PRACTICE GUIDELINESGuidelines for physical activity in children with heart diseaseSejal Suresh Shah',Sweta Mohanty2,Tanuja Karande3,Sunita Maheshwari',Snehal Kulkarni,Anita Saxena3'Department of Pediatric Cardiology,Hands on Heart,RxDx Healthcare,Bengaluru,Karnataka,India,"Department of Pediatric Cardiology,Indira GandhiInstitute of Child Health,Bengaluru,Karnataka,India,Department of Pediatric Cardiology,Kokilaben Dhirubhai Ambani Hospital,Mumbai,Maharashtra,India,Department of Pediatric Cardiology,Sri Sathya Sai Sanjeevani Hospital,Navi Mumbai,Maharashtra,India,sDepartment of Cardiology,Pt.BDSharma University of Health Sciences,Rohtak,Haryana.IndiaABSTRACTJustificationIn recent years,there has been increasing recognition of children with heartdisease in our country.These children belong to different age groups and haveuntreated,partially treated,or completely treated heart disease.The role ofphysical activity for optimal physical,emotional,and psychosocial well-beingfor children is well understood.There is a challenge for the parents and themedical professionals to take a decision regarding the type of physical activitysafe for the child as heart disease may affect the hemodynamic demands.Most of the existing international guidelines focus on competitive sports inoperated heart disease children.This may be of limited use when we have amixed population of children with heart disease,different types of sports in ourcountry and where a larger subset is looking for recommendations to leisuretime activities.ProcessThe Pediatric Cardiac Society of India decided to formulate recommendationsfor physical activity in children with heart diseases.A committee of experts,who were well-versed with the subject of physical activity in children withheart disease,volunteered to take up the task of writing the guidelines.Therecommendations emerged following deliberations of the committee members,onthe virtual platform as well as mails.The final version of manuscript was approvedby all committee members and all members are co-authors of this manuscript.The different types of physical activities were defined including leisure sportsand competitive sports.The exercise was classified based on the mechanicalaction of muscles involved into dynamic and static components.Each type ofexercise was then classified based on the intensity into low,medium,and high.Recommendations for the type of physical activity for individual heart lesionswere decided based on the rationale available.This is an open access joumal,and articles are distributed under theterms of the Creative Commons Attribution-NonCommercial-ShareAlikeAccess this article online4.0 License,which allows others to remix,tweak,and build upon theQuick Response Code:work non-commercially,as long as appropriate credit is given and theWebsite:new creations are licensed under the identical tems.www.annalspc.comFor reprints contact:WKHLRPMedknow_reprints@wolterskluwer.comDOI:How to cite this article:Shah SS,Mohanty S.Kar
