Remote Lifestyle Counseling Influences Cardiovascular Health Outcomes in Youth with Overweight or Obesity and Congenital Heart Disease

Overview

Journal Front Pediatr

Specialty Pediatrics

Date 2018 Jan 13

PMID 29326907

Citations 5

Authors

Luis Altamirano-Diaz

Meghan Rombeek

Stefanie De Jesus

Eva Welisch

Harry Prapavessis

Adam A Dempsey

Douglas Fraser

Michael R Miller

Kambiz Norozi

Affiliations

Soon will be listed here.

Abstract

Background: Children with overweight/obesity and congenital heart disease (CHD) are at increased cardiovascular risk. A lifestyle intervention may help reduce these risks. We sought to determine the feasibility of a smartphone-based lifestyle intervention to improve cardiovascular health outcomes in children with overweight/obesity and CHD.

Methods: We examined the effect of bi-weekly nutrition and fitness counseling delivered smartphone over 12 months. Thirty-four youth, previously diagnosed with CHD and with overweight or obesity, participated in the intervention. They were divided into two groups depending on whether the heart disease required surgical correction (operated, = 19) or not (non-operated, = 15). Anthropometry, body composition cardiorespiratory exercise capacity, and cardio-metabolic risk factors were assessed at baseline, 6 months, and 12 months.

Results: Statistically significant decreases in waist circumference (WC), body mass index -score, WC -score, and waist to height ratio -score were observed at 6 and 12 months in the operated group. A significant linear increase in lean body mass was observed in both groups. The study also had a high retention rate and a low attrition rate.

Conclusion: The observed changes in anthropometry were positive with significant improvement to some cardiovascular and metabolic risk indicators. However, this was only observed in the operated group suggesting that other factors, such as perception of condition and self-efficacy, may influence lifestyle behaviors. The results from this pilot study clearly demonstrate the feasibility to perform a larger controlled study on remote lifestyle intervention in children with congenital heart defects and overweight or obesity.

Citing Articles

Nyakaza-Move-for-Health: A Culturally Tailored Physical Activity Intervention for Adolescents in South Africa Using the Intervention Mapping Protocol.

Zimu P, Van Heerden H, Grace J J Prim Care Community Health. 2024; 15:21501319241278849.

PMID: 39279318 PMC: 11403704. DOI: 10.1177/21501319241278849.

Impact of a Nyakaza Move-for-Health Intervention Programme among Adolescents in a Resource-Constrained South African Community.

Zimu P, van Heerden H, Grace J Int J Environ Res Public Health. 2024; 21(6).

PMID: 38928962 PMC: 11204359. DOI: 10.3390/ijerph21060717.

Obesity in Pediatric Congenital Heart Disease: The Role of Age, Complexity, and Sociodemographics.

Jordan C, Alizadeh F, Ramirez L, Kimbro R, Lopez K Pediatr Cardiol. 2023; 44(6):1251-1261.

PMID: 36964218 DOI: 10.1007/s00246-023-03148-3.

Effects of Sports, Exercise Training, and Physical Activity in Children with Congenital Heart Disease-A Review of the Published Evidence.

Dold S, Haas N, Apitz C Children (Basel). 2023; 10(2).

PMID: 36832425 PMC: 9955038. DOI: 10.3390/children10020296.

Physical activity interventions for people with congenital heart disease.

Williams C, Wadey C, Pieles G, Stuart G, Taylor R, Long L Cochrane Database Syst Rev. 2020; 10:CD013400.

PMID: 33112424 PMC: 8490972. DOI: 10.1002/14651858.CD013400.pub2.

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