Evidence map›Paper›PMID 41196314›Full record

ReviewPediatric cardiology2026

Exercise Counseling in Congenital Heart Disease: A Guide for the Pediatric and Congenital Cardiologist.

Tracy Curran, Katherine Hansen, Jennifer Lindsey, Adam Powell, Naomi Gauthier, Jolie Britt, Jennifer Huang, Michael Danduran, Jared Hershenson, Matthew Furst and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tracy Curran *Department of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. tracy.curran@cardio.chboston.org.
Katherine Hansen *Heart Center, Division of Cardiology, Department of Pediatrics, Children's Health, UT Southwestern Medical Center, Dallas, TX, USA.
Jennifer LindseyDivision of Cardiology, Inova L.J. Murphy Children's Hospital, Falls Church, VA, USA.
Adam PowellDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Naomi GauthierDepartment of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Jolie BrittDivision of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Jennifer HuangDivision of Pediatric Cardiology, Oregon Health and Science University, Portland, OR, USA.
Michael DanduranProgram in Exercise Physiology, Marquette University, Milwaukee, WI, USA.
Jared HershensonDivision of Cardiology, Children's National Hospital, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
Matthew FurstDepartment of Pediatrics, Congenital Heart Center, University of Florida, Gainesville, FL, USA.
Ryan ClossonDivision of Cardiology, Inova L.J. Murphy Children's Hospital, Falls Church, VA, USA.
Elisabeth LeongDivision of Pediatric Cardiology, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kendra WardDivision of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Global Coalition for Fitness in Congenital Heart Disease (GloCo)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise is a critical determinant of both immediate and long-term health for individuals with congenital heart disease (CHD). While pediatric cardiologists increasingly recognize the importance of promoting physical activity, formal training in exercise counseling remains limited. Exercise cardiology is an evolving subspecialty, with growing educational and training opportunities for congenital cardiologists to develop diagnostic and therapeutic approaches and expand access to exercise resources for patients with CHD. As part of this effort, the Global Coalition for Fitness and CHD (GloCo) convened a multi-institutional Education Working Group to develop practical, evidence- and consensus-based guidance for exercise counseling in children, adolescents, and young adults with CHD. This guide outlines foundational elements of exercise counseling, including strategies for obtaining an exercise history, performing cardiac risk assessments, shared decision-making, and tailoring exercise recommendations to individual patient needs. Exercise counseling in CHD must be personalized, taking into consideration the patient's medical status, psychosocial context, and available resources. Core components include risk assessment through multimodal imaging, rhythm monitoring, and exercise assessment, including but not limited to cardiopulmonary exercise tests. Based on these evaluations, clinicians can provide or recommend general physical activity promotion, formal exercise prescriptions, or structured programs such as cardiac fitness and rehabilitation. Importantly, the aim is not simply meeting physical activity targets but fostering positive attitudes toward lifelong exercise and instilling the confidence to sustain it. By aligning exercise plans with patient and family preferences, motivations, goals, and resources, clinicians can promote sustainable engagement and improved overall fitness. This guide aims to support pediatric and congenital cardiologists in providing safe and effective exercise counseling to their patients with CHD to help them achieve optimal physical and psychosocial well-being.

Indexed as

CounselingExerciseExercise TherapyHeart Defects, CongenitalAdolescentCardiologistsChildHumansRisk AssessmentCongenital heart diseaseExercise cardiologyExercise counselingExercise prescriptionExercise promotionPediatric fitness

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.