Exercise prescription in adults with congenital heart disease: a long way to go
Exercise prescription in adults with congenital heart disease: a long way to go
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DOI：
10.1136/heart.83.6.685
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发表时间：
2000-06-01
期刊：
影响因子：
5.7
通讯作者：
Hillis, WS
中科院分区：
文献类型：
--
作者：
Swan, L;Hillis, WS
目的：确定成人先天性心脏病患者在安全有效的运动方面是否得到了适当的建议，并评估先前存在的关于运动潜在益处和危险的误解。设计——匿名自我评估问卷。设置-三级转诊诊所。患者：99名患有先天性心脏病的成年人（57名男性，42名女性），平均年龄25.6岁。主要结果测量指标-过去几年给予运动建议的程度和性质；与美国心脏协会的建议相比，测量当前的活动水平；以及对运动限制症状的评估以及对进一步运动障碍的描述。结果——44%的研究对象认为，尽管患有心脏病，但所有的运动都是安全的。一名卫生保健专业人员只在28个案例中提出了具体的运动建议。在接受指导的人中，更常见的是收到禁止性建议（30%），而不是鼓励多锻炼（19%）。尽管如此，61%的人至少进行了某种形式的轻度运动。最普遍的运动障碍是目前的症状（32.3%），对运动缺乏兴趣（24.2%）和健康恐惧（16.1%）。结论：即使在专科诊所，对患有先天性心脏病的成年人进行有关运动及其潜在益处和局限性的教育也是次优的。
Objective-To determine if appropriate advice had been given to adults with congenital heart disease regarding safe and effective exercise, and to assess pre-existing misconceptions of the potential benefits and dangers of exercise.Design-An anonymous self assessment questionnaire.Setting-A tertiary referral clinic.Patients-99 adults (57 men, 42 women) with congenital heart disease, mean age 25.6 years.Main outcome measures-The extent and nature of exercise advice given over previous years; a measure of current activity level compared with the American Heart Association recommendations; and an assessment of exercise limiting symptoms and a description of barriers to further exercise.Results-44% of the cohort assumed all exercise was safe despite their cardiac disease. A health care professional had only raised the issue of specific exercise advice in 28 cases. Of those given instruction it was more common to receive prohibitive advice (30%) than to be encouraged to take more exercise (19%). Despite this 61% were involved in some form of at least light exercise. The most prevalent barriers to exercise were current symptoms (32.3%), lack of interest in exercise (24.2%), and health fears (16.1%).Conclusions-The education of adults with congenital heart disease regarding exercise and its potential benefits and limitations is suboptimal even in a specialist clinic.