Health-related fitness profiles in adolescents with complex congenital heart disease

Susanne Hwiid Klausen; Jørn Wetterslev; Lars Søndergaard; Lars L Andersen; Ulla Ramer Mikkelsen; Kasper Dideriksen; Vibeke Zoffmann; Philip Moons

doi:10.1016/j.jadohealth.2014.11.021

Health-related fitness profiles in adolescents with complex congenital heart disease

Susanne Hwiid Klausen, Jørn Wetterslev, Lars Søndergaard, Lars L Andersen, Ulla Ramer Mikkelsen, Kasper Dideriksen, Vibeke Zoffmann, Philip Moons

7 Citations (Scopus)

Abstract

PURPOSE: This study investigates whether subgroups of different health-related fitness (HrF) profiles exist among girls and boys with complex congenital heart disease (ConHD) and how these are associated with lifestyle behaviors.

METHODS: We measured the cardiorespiratory fitness, muscle strength, and body composition of 158 adolescents aged 13-16 years with previous surgery for a complex ConHD. Data on lifestyle behaviors were collected concomitantly between October 2010 and April 2013. A cluster analysis was conducted to identify profiles with similar HrF. For comparisons between clusters, multivariate analyses of covariance were used to test the differences in lifestyle behaviors.

RESULTS: Three distinct profiles were formed: (1) Robust (43, 27%; 20 girls and 23 boys); (2) Moderately Robust (85, 54%; 37 girls and 48 boys); and (3) Less robust (30, 19%; 9 girls and 21 boys). The participants in the Robust clusters reported leading a physically active lifestyle and participants in the Less robust cluster reported leading a sedentary lifestyle. Diagnoses were evenly distributed between clusters.

CONCLUSIONS: The cluster analysis attributed some of the variability in cardiorespiratory fitness among adolescents with complex ConHD to lifestyle behaviors and physical activity. Profiling of HrF offers a valuable new option in the management of person-centered health promotion.

Original language	English
Journal	Journal of Adolescent Health
Volume	56
Issue number	4
Pages (from-to)	449-455
ISSN	1054-139X
DOIs	https://doi.org/10.1016/j.jadohealth.2014.11.021
Publication status	Published - 30 Jan 2015

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10.1016/j.jadohealth.2014.11.021

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title = "Health-related fitness profiles in adolescents with complex congenital heart disease",

abstract = "PURPOSE: This study investigates whether subgroups of different health-related fitness (HrF) profiles exist among girls and boys with complex congenital heart disease (ConHD) and how these are associated with lifestyle behaviors.METHODS: We measured the cardiorespiratory fitness, muscle strength, and body composition of 158 adolescents aged 13-16 years with previous surgery for a complex ConHD. Data on lifestyle behaviors were collected concomitantly between October 2010 and April 2013. A cluster analysis was conducted to identify profiles with similar HrF. For comparisons between clusters, multivariate analyses of covariance were used to test the differences in lifestyle behaviors.RESULTS: Three distinct profiles were formed: (1) Robust (43, 27%; 20 girls and 23 boys); (2) Moderately Robust (85, 54%; 37 girls and 48 boys); and (3) Less robust (30, 19%; 9 girls and 21 boys). The participants in the Robust clusters reported leading a physically active lifestyle and participants in the Less robust cluster reported leading a sedentary lifestyle. Diagnoses were evenly distributed between clusters.CONCLUSIONS: The cluster analysis attributed some of the variability in cardiorespiratory fitness among adolescents with complex ConHD to lifestyle behaviors and physical activity. Profiling of HrF offers a valuable new option in the management of person-centered health promotion.",

author = "Klausen, {Susanne Hwiid} and J{\o}rn Wetterslev and Lars S{\o}ndergaard and Andersen, {Lars L} and Mikkelsen, {Ulla Ramer} and Kasper Dideriksen and Vibeke Zoffmann and Philip Moons",

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doi = "10.1016/j.jadohealth.2014.11.021",

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T1 - Health-related fitness profiles in adolescents with complex congenital heart disease

AU - Klausen, Susanne Hwiid

AU - Wetterslev, Jørn

AU - Søndergaard, Lars

AU - Andersen, Lars L

AU - Mikkelsen, Ulla Ramer

AU - Dideriksen, Kasper

AU - Zoffmann, Vibeke

AU - Moons, Philip

PY - 2015/1/30

Y1 - 2015/1/30

N2 - PURPOSE: This study investigates whether subgroups of different health-related fitness (HrF) profiles exist among girls and boys with complex congenital heart disease (ConHD) and how these are associated with lifestyle behaviors.METHODS: We measured the cardiorespiratory fitness, muscle strength, and body composition of 158 adolescents aged 13-16 years with previous surgery for a complex ConHD. Data on lifestyle behaviors were collected concomitantly between October 2010 and April 2013. A cluster analysis was conducted to identify profiles with similar HrF. For comparisons between clusters, multivariate analyses of covariance were used to test the differences in lifestyle behaviors.RESULTS: Three distinct profiles were formed: (1) Robust (43, 27%; 20 girls and 23 boys); (2) Moderately Robust (85, 54%; 37 girls and 48 boys); and (3) Less robust (30, 19%; 9 girls and 21 boys). The participants in the Robust clusters reported leading a physically active lifestyle and participants in the Less robust cluster reported leading a sedentary lifestyle. Diagnoses were evenly distributed between clusters.CONCLUSIONS: The cluster analysis attributed some of the variability in cardiorespiratory fitness among adolescents with complex ConHD to lifestyle behaviors and physical activity. Profiling of HrF offers a valuable new option in the management of person-centered health promotion.

AB - PURPOSE: This study investigates whether subgroups of different health-related fitness (HrF) profiles exist among girls and boys with complex congenital heart disease (ConHD) and how these are associated with lifestyle behaviors.METHODS: We measured the cardiorespiratory fitness, muscle strength, and body composition of 158 adolescents aged 13-16 years with previous surgery for a complex ConHD. Data on lifestyle behaviors were collected concomitantly between October 2010 and April 2013. A cluster analysis was conducted to identify profiles with similar HrF. For comparisons between clusters, multivariate analyses of covariance were used to test the differences in lifestyle behaviors.RESULTS: Three distinct profiles were formed: (1) Robust (43, 27%; 20 girls and 23 boys); (2) Moderately Robust (85, 54%; 37 girls and 48 boys); and (3) Less robust (30, 19%; 9 girls and 21 boys). The participants in the Robust clusters reported leading a physically active lifestyle and participants in the Less robust cluster reported leading a sedentary lifestyle. Diagnoses were evenly distributed between clusters.CONCLUSIONS: The cluster analysis attributed some of the variability in cardiorespiratory fitness among adolescents with complex ConHD to lifestyle behaviors and physical activity. Profiling of HrF offers a valuable new option in the management of person-centered health promotion.

U2 - 10.1016/j.jadohealth.2014.11.021

DO - 10.1016/j.jadohealth.2014.11.021

M3 - Journal article

C2 - 25650110

SN - 1054-139X

VL - 56

SP - 449

EP - 455

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

IS - 4

ER -

Health-related fitness profiles in adolescents with complex congenital heart disease

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