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성인 선천성 심장병 환자의 신체활동과 운동능력: 건강 대조군과 비교

A Comparison of Physical Activity and Exercise Capacity in Adults with Congenital Heart Disease and Healthy Controls

대한스포츠의학회지 2020년 38권 4호 p.225 ~ 233
김현정, 윤자경, 김성호, 제세영,
소속 상세정보
김현정 ( Kim Hyun-Jeong ) - University of Seoul Department of Sport Science
윤자경 ( Yoon Ja-Kyoung ) - Sejong Hospital Department of Pediatrics
김성호 ( Kim Seong-Ho ) - Sejong Hospital Department of Pediatrics
제세영 ( Jae Sae-Young ) - University of Seoul Department of Sports Informatics

Abstract


Purpose: Advancements in surgical and nonsurgical care for congenital heart disease (CHD) have enabled an increase in survival into adulthood of these children with CHD, thereby contributing to the growth of the aging population, it is important to evaluate these functional outcome measures in adults with CHD. Therefore, this study aimed to compare the subjective and objective assessments of physical activity (PA) and exercise capacity (EC) in adults with CHD and age-matched, healthy controls.

Methods: Forty-six adults with CHD (male, 26; age, 20.6±1.3 years) and forty-six healthy controls (male, 24; age, 21.2±1.6 years) underwent an assessment of subjective and objective PA levels using the Global Physical Activity Questionnaire and the accelerometer device (GENEActiv) worn on the wrist for seven consecutive days, respectively. EC was directly measured by peak oxygen uptake (peak VO2) during a graded exercise test.

Results: Subjectively and objectively measured of moderate to vigorous PA in adults with CHD were lower than those with healthy controls (p=0.008, p=0.004), while the majority of adults with CHD have achieved the recommended levels of PA (150 min/wk). In addition, peak VO2 was lower in adults with CHD than in healthy controls (30.8±8 mL/kg/min vs. 46.7±10 mL/kg/min, p<0.001).

Conclusion: Although the majority of adults with CHD meet the recommended levels of PA, their overall PA levels and EC are still lower than those of age-matched, healthy adults without CHD.

키워드

선천성 심장병; 신체활동; 운동능력
Congenital heart disease; Exercise capacity; Physical activity

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