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Pediatric heart transplant patients have a high-risk cardiovascular profile affecting their long-term outcomes and survival. Currently, no effective cardiovascular preventative care is provided for this pediatric population, in part, due to the fact that clinic-based programs are not easily accessible to children and their families. However, tele-health has been show to improve medical outcomes by making care more accessible to these patients. This study aims to meet the urgent need for an effective and sustainable delivery of preventative care to pediatric heart transplant patients using a diet and exercise intervention program delivered live over the internet direct to these patients' homes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| On-Line Diet and Exercise Intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| On-Line Diet and Exercise Intervention | Other | Initial 16 weeks of on-line, live exercise instruction 3x/week and on-line, diet sessions followed by 16 weeks of weekly exercise and diet sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Endothelial Pulse Amplitude Testing Index | Test of endothelial function | Baseline, 16 weeks, and 32 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial Tonometry | Baseline, 16 weeks, and 32 weeks | |
| Carotid Artery Imaging | Baseline, 16 weeks, and 32 weeks | |
| Fasting Low-Density Lipoprotein Level |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elif Seda Selamet Tierney, MD | Stanford Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford Children's Health | Palo Alto | California | 94306 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31973598 | Derived | Chen AC, Ramirez FD, Rosenthal DN, Couch SC, Berry S, Stauffer KJ, Brabender J, McDonald N, Lee D, Barkoff L, Nourse SE, Kazmucha J, Wang CJ, Olson I, Selamet Tierney ES. Healthy Hearts via Live Videoconferencing: An Exercise and Diet Intervention in Pediatric Heart Transplant Recipients. J Am Heart Assoc. 2020 Feb 4;9(3):e013816. doi: 10.1161/JAHA.119.013816. Epub 2020 Jan 24. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D015438 | Health Behavior |
| D000294 | Adolescent Behavior |
| D002652 | Child Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Baseline, 16 weeks, and 32 weeks |
| Volume of Oxygen Consumed at Maximal Exertion | Baseline, 16 weeks, and 32 weeks |
| Physical and Psychosocial Health Questionnaire Scores | Both parents and patients will be asked to complete this questionnaire | Baseline, 16 weeks, and 32 weeks |
| Functional Movement Screening Score | Participants will be asked to perform certain movements. The range of motion will be scored and totaled for evaluation. | Baseline, 16 weeks, and 32 weeks |