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Recommendations for participation in competitive sport in adolescent and adult athletes with congenital heart disease (CHD): Position Statement of the Sports Cardiology &amp; Exercise Section of the European Association of Preventive Cardiology (EAPC), the European Society of Cardiology (ESC) Working Group on Adult Congenital Heart Disease and the Sports Cardiology, Physical Activity and Prevention Working Group of the Association for European Paediatric and Congenital Cardiology (AEPC). <i>Eur Heart J<\/i> 2020; 41: 4191\u20134199.","DOI":"10.1093\/eurheartj\/ehaa501"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 Guidelines on physical activity and sedentary behaviour. <i>Br J Sports Med<\/i> 2020; 54: 1451\u20131462.","DOI":"10.1136\/bjsports-2020-102955"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. 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Physical activity promotion in pediatric congenital heart disease: Are we running late? <i>Can J Cardiol<\/i> 2020; 36: 1406\u20131416.","DOI":"10.1016\/j.cjca.2020.07.003"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Caruana M, Grech V. Lifestyle habits among adult congenital heart disease patients in Malta. <i>Congenit Heart Dis<\/i> 2016; 11: 332\u2013340.","DOI":"10.1111\/chd.12366"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Sandberg C, Pomeroy J, Thil\u00e9n U, Gradmark A, Wadell K, Johansson B. Habitual physical activity in adults with congenital heart disease compared with age- and sex-matched controls. <i>Can J Cardiol<\/i> 2016; 32: 547\u2013553.","DOI":"10.1016\/j.cjca.2015.08.021"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Matsui M, Kosaki K, Kawamatsu N, Nozaki Y, Machino-Otsuka T, Nakata Y, et al. 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Educational differences in the validity of self-reported physical activity. <i>BMC Public Health<\/i> 2015; 15: 1299.","DOI":"10.1186\/s12889-015-2656-7"},{"key":"35","doi-asserted-by":"crossref","unstructured":"35. Blasco-Peris C, Climent-Paya V, Vetrovsky T, Garc\u00eda-\u00c1lvarez MI, Manresa-Rocamora A, Beltr\u00e1n-Carrillo VJ, et al. International Physical Activity Questionnaire Short Form and accelerometer-assessed physical activity: Concurrent validity using six cut-points in HF patients. <i>ESC Heart Fail<\/i> 2024; 11: 126\u2013135.","DOI":"10.1002\/ehf2.14514"},{"key":"36","doi-asserted-by":"crossref","unstructured":"36. Diller GP, Dimopoulos K, Okonko D, Li W, Babu-Narayan SV, Broberg CS, et al. Exercise intolerance in adult congenital heart disease: Comparative severity, correlates, and prognostic implication. <i>Circulation<\/i> 2005; 112: 828\u2013835.","DOI":"10.1161\/CIRCULATIONAHA.104.529800"},{"key":"37","doi-asserted-by":"crossref","unstructured":"37. Inuzuka R, Diller GP, Borgia F, Benson L, Tay EL, Alonso-Gonzalez R, et al. Comprehensive use of cardiopulmonary exercise testing identifies adults with congenital heart disease at increased mortality risk in the medium term. <i>Circulation<\/i> 2012; 125: 250\u2013259.","DOI":"10.1161\/CIRCULATIONAHA.111.058719"},{"key":"38","doi-asserted-by":"crossref","unstructured":"38. Bonanni F, Servoli C, Spaziani G, Bennati E, Di Filippo C, Cirri GK, et al. Congenital heart disease after mid-age: From the \u201cgrown-up\u201d to the elderly. <i>Diagnostics (Basel)<\/i> 2025; 15: 481.","DOI":"10.3390\/diagnostics15040481"},{"key":"39","doi-asserted-by":"crossref","unstructured":"39. Kamiya K, Yamamoto T, Tsuchihashi-Makaya M, Ikegame T, Takahashi T, Sato Y, et al. Nationwide survey of multidisciplinary care and cardiac rehabilitation for patients with heart failure in Japan: An analysis of the AMED-CHF study. <i>Circ J<\/i> 2019; 83: 1546\u20131552.","DOI":"10.1253\/circj.CJ-19-0241"}],"container-title":["Circulation Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circrep\/8\/9\/8_CR-26-0010\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:25:27Z","timestamp":1789183527000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circrep\/8\/9\/8_CR-26-0010\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":39,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1253\/circrep.cr-26-0010","relation":{},"ISSN":["2434-0790"],"issn-type":[{"value":"2434-0790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]},"article-number":"CR-26-0010"}}