ArticlePloS one2020
Children with congenital heart disease exhibit seasonal variation in physical activity.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- The Role of Wearable Devices in the Management of Congenital Heart Disease.Journal of clinical medicine · 2026Review
- Evaluating Fitbits for Assessment of Physical Activity and Sleep in Pediatric Pain: Feasibility and Acceptability Pilot Study.JMIR formative research · 2025Article
- In-Clinic Activity Promotion for Children With Congenital Heart Disease: Randomized Clinical Trial.CJC pediatric and congenital heart disease · 2025Article
- Children With Congenital Heart Disease and the Canadian 24-Hour Movement Guidelines: A Scoping Review.CJC pediatric and congenital heart disease · 2025Review
- Benefits of Physical Activity in Children with Cardiac Diseases-A Concise Summary for Pediatricians.Children (Basel, Switzerland) · 2024Review
- Strategies to Overcome Barriers to Physical Activity Participation in Children and Adults Living With Congenital Heart Disease: A Narrative Review.CJC pediatric and congenital heart disease · 2024Review
- Exploring Health-Related Quality of Life in Children With Hypertrophic Cardiomyopathy and Relationship to Physical Activity.Journal of the American Heart Association · 2024Observational
- Moderators of peak respiratory exchange ratio during exercise testing in children and adolescents with Fontan physiology.Cardiology in the young · 2023Article
- Wearable Biosensors in Congenital Heart Disease: Needs to Advance the Field.JACC. Advances · 2023Article
- Reduced Physical Activity During COVID-19 in Children With Congenital Heart Disease: A Longitudinal Analysis.CJC pediatric and congenital heart disease · 2022Article
- Utility of Fitbit devices among children and adolescents with chronic health conditions: a scoping review.mHealth · 2022Article
- Influence of upper limb activity on the step count and accuracy of sleep time of a wristband-type physical activity tracker.PloS one · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe sought to identify seasonal variation in physical activity that different physical activity measurement tools can capture in children with congenital heart disease.
methodsData were collected as part of a prospective cohort study at BC Children's Hospital, Vancouver, Canada. Daily step counts of children aged 9-16 years with moderate-to-severe CHD were assessed continuously for 1-year via a commercial activity tracker (Fitbit Charge 2™). Physical activity levels were also assessed conventionally at one time-point via accelerometers (ActiGraph) and physical activity questionnaires.
results156 children (mean age 12.7±2.4 years; 42% female) participated in the study. Fitbit data (n = 96) over a 1-year period clearly illustrated seasonal peaks (late spring and autumn) and dips (winter and summer school holidays) in physical activity levels, with group mean values being below 12,000 steps per day throughout the year. According to conventional accelerometry data (n = 142), 26% met guidelines, which tended to differ according to season of measurement (spring: 39%, summer: 11%, fall: 20%, winter: 39%; p-value = 0.053). Questionnaire data (n = 134) identified that the most widely reported activities were walking (81%) and running (78%) with walking being the highest in summer and fall and running in winter and spring. Furthermore, regardless of overall activity levels the children exhibit similar seasonal variation.
conclusionsWe demonstrated that physical activity level changes across seasons in children with CHD. It is important to be aware of these fluctuations when assessing and interpreting physical activity levels. Season specific counselling for physical activity may be beneficial in a clinical setting.
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