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Adults with congenital heart disease overestimate their physical activity level

Larsson, Lena; Johansson, Bengt; Wadell, Karin; Thilén, Ulf LU and Sandberg, Camilla (2019) In IJC Heart and Vasculature 22. p.13-17
Abstract

Background: Physical activity reduces the risk of acquired cardiovascular disease, which is of great importance in patients with congenital heart disease (CHD). There are diverging data whether physical activity level (PAL) differs between patients with CHD and controls. Furthermore, it is unknown if PAL can be reliably assessed in patients with CHD using self-reported instruments. Methods: Seventy-five patients with CHD (mean age 37.5 ± 15.5 years, women n = 29 [38.7%]) and 42 age and sex matched controls completed the International Physical Activity Questionnaire (IPAQ) and carried the activity monitor Actiheart over 4 days. Time spent at ≥3 METS ≥21.4 min/day, i.e. reaching the WHO recommendation for PAL to promote health, was used... (More)

Background: Physical activity reduces the risk of acquired cardiovascular disease, which is of great importance in patients with congenital heart disease (CHD). There are diverging data whether physical activity level (PAL) differs between patients with CHD and controls. Furthermore, it is unknown if PAL can be reliably assessed in patients with CHD using self-reported instruments. Methods: Seventy-five patients with CHD (mean age 37.5 ± 15.5 years, women n = 29 [38.7%]) and 42 age and sex matched controls completed the International Physical Activity Questionnaire (IPAQ) and carried the activity monitor Actiheart over 4 days. Time spent at ≥3 METS ≥21.4 min/day, i.e. reaching the WHO recommendation for PAL to promote health, was used as the outcome measure. Data on PAL obtained from IPAQ were compared with Actiheart. Results: The proportion of individuals reaching target PAL according to IPAQ was similar in patients with CHD and controls (70.7%vs.76.2%, p = 0.52) as well as between patients with simple and complex lesions. There was an overall difference between IPAQ and Actiheart in detecting recommended PAL (72.6%vs.51.3%, p < 0.001). In a subgroup analysis, this difference was also detected in patients but was borderline for controls. The negative predictive value for IPAQ in detecting insufficient PAL was higher in patients than in controls (73%vs.40%). Conclusions: The proportion of persons reaching sufficient PAL to promote health was similar in patients and controls. The self-reported instrument overestimated PAL in relation to objective measurements. However, with a high negative predictive value, IPAQ is a potentially useful tool for detecting patients with insufficient PAL.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Actiheart, Adult congenital heart disease, IPAQ, Physical activity level
in
IJC Heart and Vasculature
volume
22
pages
5 pages
publisher
Elsevier
external identifiers
  • scopus:85056670343
ISSN
2352-9067
DOI
10.1016/j.ijcha.2018.11.005
language
English
LU publication?
yes
id
8c3642fd-e00c-489d-8b5c-f4d4aae26fc9
date added to LUP
2018-11-26 10:10:45
date last changed
2019-01-06 14:17:12
@article{8c3642fd-e00c-489d-8b5c-f4d4aae26fc9,
  abstract     = {<p>Background: Physical activity reduces the risk of acquired cardiovascular disease, which is of great importance in patients with congenital heart disease (CHD). There are diverging data whether physical activity level (PAL) differs between patients with CHD and controls. Furthermore, it is unknown if PAL can be reliably assessed in patients with CHD using self-reported instruments. Methods: Seventy-five patients with CHD (mean age 37.5 ± 15.5 years, women n = 29 [38.7%]) and 42 age and sex matched controls completed the International Physical Activity Questionnaire (IPAQ) and carried the activity monitor Actiheart over 4 days. Time spent at ≥3 METS ≥21.4 min/day, i.e. reaching the WHO recommendation for PAL to promote health, was used as the outcome measure. Data on PAL obtained from IPAQ were compared with Actiheart. Results: The proportion of individuals reaching target PAL according to IPAQ was similar in patients with CHD and controls (70.7%vs.76.2%, p = 0.52) as well as between patients with simple and complex lesions. There was an overall difference between IPAQ and Actiheart in detecting recommended PAL (72.6%vs.51.3%, p &lt; 0.001). In a subgroup analysis, this difference was also detected in patients but was borderline for controls. The negative predictive value for IPAQ in detecting insufficient PAL was higher in patients than in controls (73%vs.40%). Conclusions: The proportion of persons reaching sufficient PAL to promote health was similar in patients and controls. The self-reported instrument overestimated PAL in relation to objective measurements. However, with a high negative predictive value, IPAQ is a potentially useful tool for detecting patients with insufficient PAL.</p>},
  author       = {Larsson, Lena and Johansson, Bengt and Wadell, Karin and Thilén, Ulf and Sandberg, Camilla},
  issn         = {2352-9067},
  keyword      = {Actiheart,Adult congenital heart disease,IPAQ,Physical activity level},
  language     = {eng},
  pages        = {13--17},
  publisher    = {Elsevier},
  series       = {IJC Heart and Vasculature},
  title        = {Adults with congenital heart disease overestimate their physical activity level},
  url          = {http://dx.doi.org/10.1016/j.ijcha.2018.11.005},
  volume       = {22},
  year         = {2019},
}