期刊
ACTA PAEDIATRICA
卷 111, 期 1, 页码 17-23出版社
WILEY
DOI: 10.1111/apa.16121
关键词
exercise capacity; exercise training; fontan circulation; physical activity; quality of life
类别
资金
- Swedish Order of Freemasons
- Mayflower Charity Foundation for Children
- Samariten foundation for paediatric research
- Swedish Heart-Lung Foundation
- Sallskapet barnavard
While Fontan palliation has significantly improved survival rates, children with univentricular hearts face long-term health issues due to abnormal circulation. Endurance training can improve exercise capacity, lung function, and quality of life to a certain extent, and it is positively correlated with sleep quality.
Children born with univentricular hearts undergo staged surgical procedures to a Fontan circulation. Long-term experience with Fontan palliation has shown dramatically improved survival but also of a life-long burden of an abnormal circulation with significant morbidity. Many Fontan patients have reduced exercise capacity, oxygen uptake, lung function and quality of life. Endurance training may improve submaximal, but not maximal, exercise capacity, lung function and quality of life. Physical activity and endurance training is also positively correlated with sleep quality. Reviewing the literature and from our single-centre experience, we believe there is enough evidence to support structured individualised endurance training in most young Fontan patients.
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