{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T07:42:44Z","timestamp":1759995764874,"version":"build-2065373602"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1047951125100851_as1\">\n\t    <jats:title>Introduction:<\/jats:title>\n\t    <jats:p>Low neuromuscular fitness is documented in adolescents with CHD and may be associated with clinical and morphological factors, indicating the need to assess strength in this population.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951125100851_as2\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To evaluate neuromuscular fitness with a multifactorial approach and its associations with other clinical and morphological factors in adolescents with CHD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951125100851_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>This is an observational, cross-sectional study with adolescents with CHD, aged between 10 and 18 years. Neuromuscular fitness was calculated by the sum of the z-scores of four strength tests. Clinical factors of CHD were assessed by medical records and questionnaire. The morphological factors assessed were waist-to-height ratio, sum of skinfolds, and upper arm muscle area. Descriptive statistics, analysis of covariance, and linear regressions were performed.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951125100851_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Sixty adolescents with CHD participated, aged 12,7 \u00b1 2,1 years, 55% girls. Maximum isometric strength was inadequate in 33%, jump height (power) in 33%, abdominal muscle strength resistance in 78%, and upper limb muscle strength resistance in 27%. Neuromuscular fitness was inadequate in 89% (<jats:italic>n<\/jats:italic> = 53) of adolescents with CHD. In the unadjusted regression, neuromuscular fitness was associated with arm muscle area (<jats:italic>\u03b2<\/jats:italic> = 0,12; <jats:italic>p<\/jats:italic> = 0,02; R2adj = 0,08) and in the unadjusted and adjusted regression it was lower in cyanotic (vs. acyanotic) CHDs (<jats:italic>\u03b2<\/jats:italic> = \u22121,76; <jats:italic>p<\/jats:italic> = 0,03 R2adj = 0,24).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951125100851_as5\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>The findings reveal deficits in different presentations of musculoskeletal strength in a large proportion of adolescents with CHD, reinforcing the need to measure fitness from a broader perspective. Low muscle mass and the presence of cyanotic CHD may imply in reduced neuromuscular fitness in adolescents with CHD.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1047951125100851","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T07:05:54Z","timestamp":1759993554000},"page":"1609-1616","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Neuromuscular fitness in adolescents with CHD: cross-sectional associations with clinical and body composition indicators"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0272-2638","authenticated-orcid":false,"given":"Ana Carla P.","family":"Cavalcante","sequence":"first","affiliation":[{"name":"Federal University of Alagoas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabela de C.","family":"Back","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marylia Santos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-9786","authenticated-orcid":false,"given":"Paulo Henrique","family":"Manso","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe Ant\u00f4nio de B.","family":"Sousa","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas"},{"name":"Federal University of Alagoas"},{"name":"Federal University of Alagoas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Rodrigo A.","family":"de Lima","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas"},{"name":"Federal University of Alagoas"},{"name":"Federal University of Alagoas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"S1047951125100851_ref36","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-023-05394-y"},{"key":"S1047951125100851_ref39","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13668"},{"key":"S1047951125100851_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.10.006"},{"key":"S1047951125100851_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.062679"},{"key":"S1047951125100851_ref45","doi-asserted-by":"publisher","DOI":"10.3390\/children10020296"},{"key":"S1047951125100851_ref18","unstructured":"18. 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