ReviewBMC public health2025
Understanding the barriers and facilitators that impact physical activity levels in children and adolescents with Congenital Heart Disease (CHD): a rapid review.
Review in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Changes in physical activity behaviors and influencing factors among children and adolescents with heart disease after hospital discharge: a 3-month follow-up study.European journal of pediatrics · 2026Article
- Comparison of Health Literacy on Physical Activity and Nutrition Between Children and Adolescents with Congenital Heart Disease and Healthy Controls.Journal of cardiovascular development and disease · 2026Article
- Cross-Cultural Adaptation and Validation of the "Brief Scale of Perceived Barriers to Physical Activity for Children": Analysis of Psychometric Properties.Healthcare (Basel, Switzerland) · 2025Article
- Physical activity level and influencing factors in pediatric Wolff-Parkinson-White syndrome patients: A case-control study.European journal of pediatrics · 2025Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical activity is vital for improving health in patients with congenital heart disease (CHD), yet physical activity rates in this group are significantly lower than those in the general population. The reasons for these low rates among patients with CHD have not been thoroughly documented. This review aimed to identify barriers and facilitators of physical activity in children and adolescents with CHD.
methodsA rapid review was performed across five databases: PubMed, Scopus, CINAHL, PsycINFO, and PEDRO, focusing on studies related to physical activity in children or adolescents with CHD. Barriers and facilitators were categorized using the COM-B model and classified as non-modifiable or as individual, sociocultural, socioeconomic, or environmental modifiable factors. Descriptive analysis and concept maps were used to describe physical activity barriers and facilitators further.
resultsForty-nine studies were included. Most articles were quantitative (76%) and assessed non-modifiable demographic influences like age and gender. Self-efficacy was cited as the most common individual modifiable facilitator of physical activity. Self-imposed limitations and self-perceived barriers such as fears and anxiety, feelings of inadequacy, and lack of enjoyment were barriers to physical activity. Sociocultural influences included support from parents, teachers, and peers, though they sometimes hindered activity due to their anxiety and lack of knowledge. Socioeconomic and environmental barriers included costs and inadequate resources for physical activity.
conclusionThis review identified barriers and facilitators to physical activity, highlighting non-modifiable factors like gender and age, as well as modifiable factors such as anxiety, self-efficacy, and parental involvement. Environmental factors at home and school also play a role. This review's findings were organized using the COM-B model, categorizing barriers and facilitators into capability, opportunity, and motivation, providing a deeper understanding of what must be considered when developing interventions for this population. Future research should explore the views of clinicians, patients, and families on the factors identified here and conduct longitudinal studies to track influences on physical activity over time.
trial registrationPROSPERO: CRD42024516250.
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