tailieunhanh - Sport and Physical Activity in Children with Congenital Heart Disease

The rationale for the guideline is that whilst growth is documented in a proportion of those receiving renal replacement therapy (published in the UK Renal Registry report) there is scope for improving identification of growth failure in children at an earlier stage. Identification and treatment of nutritional deficiencies and metabolic abnormalities should be aggressively pursued with respect to linear growth. Recombinant human growth hormone (rhGH) should be considered if there is growth failure despite the treatment of nutritional deficiencies and metabolic abnormalities 20 . Supporting evidence states that response to growth hormone (rhGH) therapy is better if commenced at a younger age. | MEDICINE REVIEW ARTICLE Sport and Physical Activity in Children with Congenital Heart Disease Sabine Schickendantz Elisabeth J. Sticker Sigrid Dordel Birna Bjarnason-Wehrens SUMMARY Introduction Children with congenital heart disease CHD can participate in sport on an individualized basis if their exercise capability is formally tested. Methods Selective review of the literature on sport in children with CHD and analysis of the authors own findings. Results Few studies have addressed the effects of regular sporting activities on children with CHD. The available literature confirms that regular sport has a positive effect on exercise capacity and psychomotor development in this group of children without any negative hemodynamic effects or additional risks. Discussion The current internationally accepted recommendations on physical activity and sport for children with CHD are almost entirely based on diagnosis. It may however be more appropriate to classify children in terms of their current hemodynamic status. Children have a basic need for physical activity which is an integral aspect of normal somatic motor emotional psychosocial and cognitive development. The majority of children with CHD following corrective surgery or definitive palliation may participate in normal sporting activities in an unrestricted fashion. Recommendations concerning sport should also be based on a hemodynamic classification taking into account the nature of the condition disease severity and potential risks. Dtsch Arztebl 2007 104 9 A 563-9. Key words congenital heart disease psycho-motor development physical activity physical performance The spectrum of congenital malformations of the heart is diverse and ranges from mild cardiac changes without substantial hemodynamic relevance to severe congenital heart disease from cardiac conditions that do not require surgery to severe inoperable conditions. Consequently the physical exercise capability in children with congenital heart conditions .