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Physical literacy in pediatric congenital heart disease: a comparison with typically developing peers. A CHAMPS*

Matthew Chapelski1, Natalie Houser1, Louise Humbert1

  • 1College of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.

Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition Et Metabolisme
|May 26, 2026
PubMed

Insights

Children with congenital heart disease (CHD) generally show no significant impairments in physical literacy. While most age groups were comparable, some minor age-specific differences in physical literacy were observed.

Area of Science:

  • Pediatric Cardiology
  • Developmental Pediatrics
  • Physical Therapy

Background:

  • Congenital heart disease (CHD) is a prevalent birth defect.
  • Physical activity is crucial for mitigating long-term health risks in children with CHD.
  • Developing physical literacy is a key strategy to enhance physical activity engagement.

Purpose of the Study:

  • To assess and compare the physical literacy of children with CHD against a reference population.
  • To identify potential differences in physical literacy development between children with and without CHD.

Main Methods:

  • Utilized the PLAY tools to measure physical literacy in 49 children and adolescents with CHD.
  • Compared the physical literacy data of the CHD group to a reference sample of 733 children aged 8-14.
  • Employed the LMS method to create reference curves and calculated z-scores for comparative analysis.

Main Results:

  • No significant differences in physical literacy were found between males and females with CHD.
  • Overall, children with CHD did not exhibit comprehensive physical literacy impairments compared to the reference sample.
  • Minor age-specific differences in physical literacy were noted in some age brackets, but not consistently across most ages.

Conclusions:

  • The study indicates no widespread deficits in physical literacy among children with CHD.
  • Potential for subtle, age-specific variations in physical literacy warrants further investigation.
  • Longitudinal studies are recommended to track individual physical literacy development in children with CHD over time.

Keywords:
adolescentschildrencongenital heart diseasephysical activityphysical literacy

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