{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:25:32Z","timestamp":1785421532395,"version":"3.56.0"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125110366_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>CHDs, affecting 1.1% of newborns, are the most prevalent congenital anomalies. Improved survival rates expose children with CHD to long-term risks such as metabolic and acquired cardiovascular disorders. Despite physical activity\u2019s benefits, participation is often limited by real and perceived safety concerns. This study evaluates awareness and practice of physical activity among Omani children with CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110366_as2\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To quantify physical activity levels and identify influencing factors in Omani children with CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110366_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study, conducted at major Omani paediatric cardiology centres, surveyed parents of children aged 5\u201318 years with CHD attending clinics from January 2019 to January 2023. A validated questionnaire assessed activity levels and influencing factors. Children with recent surgery (&lt;3 months), single ventricle, cardiomyopathies, or without parental consent were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110366_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 412 children, mean weekly physical activity was 2.18 hours. Parental participation in sports (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = 0.42,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and cardiologist encouragement (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = 0.38,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) significantly increased activity levels. Children in houses (64% participation) were more active than those in apartments (34%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004). Acyanotic CHD was associated with higher participation (66%) than cyanotic CHD (45%). Gender, parental education, and surgical history were not significant predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110366_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Omani children with CHD engage in insufficient physical activity. Parental involvement and cardiologist guidance are critical drivers. We recommend targeted educational programmes and routine exercise counselling to enhance participation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125110366","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T05:09:12Z","timestamp":1772687352000},"page":"459-462","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Awareness and practice of physical activity in Omani children with CHDs: a cross-sectional study"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9435-4279","authenticated-orcid":false,"given":"Osama","family":"Al-Awidi","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04wq8zb47","id-type":"ROR","asserted-by":"publisher"}],"name":"SQU"},{"name":"OMSB"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issam","family":"Al Abri","sequence":"additional","affiliation":[{"name":"SQU"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Al-Subhi","sequence":"additional","affiliation":[{"name":"SQU"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narinjan","family":"Joshi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04wq8zb47","id-type":"ROR","asserted-by":"publisher"}],"name":"SQU"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Powell","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalfan","family":"Al Sinidi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04wq8zb47","id-type":"ROR","asserted-by":"publisher"}],"name":"SQU"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2803-2587","authenticated-orcid":false,"given":"Asim","family":"Al Balushi","sequence":"additional","affiliation":[{"name":"National Heart Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilal","family":"Al Riyami","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04wq8zb47","id-type":"ROR","asserted-by":"publisher"}],"name":"SQU"},{"id":[{"id":"https:\/\/ror.org\/049xx5c95","id-type":"ROR","asserted-by":"publisher"}],"name":"SQUH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"S1047951125110366_ref17","first-page":"344","article-title":"The influence of early physical activity on cardiovascular fitness in children post-correction of congenital heart disease","volume":"35","author":"Murphy","year":"2020","journal-title":"J Pediatr Cardiovasc Nurs"},{"key":"S1047951125110366_ref13","first-page":"503","article-title":"Recommendations for exercise in adolescents and adults with congenital heart disease","volume":"31","author":"Tran","year":"2021","journal-title":"Cardiol Young"},{"key":"S1047951125110366_ref9","first-page":"206","article-title":"Exercise training in children and adolescents with congenital heart disease: a systematic review","volume":"196","author":"Giannakoulas","year":"2018","journal-title":"J Pediatr"},{"key":"S1047951125110366_ref15","first-page":"235","article-title":"Efficacy of cardiac rehabilitation on exercise tolerance and physical activity in children with congenital heart disease","volume":"54","author":"Marks","year":"2023","journal-title":"J Pediatr Cardiol"},{"key":"S1047951125110366_ref16","first-page":"1473","article-title":"Understanding exercise-induced cardiovascular changes in children with congenital heart disease","volume":"77","author":"Blake","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"S1047951125110366_ref14","first-page":"747","article-title":"Cardiovascular exercise training and its effects on children with congenital heart defects","volume":"44","author":"Thomas","year":"2023","journal-title":"Pediatr Cardiol"},{"key":"S1047951125110366_ref7","doi-asserted-by":"publisher","DOI":"10.5603\/KP.a2014.0206"},{"key":"S1047951125110366_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.01.038"},{"key":"S1047951125110366_ref12","first-page":"441","article-title":"Assessing sports participation in pediatric patients with congenital heart disease","volume":"41","author":"Williams","year":"2020","journal-title":"Pediatr Cardiol"},{"key":"S1047951125110366_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.09.077"},{"key":"S1047951125110366_ref11","first-page":"321","article-title":"Sports participation in children with congenital heart disease: a European experience","volume":"29","author":"Liem","year":"2019","journal-title":"Cardiol Young"},{"key":"S1047951125110366_ref21","first-page":"753","article-title":"Effect of sports participation on the physical fitness of children with congenital heart disease","volume":"180","author":"Zumpf","year":"2021","journal-title":"Eur J Pediatr"},{"key":"S1047951125110366_ref20","first-page":"115","article-title":"Physical performance and quality of life improvements with structured physical activity programs for children with congenital heart disease","volume":"252","author":"Hall","year":"2022","journal-title":"Am Heart J"},{"key":"S1047951125110366_ref10","first-page":"863","article-title":"Physical activity in young patients with congenital heart disease: relationship with functional capacity and exercise tolerance","volume":"178","author":"Iommi","year":"2019","journal-title":"Eur J Pediatr"},{"key":"S1047951125110366_ref18","first-page":"435","article-title":"Physical activity and its impact on cardiovascular outcomes in young patients with congenital heart disease: a review","volume":"33","author":"Charbonnel","year":"2023","journal-title":"Cardiol Young"},{"key":"S1047951125110366_ref1","first-page":"53","article-title":"Evaluating adolescent and adult athletes with congenital heart disease","volume":"30","author":"Abela","year":"2020","journal-title":"Cardiol Young"},{"key":"S1047951125110366_ref2","first-page":"1","article-title":"Physical activity among children with congenital heart defects in Germany: a nationwide survey","volume":"8","author":"Apitz","year":"2020","journal-title":"Front Pediatr"},{"key":"S1047951125110366_ref19","first-page":"1647","article-title":"Postoperative physical rehabilitation and its effects on exercise capacity in children after congenital heart disease surgery","volume":"181","author":"Chen","year":"2022","journal-title":"Eur J Pediatr"},{"key":"S1047951125110366_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1645-2"},{"key":"S1047951125110366_ref8","first-page":"863","article-title":"Physical activity in children with congenital heart disease: relationship with functional capacity and exercise tolerance","volume":"178","author":"Andreo","year":"2019","journal-title":"Eur J Pediatr"},{"key":"S1047951125110366_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19084426"}],"container-title":["Cardiology in the 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}