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 | The Journal of adolescent health : official publication of the Society for Adolescent Medicine |
| Volume | 56 |
| Issue number | 4 |
| Pages (from-to) | 449-55 |
| Number of pages | 7 |
| ISSN | 1054-139X |
| DOIs | |
| Publication status | Published - 1 Apr 2015 |
Keywords
- Adolescent
- Body Composition
- Cardiovascular System
- Cluster Analysis
- Female
- Health Status
- Heart Defects, Congenital
- Humans
- Life Style
- Male
- Motor Activity
- Multivariate Analysis
- Muscle Strength
- Physical Fitness
- Respiratory System