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Reduced Physical Activity During COVID-19 Pandemic in Children With Congenital Heart Disease
Nicole M Hemphill1, Mimi T Y Kuan1, Kevin C Harris1
1Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Insights
COVID-19 precautions significantly reduced physical activity in children with congenital heart disease (CHD). Lower Fitbit step counts highlight the need to address activity barriers for this vulnerable population.
Area of Science:
- Pediatric Cardiology
- Public Health
- Cardiovascular Research
Background:
- Children with congenital heart disease (CHD) face heightened risks for COVID-19 and related cardiovascular complications.
- Physical activity is crucial for mitigating cardiovascular risk in pediatric CHD patients.
- COVID-19 public health measures may impede essential physical activity for these children.
Purpose of the Study:
- To objectively assess the impact of the COVID-19 pandemic on physical activity levels in children with CHD.
- To quantify changes in daily step counts before and during the initial phase of the pandemic.
Main Methods:
- Utilized Fitbit devices for continuous, objective measurement of physical activity.
- Compared step count data from children with CHD during late March and early April 2020 against historical data from 2019 and early March 2020.
Main Results:
- A significant decrease in Fitbit step counts was observed in children with CHD during late March and early April 2020.
- Physical activity levels were markedly lower compared to the same period in 2019 and the preceding weeks of March 2020.
Conclusions:
- The COVID-19 pandemic and associated public health measures demonstrably reduced physical activity in children with CHD.
- Understanding and addressing these activity barriers is critical for managing the long-term health of pediatric CHD patients.
- Further research is needed to explore sustained impacts and develop supportive interventions.
Abstract:
Children with congenital heart disease (CHD) are at risk for both COVID-19 and secondary cardiovascular outcomes. Their increased cardiovascular risk may be mitigated through physical activity, but public health measures implemented for COVID-19 can make physical activity challenging. We objectively measured the impact of the COVID-19 pandemic on physical activity, continuously measured by Fitbit step counts, in children with CHD. Step counts were markedly lower in late March and early April 2020, compared with 2019 and early March 2020. It is vital to understand how precautions for COVID-19 will affect the health of children with CHD, especially if they persist long term.
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