Design of a Fully Automated Service to Generate an Individualized Exercise Rehabilitation Program for Adults with Congenital Heart Disease
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Physical activity is key in the prevention of cardiovascular diseases and as such should also be targeted in the long-term care of patients with congenital heart disease [CHD]. Mounting evidence, derived from small proof of concept studies, shows that patients with CHD can safely exercise and are able to increase their exercise capacity. Yet, the implementation of physical activity and exercise programs is challenging in patients with CHD given the need for a highly individualized approach. Therefore, efforts are needed to further tailor the current exercise prescription recommendations in order to obtain a truly personalized and most likely more effective exercise rehabilitation program in terms of adherence and health benefits. Here we propose the design of a fully automated service for the generation of an individualized, patient tailored exercise rehabilitation program for adults with CHD. This computer based information system will consider individual patient data to ensure safety, effectiveness as well as attractiveness in order to automatically propose an exercise prescription. This prescription will consist of the short and mid-term exercise goal for the patient to target. Moreover, the system will propose a structured exercise program in order to gradually work toward achieving the goals. The system will support CHD specialists in prescribing detailed, understandable and effective exercise and physical activity programs according to patient needs and wants, based on quantified information on cardiac status, exercise performance, physical activity level and patient preferences. As such, this work contributes to the development of computer-assisted systems targeting at personalized medicine and ultimately better health outcomes in CHD.
KeywordsExercise program Rehabilitation Congenital heart disease Computer based information system
This work has been partially funded by a research grant from the Research Foundation Flanders [FWO], and the European Union’s Horizon 2020 Framework Programme for Research and Innovation Action under Grant Agreement no. 643491, ‘PATHway: Technology enabled behavioural change as a pathway towards better self-management of CVD’.
Conflict of Interest
The authors declare that they have no conflict of interest.
- 6.Duppen N, Takken T, Hopman MT et al (2013) Systematic review of the effects of physical exercise training programmes in children and young adults with congenital heart disease. Int J CardiolGoogle Scholar
- 8.Dontje ML, Feenstra M, de Greef MH et al 2013 Are grown-ups with congenital heart disease willing to participate in an exercise program? Congenit Heart DisGoogle Scholar
- 9.Gierat-Haponiuk K, Haponiuk I, Chojnicki M et al (2011) Exercise capacity and the quality of life late after surgical correction of congenital heart defects. Kardiol Pol 69(8):810–815Google Scholar
- 12.Takken T, Giardini A, Reybrouck T et al (2012) Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology. Eur J Prev Cardiol 19(5):1034–1065CrossRefGoogle Scholar
- 13.Vanhees L, Geladas N, Hansen D et al (2012) Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular risk factors: recommendations from the EACPR. Part II. Eur J Prev Cardiol 19(5):1005–1033CrossRefGoogle Scholar
- 14.Council of Europe (1995) Eurofit for adults. Assessment of health-related fitnessGoogle Scholar