http://dx.doi.org/10.1038/oby.2007.281
Nilsson A, Ekelund U, Sjostrom M. Assessing physical activity among children with accelerometers using different time sampling intervals and placements. Pediatr Exercise Science 2002; 13: 87-96.
Trost SG, McIver KL, Pate RR. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc 2005; 37: S531-43. http://dx.doi.org/10.1249/01.mss.0000185657.86065.98
Orme M, Wijndaele K, Sharp SJ, Westgate K, Ekelund U, Brage S. Combined influence of epoch length, cut-point and bout duration on accelerometry-derived physical activity. Int J Behav Nutr Phys Act 2014; 11: 34. http://dx.doi.org/10.1186/1479-5868-11-34
Treuth MS, Schmitz K, Catellier DJ, et al. Defining accelerometer thresholds for activity intensities in adolescent girls. Med Sci Sports Exerc 2004; 36: 1259-66.
Freedson P, Pober D, Janz KF. Calibration of accelerometer output for children. Med Sci Sports Exerc 2005; 37: S523-530. http://dx.doi.org/10.1249/01.mss.0000185658.28284.ba
Fredriksen PM, Kahrs N, Blaasvaer S, et al. Effect of physical training in children and adolescents with congenital heart disease. Cardiol Young 2000; 10: 107-114.
McCrindle BW, Williams RV, Mital S, et al. Physical activity levels in children and adolescents are reduced after the fontan procedure, independent of exercise capacity, and are associated with lower perceived general health. Arch Dis Child 2007; 92: 509-14. http://dx.doi.org/10.1136/adc.2006.105239
Iannotti RJ, Claytor RP, Horn TS, Chen R. Heart rate monitoring as a measure of physical activity in children. Med Sci Sports Exerc 2004; 36: 1964-71. http://dx.doi.org/10.1249/01.MSS.0000145445.54609.82
Livingstone MB, Coward WA, Prentice AM, et al. Daily energy expenditure in free-living children: Comparison of heart-rate monitoring with the doubly labeled water (2h2(18)o) method. Am J Clin Nutr 1992; 56: 343-52.
Colbert LH, Matthews CE, Havighurst TC, Kim K, Schoeller DA. Comparative validity of physical activity measures in older adults. Med Sci Sports Exerc 2011; 43: 867-76. http://dx.doi.org/10.1249/MSS.0b013e3181fc7162
Stephens S, Takken T, Tremblay M, Esliger D, Schneiderman J, Biggar D. Validation of accelerometry as a measure of physical activity energy expenditure in children with chronic disease (abstract): XXVth Pediatric Work Physiology (PWP) Congress. Le Touquet, France, 2009,
Takken T, Stephens S, Balemans A, et al. Validation of the actiheart activity monitor for measurement of activity energy expenditure in children and adolescents with chronic disease. Eur J Clin Nutr 2010; 64: 1494-500. http://dx.doi.org/10.1038/ejcn.2010.196
Van Remoortel H, Giavedoni S, Raste Y, et al. Validity of activity monitors in health and chronic disease: A systematic review. Int J Behav Nutr Phys Act 2012; 9: 84. http://dx.doi.org/10.1186/1479-5868-9-84