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The impact of the COVID-19 pandemic on application of European Society of Cardiology (ESC) guidelines for exercise in adults with CHD: a data-based questionnaire

Published online by Cambridge University Press:  27 April 2021

Sophie E. Thompson Open the ORCID record for Sophie E. Thompson [Opens in a new window] ,
Caitlin A. Whitehead ,
Alex S. Notley ,
Isabel A. Guy ,
Chethan R. Kasargod Prabhakar ,
Paul Clift Open the ORCID record for Paul Clift [Opens in a new window]  and
Lucy E. Hudsmith
Sophie E. Thompson*
Affiliation:
Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
Caitlin A. Whitehead
Affiliation:
University of Birmingham, College of Medical and Dental Sciences, Birmingham, UK
Alex S. Notley
Affiliation:
University of Birmingham, College of Medical and Dental Sciences, Birmingham, UK
Isabel A. Guy
Affiliation:
Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
Chethan R. Kasargod Prabhakar
Affiliation:
Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
Paul Clift
Affiliation:
Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
Lucy E. Hudsmith
Affiliation:
Adult Congenital Heart Disease Unit, University Hospitals Birmingham, Birmingham, UK
*
Address for correspondence: Sophie E. Thompson, Queen Elizabeth Hospital Birmingham, Edgbaston, BirminghamB15 2TH, UK. Tel: +44 777 214 6066. E-mail: sophie.thompson31@nhs.net
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Abstract

Introduction:

Regular physical activity is safe and effective therapy for adults with CHD and is recommended by European Society of Cardiology guidelines. The COVID-19 pandemic poses enormous challenges to healthcare teams and patients when ensuring guideline compliance. We explored the implications of COVID-19 on physical activity levels in adult CHD patients.

Materials and methods:

A data-based questionnaire was distributed to adult CHD patients at a regional tertiary centre from October to November 2020.

Results:

Prior to the COVID-19 pandemic, 96 (79.3%) of 125 respondents reported participating in regular physical activity, with 66 (52.8%) meeting target levels (moderate physical activity for at least 150 minutes per week). Commonest motivations for physical activity were general fitness (53.6%), weight loss (36.0%), and mental health benefits (30.4%). During the pandemic, the proportion that met target levels significantly decreased from 52.8% to 40.8% (p = 0.03). The commonest reason was fear of COVID-19 (28.0%), followed by loss of motivation (23.2%) and gym/fitness centre closure (15.2%).

Discussion:

The COVID-19 pandemic has negatively impacted exercise levels of adult CHD patients. Most do not meet recommended physical activity levels, mainly attributable to fear of COVID-19. Even before the pandemic, only half of respondents met physical activity guidelines. Availability of online classes can positively impact exercise levels so could enhance guideline compliance. This insight into health perceptions and behaviours of adult CHD patients may help develop quality improvement initiatives to improve physical activity levels in this population.

Keywords

CHDexerciseCOVID-19
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 2 , February 2022 , pp. 270 - 275
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

UK CMO Guidelines Writing Group, 2019. UK Chief Medical Officers’ Physical Activity Guidelines. Department of Health and Social Care. Retrieved February 18, 2021, from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/832868/uk-chief-medical-officers-physical-activity-guidelines.pdf Google Scholar
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.CrossRefGoogle ScholarPubMed
Minamisawa, S, Nakazawa, M, Momma, K, Imai, Y, Satomi, G. Effect of aerobic training on exercise performance in patients after the fontan operation. Am J Cardiol 2001; 88: 695–698.10.1016/S0002-9149(01)01822-7CrossRefGoogle ScholarPubMed
Kvam, S, Kleppe, CL, Nordhus, IH, Hovland, A. Exercise as a treatment for depression: a meta-analysis. J Affect Disord 2016; 202: 67–86.CrossRefGoogle ScholarPubMed
Dean, PN, Gillespie, CW, Greene, EA, et al. Sports participation and quality of life in adolescents and young adults with congenital heart disease. Congenit Heart Dis 2015; 10: 169–179.CrossRefGoogle Scholar
Opić, P, Utens, EM, Cuypers, JA, et al. Sports participation in adults with congenital heart disease. Int J Cardiol 2015; 187: 175–182.CrossRefGoogle ScholarPubMed
Pelliccia, A, Sharma, S, Gati, S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease: the Task Force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC). Eur Heart J 2021; 42: 17–96.10.1093/eurheartj/ehaa605CrossRefGoogle Scholar
Longmuir, PE, Brothers, JA, de Ferranti, SD, et al. Promotion of physical activity for children and adults with congenital heart disease: a scientific statement from the American Heart Association. Circulation 2013; 127: 2147–2159.CrossRefGoogle ScholarPubMed
Reybrouck, T, Mertens, L. Physical performance and physical activity in grown-up congenital heart disease. Eur J Cardiovasc Prev Rehabil 2005; 12: 498–502.CrossRefGoogle ScholarPubMed
Giannakoulas, G, Dimopoulos, K. Exercise training in congenital heart disease: should we follow the heart failure paradigm? Int J Cardiol 2010; 138: 109–11.10.1016/j.ijcard.2009.06.024CrossRefGoogle ScholarPubMed
Dua, JS, Cooper, AR, Fox, KR, Graham Stuart, A. Exercise training in adults with congenital heart disease: feasibility and benefits. Int J Cardiol 2010; 138: 196–205.10.1016/j.ijcard.2009.01.038CrossRefGoogle ScholarPubMed
Pemberton, VL, McCrindle, BW, Barkin, S, et al. Report of the National Heart, Lung, and Blood Institute’s Working Group on obesity and other cardiovascular risk factors in congenital heart disease. Circulation 2010; 121: 1153–1159.10.1161/CIRCULATIONAHA.109.921544CrossRefGoogle Scholar
Scholes, S. Health Survey for England 2016 Physical activity in adults. NHS Digital. 2016. Available from: http://healthsurvey.hscic.gov.uk/media/63730/HSE16-Adult-phy-act.pdf Google Scholar
Larsson, L, Johansson, B, Sandberg, C, et al. Geographical variation and predictors of physical activity level in adults with congenital heart disease. Int J Cardiol 2018; 22: 20–25. https://doi.org/10.1016/j.ijcha.2018.11.004.Google ScholarPubMed
Koyak, Z, Harris, L, de Groot, JR, et al. Sudden cardiac death in adult congenital heart disease. Circulation 2012; 126: 1944–1954.CrossRefGoogle ScholarPubMed
Zomer, AC, Vaartjes, I, Uiterwaal, CSPM, et al. Circumstances of death in adult congenital heart disease. Int J Cardiol 2012; 154: 168–172.CrossRefGoogle ScholarPubMed
Heart UK Exercise [Internet]. Heartuk.org.uk. 2021 [cited 13 March 2021]. Available from: https://www.heartuk.org.uk/healthy-living/exercise Google Scholar
Meyer, M, Brudy, L, García-Cuenllas, L, et al. Current state of home-based exercise interventions in patients with congenital heart disease: a systematic review. Heart 2020; 106: 333–341.10.1136/heartjnl-2019-315680CrossRefGoogle ScholarPubMed
Mitchell, JH, Blomqvist, CG, Haskell, WL, et al. Classification of sports. 16th Bethesda Conference: cardiovascular abnormalities in the athlete: recommendations regarding eligibility for competition. J Am Coll Cardiol 1985; 6: 1198–1199.10.1016/S0735-1097(85)80200-XCrossRefGoogle Scholar
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