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Special Issue "Nutrition, Physical Activity and Sports in Children with Congenital Heart Disease"

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A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Cardiology".

Deadline for manuscript submissions: 15 January 2024 | Viewed by 5169

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Special Issue Editors

Dr. Christian Apitz

E-Mail Website
Guest Editor

Division of Pediatric Cardiology, University Childrens Hospital Ulm, D-89075 Ulm, Germany
Interests: pediatric pulmonary hypertension; pediatric oncocardiology; cardiac imaging of congenital heart disease

Dr. Jannos Siaplaouras
E-Mail Website
Guest Editor

Herz Jesu Krankenhaus, 36039 Fulda, Germany
Interests: pediatric sports medicine; cardiopulmonary rehabilitation

Special Issue Information

Dear Colleagues,

In childhood, physical activity is particularly important, not only for somatic health, but also for neurologic, emotional, and psychosocial development. In addition, healthy nutrition and regular sportive activities may reduce acquired cardiovascular risk factors (i.e., arterial hypertension, obesity, diabetes) that are commonly seen in the general population and that increase the risk of metabolic disease, stroke, and coronary artery disease.

Unfortunately, children with congenital heart disease have often reduced levels of physical activity, mainly due to overprotection from their parents and caregivers, teachers and sport trainers, and physicians and health care professionals as well as to misperceptions regarding the relative risks versus benefits of participation. This is often accompanied by unhealthy nutrition that results in a dangerous vicious cycle, which can only be suspended by a rigorous lifestyle modification.

The goal of this Special Issue is to better understand how nutrition, physical activity, and sports affect children and adolescents with congenital heart disease and to increase the available evidence related to this.

Manuscripts should address the above items in regard to:

Demography, etiology, and pathophysiologic aspects;
How to assess exercise limitations;
New developments in the field and in the molecular basis when appropriate;
Therapeutic novelties that may improve patient outcomes.

This Special Issue will accept:

Original, basic, and clinical articles;
Case studies;
Prospective studies;
Review or mini review articles.

Dr. Christian Apitz
Dr. Jannos Siaplaouras
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

children
adolescents
congenital heart disease
nutrition
physical activity
sports
cardiovascular risk
lifestyle
pediatric cardiology

Published Papers (3 papers)

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Research

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Open AccessArticle

Physical Self-Concept and Physical Activity in Children with Congenital Heart Defects—Can We Point Out Differences to Healthy Children to Promote Physical Activity?

and

Children 2023, 10(3), 478; https://doi.org/10.3390/children10030478 - 28 Feb 2023

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Abstract

Objective: Children with congenital heart defects (CHD) are at high risk for cardiovascular disease in addition to their congenital disease, so it is important to motivate this group of patients to live a physically active lifestyle. A potential influencing determinant of younger children’s physical performance is the physical self-concept. The objective of the present study was first to evaluate the correlation between the physical self-concept (PSC) and the participation in physical activities (PA) of a representative group of children with congenital heart disease (CHD), and second to point out differences in comparison to their healthy peer group. Methods: Using the database of PA of the S-BAHn-Study we focused on physical self-concept assessed by the German version of the Physical Self-Description Questionnaire. We compare the obtained data of children with CHD to a representative age-matched sample of 3.385 participants of the Motorik Modul Study. Results: N = 1.198 complete datasets could be included in the analyses. The mean age of patients was 11.6 ± 3.1 years. For the total cohort of patients with CHD and the reference group, PA correlated significantly with a positive PSC (p < 0.001). PA was significantly reduced in all groups of patients despite the severity of their heart defect (p < 0.001). Remarkably, PSC did not differ statistically significantly in patients with simple CHD from the reference collective (p > 0.24). Conclusions: According to this representative survey, there is a clear relation between PA and PSC in the cohort of healthy children and the group of children with CHD throughout the severity of their heart defects. Although PSC did not differ in patients with simple CHD and their healthy peer group, PA was significantly reduced. This gap invites us to reflect on how we could break new ground to promote a physically active lifestyle in children with CHD regardless of the severity of their cardiac defects. Full article

(This article belongs to the Special Issue Nutrition, Physical Activity and Sports in Children with Congenital Heart Disease)

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Review

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Open AccessReview

Effects of Sports, Exercise Training, and Physical Activity in Children with Congenital Heart Disease—A Review of the Published Evidence

Simone K. Dold

Nikolaus A. Haas

and

Christian Apitz

Children 2023, 10(2), 296; https://doi.org/10.3390/children10020296 - 02 Feb 2023

Cited by 1 | Viewed by 3020

Abstract

Children and adolescents with congenital heart disease (CHD) should be encouraged to adopt a physically active lifestyle, ideally by participating in sports activities at school and sports clubs. Children with complex CHD or other risk factors (for example, pacemakers, cardioverter-defibrillators, channelopathies) may, however, need specific individualized training programs. This review article summarizes the current knowledge regarding the clinical effects of sports and exercise training on CHD and its pathophysiologic mechanisms. An evidence-based approach based on a literature search, using PubMed, Medline, CINHAL, Embase, and the Cochrane Library was conducted, last completed on 30 December 2021. In studies with 3256 CHD patients in total, including 10 randomized controlled trials, 14 prospective interventional trials, 9 observational trials, and 2 surveys, exercise training has been shown to improve exercise capacity and physical activity, motoric skills, muscular function, and quality of life. Sports and exercise training appears to be effective and safe in CHD patients. Despite being cost-efficient, training programs are currently scarcely reimbursed; therefore, support from healthcare institutions, commissioners of healthcare, and research-funding institutions is desirable. There is a strong need to establish specialized rehabilitation programs for complex CHD patients to enhance these patients’ access to this treatment intervention. Further studies may be desirable to confirm these data to investigate the impact on risk profiles and to identify the most advantageous training methodology and underlying pathophysiological mechanisms. Full article

(This article belongs to the Special Issue Nutrition, Physical Activity and Sports in Children with Congenital Heart Disease)

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Other

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Open AccessBrief Report

Nationwide Survey Reveals High Prevalence of Non-Swimmers among Children with Congenital Heart Defects

and

Children 2023, 10(6), 988; https://doi.org/10.3390/children10060988 - 31 May 2023

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Abstract

Background: Physical activity is important for children with congenital heart defects (CHD), not only for somatic health, but also for neurologic, emotional, and psychosocial development. Swimming is a popular endurance sport which is in general suitable for most children with CHD. Since we have previously shown that children with CHD are less frequently physically active than their healthy peers, we hypothesized that the prevalence of non-swimmers is higher in CHD patients than in healthy children. Methods: To obtain representative data, we performed a nationwide survey in collaboration with the German National Register of Congenital Heart Defects (NRCHD) and the Institute for Sport Sciences of the Karlsruhe Institute for Technology (KIT). The questionnaire included questions capturing the prevalence of swimming skills and the timing of swim learning and was part of the “Motorik-Modul” (MoMo) from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). A representative age-matched subset of 4569 participants of the MoMo wave two study served as a healthy control group. Results: From 894 CHD-patients (mean age of 12.5 ± 3.1 years), the proportion of non-swimmers in children with CHD was significantly higher (16% versus 4.3%; p < 0.001) compared to healthy children and was dependent on CHD severity: Children with complex CHD had an almost five-fold increased risk (20.4%) of being unable to swim, whereas in children with simple CHD, the ability to swim did not differ significantly from their healthy reference group (5.6% vs. 4.3% non-swimmers (p = not significant). Conclusions: According to our results, one in five patients with complex CHD are non-swimmers, a situation that is concerning in regard of motoric development, inclusion and integration, as well as prevention of drowning accidents. Implementation of swim learning interventions for children with CHD would be a reasonable approach. Full article

(This article belongs to the Special Issue Nutrition, Physical Activity and Sports in Children with Congenital Heart Disease)

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Special Issue "Nutrition, Physical Activity and Sports in Children with Congenital Heart Disease"

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