Supported exercise programme for adults with Congenital Heart Disease (SEACHange)

Background: Congenital heart disease (CHD) is a lifelong condition. Many patients will require repeated interventions. Long term morbidity due to heart failure, arrhythmias and recurrent hospital admissions is common. The benefits of regular exercise are well known. The aim of this study is to deter...

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Main Authors: Shelagh Brown, Jim Mearns, Elaine Muirhead, Samuel Rodgers, Niki Walker
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:International Journal of Cardiology Congenital Heart Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666668521000860
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author Shelagh Brown
Jim Mearns
Elaine Muirhead
Samuel Rodgers
Niki Walker
author_facet Shelagh Brown
Jim Mearns
Elaine Muirhead
Samuel Rodgers
Niki Walker
author_sort Shelagh Brown
collection DOAJ
description Background: Congenital heart disease (CHD) is a lifelong condition. Many patients will require repeated interventions. Long term morbidity due to heart failure, arrhythmias and recurrent hospital admissions is common. The benefits of regular exercise are well known. The aim of this study is to determine the feasibility of introducing a supported exercise programme to develop physical and psychological wellbeing in adults with CHD, living in Scotland. Methods: Patients were mainly recruited via the Adult Congenital Heart Disease (ACHD) review clinic at the Golden Jubilee National Hospital (GJNH). Participants were initially assessed using a 6-min walk test (6MWT) and stratified in to either Group 1 (n = 10) or Group 2 (n = 18). Further baseline measurements (Grip strength, Bicep strength, Quadriceps strength, and psychological measurements) were completed for both groups. Sniff Nasal Inspiratory Pressure (SNIP) was also assessed for Group 1. All measurements were repeated after 12 weeks. Results: For both groups 1 and 2 the majority of individuals improved upon their baseline measurements across all physical metrics (6MWT, quadriceps, bicep and grip strength). Although not achieving statistical significance individually, when combined groups 1 and 2 demonstrated a statistically significant increase in the objective measures of fitness from those measured at baseline to week 12. Conclusions: Exercise in the adult congenital cardiac population is safe when patients are given guidance and structure.
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spelling doaj.art-eba3849e7a944e718f579b2e74c65dcf2022-12-21T22:52:56ZengElsevierInternational Journal of Cardiology Congenital Heart Disease2666-66852021-08-014100162Supported exercise programme for adults with Congenital Heart Disease (SEACHange)Shelagh Brown0Jim Mearns1Elaine Muirhead2Samuel Rodgers3Niki Walker4Golden Jubilee National hospital, UK; Corresponding author. Golden Jubilee National Hospital, Agamemnon Street, Clydebank, G81 4DY, UK.Golden Jubilee National hospital, UKGolden Jubilee National hospital, UKUniversity of Glasgow, UK; Golden Jubilee National hospital, UKUniversity of Glasgow, UK; University of Edinburgh, UK; Golden Jubilee National hospital, UKBackground: Congenital heart disease (CHD) is a lifelong condition. Many patients will require repeated interventions. Long term morbidity due to heart failure, arrhythmias and recurrent hospital admissions is common. The benefits of regular exercise are well known. The aim of this study is to determine the feasibility of introducing a supported exercise programme to develop physical and psychological wellbeing in adults with CHD, living in Scotland. Methods: Patients were mainly recruited via the Adult Congenital Heart Disease (ACHD) review clinic at the Golden Jubilee National Hospital (GJNH). Participants were initially assessed using a 6-min walk test (6MWT) and stratified in to either Group 1 (n = 10) or Group 2 (n = 18). Further baseline measurements (Grip strength, Bicep strength, Quadriceps strength, and psychological measurements) were completed for both groups. Sniff Nasal Inspiratory Pressure (SNIP) was also assessed for Group 1. All measurements were repeated after 12 weeks. Results: For both groups 1 and 2 the majority of individuals improved upon their baseline measurements across all physical metrics (6MWT, quadriceps, bicep and grip strength). Although not achieving statistical significance individually, when combined groups 1 and 2 demonstrated a statistically significant increase in the objective measures of fitness from those measured at baseline to week 12. Conclusions: Exercise in the adult congenital cardiac population is safe when patients are given guidance and structure.http://www.sciencedirect.com/science/article/pii/S2666668521000860CongenitalCardiacExerciseAdult
spellingShingle Shelagh Brown
Jim Mearns
Elaine Muirhead
Samuel Rodgers
Niki Walker
Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
International Journal of Cardiology Congenital Heart Disease
Congenital
Cardiac
Exercise
Adult
title Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
title_full Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
title_fullStr Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
title_full_unstemmed Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
title_short Supported exercise programme for adults with Congenital Heart Disease (SEACHange)
title_sort supported exercise programme for adults with congenital heart disease seachange
topic Congenital
Cardiac
Exercise
Adult
url http://www.sciencedirect.com/science/article/pii/S2666668521000860
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