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Exercise restriction is not associated with increasing body mass index over time in patients with anomalous aortic origin of the coronary arteries

Anomalous aortic origin of the coronary arteries is associated with exercise-induced ischaemia, leading some physicians to restrict exercise in patients with this condition. We sought to determine whether exercise restriction was associated with increasing body mass index over time. From 1998 to 201...

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Published in:Cardiology in the young 2017-10, Vol.27 (8), p.1538-1544
Main Authors: Meza, James M., Elias, Matthew D., Wilder, Travis J., O’Brien, James E., Kim, Richard W., Mavroudis, Constantine, Williams, William G., Brothers, Julie, Cohen, Meryl S., McCrindle, Brian W.
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creator Meza, James M.
Elias, Matthew D.
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Cohen, Meryl S.
McCrindle, Brian W.
description Anomalous aortic origin of the coronary arteries is associated with exercise-induced ischaemia, leading some physicians to restrict exercise in patients with this condition. We sought to determine whether exercise restriction was associated with increasing body mass index over time. From 1998 to 2015, 440 patients ⩽30 years old were enrolled into an inception cohort. Exercise-restriction status was documented in 143 patients. Using linear mixed model repeated-measures regression, factors associated with increasing body mass index z-score over time, including exercise restriction and surgical intervention as time-varying covariates, were investigated. The 143 patients attended 558 clinic visits for which exercise-restriction status was recorded. The mean number of clinic visits per patient was 4, and the median duration of follow-up was 1.7 years (interquartile range (IQR) 0.5–4.4). The median age at first clinic visit was 10.3 years (IQR 7.1–13.9), and 71% (101/143) were males. All patients were alive at their most recent follow-up. At the first clinic visit, 54% (78/143) were exercise restricted, and restriction status changed in 34% (48/143) during follow-up. The median baseline body mass index z-score was 0.2 (IQR 0.3–0.9). In repeated-measures analysis, neither time-related exercise restriction nor its interaction with time was associated with increasing body mass index z-score. Surgical intervention and its interaction with time were associated with decreasing body mass index z-score. Although exercise restriction was not associated with increasing body mass index over time, surgical intervention was associated with decreasing body mass index z-score over time in patients with anomalous aortic origin of the coronary arteries.
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We sought to determine whether exercise restriction was associated with increasing body mass index over time. From 1998 to 2015, 440 patients ⩽30 years old were enrolled into an inception cohort. Exercise-restriction status was documented in 143 patients. Using linear mixed model repeated-measures regression, factors associated with increasing body mass index z-score over time, including exercise restriction and surgical intervention as time-varying covariates, were investigated. The 143 patients attended 558 clinic visits for which exercise-restriction status was recorded. The mean number of clinic visits per patient was 4, and the median duration of follow-up was 1.7 years (interquartile range (IQR) 0.5–4.4). The median age at first clinic visit was 10.3 years (IQR 7.1–13.9), and 71% (101/143) were males. All patients were alive at their most recent follow-up. At the first clinic visit, 54% (78/143) were exercise restricted, and restriction status changed in 34% (48/143) during follow-up. The median baseline body mass index z-score was 0.2 (IQR 0.3–0.9). In repeated-measures analysis, neither time-related exercise restriction nor its interaction with time was associated with increasing body mass index z-score. Surgical intervention and its interaction with time were associated with decreasing body mass index z-score. Although exercise restriction was not associated with increasing body mass index over time, surgical intervention was associated with decreasing body mass index z-score over time in patients with anomalous aortic origin of the coronary arteries.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>28460658</pmid><doi>10.1017/S104795111700066X</doi><tpages>7</tpages></addata></record>
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source Cambridge Journals Online
subjects Adolescent
Adult
Age
Aorta
Aorta, Thoracic - abnormalities
Arteries
Body mass
Body Mass Index
Cardiology
Cardiovascular disease
Child
Children & youth
Computer centers
Congenital diseases
Coronary artery
Coronary Vessel Anomalies - physiopathology
Coronary Vessel Anomalies - rehabilitation
Coronary vessels
Disease control
Disease prevention
Exercise
Exercise Therapy - methods
Exercise Tolerance - physiology
Family medical history
Female
Follow-Up Studies
Heart surgery
Hospitals
Humans
Intervention
Ischemia
Male
Males
Medical personnel
Medical records
Original Articles
Patients
Physical education
Physical fitness
Physicians
Regression analysis
Retrospective Studies
Surgeons
Surgery
Time Factors
Veins & arteries
Within-subjects design
Young Adult
title Exercise restriction is not associated with increasing body mass index over time in patients with anomalous aortic origin of the coronary arteries
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