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Physical Activity Levels and Self-efficacy of Greek Children with Congenital Heart Disease Compared to their Healthy Peers.
Hellenic Journal of Cardiology : HJC 2019 January 10
BACKGROUND: Children with congenital heart disease (CHD) are challenged to develop healthy lifestyle behaviors. This study explores the interrelationship of physical activity and self-efficacy levels in Greek children with corrected CHD and compares them to healthy controls.
METHODS: A prospective cross sectional study of 76 patients with operated CHD and 78 healthy volunteers (n=154) was conducted. The Self Efficacy Scale and Previous Day Physical Activity Recall self-reporting questionnaires were used to assess physical activity and self-efficacy. Calculated Metabolic Equivalent of Tasks (METs) provided an indication of participation in moderate and vigorous physical activities, respectively.
RESULTS: Mean physical self-efficacy in CHD children was 29.01±7.28 while in healthy volunteers 29.04±6.60 (p=0.076). Average physical activity levels-METs for CHD children (2.38±0.85) were significantly lower compared to controls (3.1±0.95). Physical self-efficacy and physical activity were positively correlated (r=0.515, p=0.001) indicating that children with higher self-efficacy engaged in more vigorous physical activities. In children with CHD self-efficacy was quite important in predicting physical activity explaining almost ¼ of the variability in observed activities.
CONCLUSION: The low physical activity levels exhibited by Greek children with corrected CHD can lead to a sedentary adult lifestyle. Improving physical self-efficacy may help encourage them and consequently raise their physical activity levels. School based education initiatives and athletic programs can play an important role in this.
METHODS: A prospective cross sectional study of 76 patients with operated CHD and 78 healthy volunteers (n=154) was conducted. The Self Efficacy Scale and Previous Day Physical Activity Recall self-reporting questionnaires were used to assess physical activity and self-efficacy. Calculated Metabolic Equivalent of Tasks (METs) provided an indication of participation in moderate and vigorous physical activities, respectively.
RESULTS: Mean physical self-efficacy in CHD children was 29.01±7.28 while in healthy volunteers 29.04±6.60 (p=0.076). Average physical activity levels-METs for CHD children (2.38±0.85) were significantly lower compared to controls (3.1±0.95). Physical self-efficacy and physical activity were positively correlated (r=0.515, p=0.001) indicating that children with higher self-efficacy engaged in more vigorous physical activities. In children with CHD self-efficacy was quite important in predicting physical activity explaining almost ¼ of the variability in observed activities.
CONCLUSION: The low physical activity levels exhibited by Greek children with corrected CHD can lead to a sedentary adult lifestyle. Improving physical self-efficacy may help encourage them and consequently raise their physical activity levels. School based education initiatives and athletic programs can play an important role in this.
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