Physical Activity and Mental Health in Adolescents With Cardiac Arrhythmias, Cardiomyopathy, or Single Ventricle Heart Disease.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2025-12-04 Print Date: 2026-08-01 DOI:10.1123/pes.2024-0066

Olivia J Olson, Matthew Garver, Emily Cramer, Jami Gross-Toalson, Kelli M Teson, Lindsey Malloy-Walton, Jessica S Watson, Mollie M Walton, Laura B Martis, Dara J Watkins, Brandy Enneking, William R Black, David A White

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引用次数: 0

Abstract

Youth with heart disease experience comorbidities that impact physical activity (PA), mental health (MH), and quality of life (QoL).

Purpose: To explore the relationship between PA and MH and QoL in adolescents with cardiac arrhythmia disorders, cardiomyopathies, or single ventricle heart disease.

Methods: Participants completed surveys/questionnaires regarding PA (Physical Activity Questionnaire for Adolescents), anxiety (Patient-Reported Outcomes Measurement Information System [PROMIS]-Anxiety), depressive symptoms (PROMIS-Depressive Symptoms), global QoL (Pediatric Quality of Life Inventory [PedsQL]-generic), and cardiac disease-specific QoL (PedsQL-cardiac). Pearson correlations and regression analysis examined relationships between PA and MH/QoL.

Results: The study included 63 participants (males = 32, 50.7%), with an age of 15.46 (1.82) years. The sample was mostly inactive (Physical Activity Questionnaire for Adolescents score: 1.95 [0.65]). Outcomes used T-scores for PROMIS-Anxiety (49.7 [12.2]) and PROMIS-Depressive Symptoms (46.9 [12.7]), and summary scores for PedsQL-generic (75.2 [18.9]) and PedsQL-cardiac (74.7 [17.5]). There was a negative correlation between PA and MH (PROMIS-Anxiety: r = -.338, PROMIS-Depressive Symptoms: r = -.337; P < .05) and positive correlation between PA and QoL (PedsQL-generic: r = .37, PedsQL-cardiac: r = .39; P < .001). Adjusting for key variables using regression analysis, greater participation in PA was independently related to decreased anxiety and depression and greater QoL.

Conclusions: Greater PA engagement was associated with more favorable MH and QoL in adolescents with cardiac arrhythmia disorders, cardiomyopathy, or single ventricle heart disease.

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患有心律失常、心肌病或单心室心脏病的青少年的身体活动和心理健康

患有心脏病的青少年会经历影响身体活动（PA）、精神健康（MH）和生活质量（QoL）的合并症。目的：探讨心律失常、心肌病、单心室心脏病青少年患者PA、MH与生活质量的关系。方法：参与者完成关于PA（青少年身体活动问卷）、焦虑（患者报告的结果测量信息系统[PROMIS]-Anxiety）、抑郁症状（promisi - depressive symptoms）、总体生活质量（儿科生活质量量表[PedsQL]-generic）和心脏疾病特异性生活质量（PedsQL-cardiac）的调查/问卷。Pearson相关和回归分析检验了PA与MH/QoL之间的关系。结果：共纳入63例受试者（男性32例，50.7%），年龄15.46岁（1.82岁）。样本大多不运动（青少年身体活动问卷得分：1.95[0.65]）。结果采用promise - anxiety（49.7[12.2]）和promise - depressive Symptoms（46.9[12.7]）的t评分，以及PedsQL-generic（75.2[18.9]）和PedsQL-cardiac（74.7[17.5]）的汇总评分。PA与MH呈负相关（promise - anxiety: r = - 0.338, promise - depressive Symptoms: r = - 0.337, P < 0.05）， PA与QoL呈正相关（PedsQL-generic: r = 0.37, PedsQL-cardiac: r = 0.39, P < 0.001）。使用回归分析调整关键变量，更多的参与PA与减少焦虑和抑郁以及更高的生活质量独立相关。结论：在患有心律失常、心肌病或单心室心脏病的青少年中，更大的PA参与与更有利的MH和QoL相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.