Differences in Cardiopulmonary Fitness Between Boy and Girls With Repaired Tetralogy of Fallot

被引:3
|
作者
Chang, Yung-Liang [1 ]
Kuan, Tzu-Hsuan [2 ]
Chen, Chia-Hsin [3 ,4 ]
Tsai, Yi-Ju [5 ,6 ]
Chen, Guan-Bo [7 ]
Lin, Ko-Long [4 ,8 ,9 ]
Tuan, Sheng-Hui [5 ,10 ]
机构
[1] Kaohsiung Med Univ Hosp, Dept Gen Med, Kaohsiung, Taiwan
[2] E Da Hosp, Dept Gen Med, Kaohsiung, Taiwan
[3] Kaohsiung Med Univ Chung, Ho Mem Hosp, Dept Phys Med & Rehabil, Kaohsiung, Taiwan
[4] Kaohsiung Med Univ, Sch Med, Kaohsiung, Taiwan
[5] Natl Cheng Kung Univ, Inst Allied Hlth Sci, Tainan, Taiwan
[6] Natl Cheng Kung Univ, Dept Phys Therapy, Tainan, Taiwan
[7] Kaohsiung Armed Forces Gen Hosp, Dept Internal Med, Kaohsiung, Taiwan
[8] Kaohsiung Vet Gen Hosp, Dept Phys Med & Rehabil, Kaohsiung, Taiwan
[9] Natl Yang Ming Chiao Tung Univ, Coll Med, Sch Med, Taipei City, Taiwan
[10] Cishan Hosp, Dept Rehabil Med, Minist Hlth & Welf, Kaohsiung, Taiwan
来源
FRONTIERS IN PEDIATRICS | 2022年 / 10卷
关键词
tetralogy of fallot; congenital heart disease; cardiopulmonary fitness; gender differences; self-efficacy; BODY-MASS INDEX; PHYSICAL-ACTIVITY; CARDIORESPIRATORY FITNESS; SELF-EFFICACY; CHILDREN; ADOLESCENTS; EXERCISE; OBESITY; ADIPOSITY; YOUTH;
D O I
10.3389/fped.2022.911825
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
ObjectiveMany studies have demonstrated that patients with repaired tetralogy of Fallot (rTOF) have generally poorer cardiopulmonary fitness (CPF). However, little is known about how the disease results in different CPF in each sex. Therefore, this study aimed to investigate whether sex (and gender) differences affect CPF in children and adolescents with rTOF. MethodsThis retrospective study recruited adolescents and children (aged 10-18) with rTOF following an acute stage of tetralogy of Fallot (TOF) who received cardiopulmonary exercise testing (CPET) in the past 10 years. CPF was determined by symptom-limited CPET with a treadmill under ramped Bruce protocol. Boys and girls were categorized into groups based on body mass index (BMI) and fat mass index (FMI). The BMI was grouped by Taiwanese obesity cutoff points. The FMI was categorized by the body fat percentage. Excess adiposity was defined as (1) "overweight" and "obese" by BMI and (2) greater than the sex- and age-specific 75th percentile of whole subjects by FMI. ResultsA total of 185 participants (104 boys and 81 girls) with rTOF were recruited for the final analysis. Within the BMI category, 76 boys and 63 girls were in the normal group, whereas 28 boys and 18 girls were in the excessive adiposity group. Within the FMI category, 77 boys and 60 girls were in the normal group, whereas 27 boys and 21 girls were in the excessive adiposity group. The analysis of the body composition of rTOF subjects showed that there was no statistically significant difference between the subgroups of the two sexes, but both showed a smaller body size than normal Taiwanese children. When comparing the CPF within different BMI and FMI groups, the children in the excessive adiposity group had significantly lower values in metabolic equivalents (MET) at anaerobic threshold, peak MET, and measured peak oxygen consumption (VO2) to predicted peak VO2, regardless of sex. Moreover, boys (60.90%) presented poorer CPF than girls (74.22%, p < 0.001). ConclusionIn Taiwan, patients with rTOF had poorer CPF than healthy peers. This study found that girls with rTOF had better CPF than boys with rTOF. The effect of gender stereotypes on sports participation and self-efficacy might be one of the contributing factors; however, further investigations are warranted to determine the causal effect.
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页数:9
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