Kardiochirurgia i Torakochirurgia Polska

Full text

3/2026 vol. 23
Original paper

Exercise capacity in school-aged children after surgical correction of congenital heart defects in infancy

Afrodyta K. Zielińska 1
,
Jakub Wasilewski 1
,
Paulina Ewertowska 1
,
Marcin Łuszczyk 2
,
Julia Haponiuk-Skwarlińska 3
,
Konrad Paczkowski 4
,
Katarzyna Gierat-Haponiuk 1
,
Katarzyna Leszczynska 5
,
Maciej Chojnicki 4
,
Kacper Tuptanowski 1
,
Agnieszka Staniak 1
,
Bartłomiej Jankowski 1
,
Ireneusz Haponiuk 1

  1. Department of Clinical Physiotherapy, Jêdrzej Œniadecki University of Physical Education and Sport, Gdansk, Poland

  2. Department of Physiology, Jêdrzej Œniadecki University of Physical Education and Sport, Gdansk, Poland

  3. Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw; Doctoral School, Medical University of Warsaw, Poland

  4. Department of Pediatric Cardiac Surgery, St. Adalbert’s Hospital (COPERNICUS PL), Gdansk-Zaspa, Poland

  5. Department of Gynecology and Obstetrics, University Clinical Centre, Medical University of Gdansk, Poland

Kardiochirurgia i Torakochirurgia Polska 2026; 23 (3): 235-240

DOI: https://doi.org/10.5114/kitp.2026.165590
Data publikacji online: 2026/10/12
Article file
Exercise capacity in school-aged.pdf
  1. Nousi D, Christou A. Factors affecting the quality of life in children with congenital heart disease. Health Sci J Egaleo 2010; 2: 94-97.
  2. Górska-Kot A, B³a¿ W, Pszeniczna E, Rusin J, Materna-Kiryluk A, Homa E, Hejda G, Franus J. Trends in diagnosis and prevalence of critical congenital heart defects in the Podkarpacie province in 2002-2004, based on data from the Polish Registry of Congenital Malformations. J Appl Genet 2006; 47: 191-194.
  3. Mandalenaki, Z, Giang KW, Eriksson P, Liden H, Synnergren M, Wåhlander H, Fedchenko M, Rosengren A, Dellborg M. Survival in children with congenital heart disease: have we reached a peak at 97%? J Am Heart Assoc 2020; 9: e017704.
  4. Metra M, Raccagni D, Carini G, Orzan F, Papa A, Nodari S, Cody RJ, Dejours P. Ventilatory and arterial blood gas changes during exercise in heart failure. In: Exercise gas exchange in heart disease. Wasserman K, Zhang Y, Gitt A, et al. Futura Publishing. Armonk 1996; 125-143.
  5. Dold SK, Haas NA, Apitz C. Effects of sports, exercise training, and physical activity in children with congenital heart disease. A review of the published evidence. Children 2023; 10: 296.
  6. Amedro P, Gavotto A, Guillaumont S, Bertet H, Vincenti M, De La Villeon G, Bredy C, Acar P, Ovaert C, Picot MC, Matecki S. Cardiopulmonary fitness in children with congenital heart diseases versus healthy children. Heart 2018; 104: 1026-1036.
  7. Amedro P, Picot MC, Moniotte S, Dorka R, Bertet H, Guillaumont S, Barrea C, Vincenti M, De La Villeon G, Bredy C, Soulatges C, Voisin M, Matecki S, Auquier P. Correlation between cardio-pulmonary exercise test variables and health-related quality of life among children with congenital heart diseases. Int J Cardiol 2016; 203: 1052-1060.
  8. Dias KA, Link MS, Levine BD. Exercise training for patients with hypertrophic cardiomyopathy: JACC review topic of the week. J Am Coll Cardiol. 2018; 72: 1157-1165.
  9. Siaplaouras J, Niessner C, Helm PC, Abdul-Khaliq H, Bauer J, Schmitt B. Physical activity among children with congenital heart defects. Front Pediatr 2020; 8: 206.
  10. Braganca J, Pinto R, Silva B, Marques N, Leitao HS, Fernandes MT. Charting the Path: Navigating Embryonic Development to Potentially Safegouard against Congenital Heart Defects. J Pers Med 2023; 13: 1235.
  11. Tierney ESS. The Benefit of exercise in children with congenital heart disease. Curr Opin Pediatr 2020; 32: 610-615.
  12. Gierat-Haponiuk K, Haponiuk I, Chojnicki M, Jaworski R, Baku³a S. Exercise Wcapacity and the quality oWf life late after surgical correction of congenital heart defects. Kardiol Pol 2011; 69: 810-815.
  13. Haponiuk I, Maruszewski B, Gierat-Haponiuk K, Kansy A, Mirkowicz-Ma³ek M, Mozol K, Koz³owski M, Burczyñski P. Aktualne problemy wielospecjalistycznej opieki nad dorastaj¹cym pacjentem z wrodzon¹ wad¹ serca po operacji kardiochirurgicznej. Standardy Med 2007; 5: 641-645.
  14. Falk B, Bar-Mor G, Zigel L, Yaaron M, Beniamini Y, Zeevi B. Daily physical activity and perception of condition severity among male and female adoles- cents with congenital heart malformation. J Pediatr Nurs 2006; 21: 244-249.
  15. Yu CCW, McManus AM, Li AM. Cardiopulmonary exercise testing in children. Hong Kong J Paediatr 2010; 15: 35-47.
  16. Takken T, Bongers BC, van Brussel M, Haapala EA, Hulzebos EHJ. Cardiopulmonary exercise testing in pediatrics. Ann Am Thorac Soc 2017; 14 (Suppl 1): S123-S128.
  17. van Genuchten WJ, Helbing WA, Harkel AT, Fejzic Z, Kuipers IM, Slieker MG, van der Ven J, Boersma E, Takken T, Bartelds B. Exercise capacity in cohort of children with congenital heart disease. Eur J Pediatr 2023; 182: 295-306.
  18. Siplaouras J, Jahn A, Helm P, Hanssen K, Bauer U, Apitz C, Niessner C. Physical self-concept and physical acitivity in children with congenital heart defects – can we point out differences to healthy children to promote physical activity?; Children 2023; 10: 478.
  19. Seivert NP, Dodds KM, O’Malley S, Goldberg DJ, Paridon S, McBride M, Rychik J. Associations between exercise capacity and psychological functioning in children and adolescents with Fontan circulation. Pediatr Cardiol 2025; 46: 2482-2488.
  20. Pina IL, Apstein CS, Balady GJ, Belardinelli R, Chaitman BR, Duscha BD, Fletcher BJ, Fleg JL, Myers JN, Sullivan MJ; American Heart Association Committee on exercise, rehabilitation, and prevention. Exercise and heart failure. A statement from American Heart Association Committee on Exercise, Rehabilitation, and Prevention. Circulation 2003; 107: 1210-1225.
  21. Norozi K, Gravenhorst V, Hobbiebrunken E, Wessel A. Normality of cardiopulmonary capacity in children operated on to correct congenital heart defects. Arch Pediatr Adolesc Med 2005; 159: 1063-1068.
  22. Coutinho T., Goel K., Corrêa de Sá D, Carter RE, Hodge DO, Kragelund C, Kanaya AM, Zeller M, Park JS, Kober L, Torp-Pedersen C, Cottin Y, Lorgis L, Lee SH, Kim YJ, Thomas R, Roger VL, Somers VK, Lopez-Jimenez F. Combining body mass index with measures of central obesity in the assessment of mortality in subjects with coronary disease: role of “normal weight central obesity”. J Am Coll Cardiol 2013; 61: 553-560.
  23. Terol C, Hagen J, Rammelooo L, Kuipers IM, Blom NA, ten Harkel A. Prognostic value of cardiopulmonary exercise test in children with congenital heart defects. Open Heart 2024; 11: e002820.

Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
SUBMIT YOUR PAPER
Share
without publication fees
without publication fees
Coverage in
Indexed in
pubmed
Integrated with
plagiat pl
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications