{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:56:37Z","timestamp":1791395797936,"version":"4.3.3"},"reference-count":48,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:p>\n                    Youth with heart disease experience comorbidities that impact physical activity (PA), mental health (MH), and quality of life (QoL).\n                    <jats:italic>\n                      <jats:bold>Purpose<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    To explore the relationship between PA and MH and QoL in adolescents with cardiac arrhythmia disorders, cardiomyopathies, or single ventricle heart disease.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Participants completed surveys\/questionnaires regarding PA (Physical Activity Questionnaire for Adolescents), anxiety (Patient-Reported Outcomes Measurement Information System [PROMIS]-Anxiety), depressive symptoms (PROMIS-Depressive Symptoms), global QoL (Pediatric Quality of Life Inventory [PedsQL]-generic), and cardiac disease-specific QoL (PedsQL-cardiac). Pearson correlations and regression analysis examined relationships between PA and MH\/QoL.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    The study included 63 participants (males\u2009=\u200932, 50.7%), with an age of 15.46 (1.82)\u00a0years. The sample was mostly inactive (Physical Activity Questionnaire for Adolescents score: 1.95 [0.65]). Outcomes used\n                    <jats:italic>T<\/jats:italic>\n                    -scores for PROMIS-Anxiety (49.7 [12.2]) and PROMIS-Depressive Symptoms (46.9 [12.7]), and summary scores for PedsQL-generic (75.2 [18.9]) and PedsQL-cardiac (74.7 [17.5]). There was a negative correlation between PA and MH (PROMIS-Anxiety:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u2212.338, PROMIS-Depressive Symptoms:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u2212.337;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.05) and positive correlation between PA and QoL (PedsQL-generic:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009.37, PedsQL-cardiac:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009.39;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.001). Adjusting for key variables using regression analysis, greater participation in PA was independently related to decreased anxiety and depression and greater QoL.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Greater PA engagement was associated with more favorable MH and QoL in adolescents with cardiac arrhythmia disorders, cardiomyopathy, or single ventricle heart disease.\n                  <\/jats:p>","DOI":"10.1123\/pes.2024-0066","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T21:30:12Z","timestamp":1764883812000},"page":"299-307","source":"Crossref","is-referenced-by-count":1,"title":["Physical Activity and Mental Health in Adolescents With Cardiac Arrhythmias, Cardiomyopathy, or Single Ventricle Heart Disease"],"prefix":"10.1123","volume":"38","author":[{"given":"Olivia J.","family":"Olson","sequence":"first","affiliation":[{"name":"School of Nutrition, Kinesiology, and Psychological Science, University of Central Missouri, Warrensburg, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Garver","sequence":"additional","affiliation":[{"name":"School of Nutrition, Kinesiology, and Psychological Science, University of Central Missouri, Warrensburg, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Cramer","sequence":"additional","affiliation":[{"name":"Health Services and Outcomes Research, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"},{"name":"School of Medicine, University of Missouri Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jami","family":"Gross-Toalson","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Department of Developmental and Behavioral Health, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli M.","family":"Teson","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Malloy-Walton","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica S.","family":"Watson","sequence":"additional","affiliation":[{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mollie M.","family":"Walton","sequence":"additional","affiliation":[{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura B.","family":"Martis","sequence":"additional","affiliation":[{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dara J.","family":"Watkins","sequence":"additional","affiliation":[{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandy","family":"Enneking","sequence":"additional","affiliation":[{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Black","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Health, Nationwide Children\u2019s Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"White","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri Kansas City, Kansas City, MO, USA"},{"name":"Ward Family Heart Center, Children\u2019s Mercy Kansas City, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"6","key":"r1","series-title":"J Pediatr","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.jpeds.2008.05.059","article-title":"Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005","volume":"153","author":"Reller MD","year":"2008","unstructured":"Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. 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