Exercise training in paediatric congenital heart disease: fit for purpose?

Arch Dis Child. 2022 Jun;107(6):525-534. doi: 10.1136/archdischild-2020-321390. Epub 2021 Sep 17.

Abstract

Exercise and physical activity (PA) have been shown to be effective, safe and feasible in both healthy children and children with congenital heart disease (CHD). However, implementing exercise training as an intervention is still not routine in children with CHD despite considerable evidence of health benefits and well-being. Understanding how children with CHD can safely participate in exercise can boost participation in PA and subsequently reduce inactivity-related diseases. Home-based exercise intervention, with the use of personal wearable activity trackers, and high-intensity interval training have been beneficial in adults' cardiac rehabilitation programmes. However, these remain underutilised in paediatric care. Therefore, the aims of this narrative review were to synthesise prescribed exercise interventions in children with CHD, identify possible limitation to exercise training prescription and provide an overview on how to best integrate exercise intervention effectively for this population into daily practice.

Keywords: cardiology; physiology; rehabilitation.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Exercise Therapy
  • Exercise*
  • Heart Defects, Congenital* / rehabilitation
  • Humans
  • Prescriptions