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September 25, 2026European Journal of Preventive Cardiology

Sport, exercise, and physical activity in children with cardiovascular disease. A Clinical Consensus Statement of the European Association of Preventive Cardiology (EAPC) of the ESC, the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC, and the Association for European Paediatric and Congenital Cardiology (AEPC)

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Population

Children and adolescents aged 6 to 17 years with cardiovascular disease

Comparison

Exercise and physical activity prescription based on clinical assessment and FITT principle

Design

Clinical consensus statement from European cardiovascular associations

Key result

This clinical consensus statement provides practical guidance for individualized exercise and physical activity prescription in children and adolescents aged 6 to 17 years with cardiovascular disease.

Authors

MTMonica TiberiPreventive Cardiology
Flavio D’Ascenzi
Flavio D’AscenziGeneral / Preventive / Lipids
Elena Cavarretta
Elena CavarrettaCardiac Imaging

Discussion

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Overview

Offers practical exercise guidance for children with CVD; extends adult-focused recommendations to pediatrics.

Key Points

  • Regular physical activity reduces cardiovascular risk, yet young patients with cardiovascular disease frequently remain inactive due to safety concerns and limited expertise.
  • Clinical consensus statement establishes tailored exercise prescription for youths aged 6 to 17 years, structuring regimens through the FITT principle and clinical evaluation.
  • Multidisciplinary care with periodic exercise testing supports safe athletic participation, fostering functional capacity alongside quality of life across diverse cardiomyopathies.

Structured PICO

P
Population
Children and adolescents aged 6 to 17 years with cardiovascular disease.
I
Intervention
Prescription of exercise and physical activity based on clinical assessment, cardiovascular risk stratification, and the FITT principle (frequency, intensity, time, and type)

This clinical consensus statement provides practical guidance for prescribing safe and individualized exercise and physical activity for children and adolescents with cardiovascular disease.

Cite This Study

Tiberi et al. (2026) conducted a review in Cardiovascular disease. Exercise and physical activity prescription was evaluated. This clinical consensus statement provides practical guidance for individualized exercise and physical activity prescription in children and adolescents aged 6 to 17 years with cardiovascular disease.

synapsesocial.com/papers/6ab60f47406bf401c1467b79https://doi.org/10.1093/eurjpc/zwag497
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology2011 · 273 citations
  2. 2Exercise and Sports Participation in Pediatrics2025 · 1 citations
  3. 3Empowering Congenital Heart Disease Treatment: Physical Activity Prescription. The Italian proposal2026
  4. 4Guidelines for physical activity in children with heart disease2022 · 14 citations
  5. 5Sport Activities for Children and Adolescents: Part 2. Joint Position Statement of Paediatric Societies on Physical Activity and Sport Recommendations for Children With Specific Chronic Disease Conditions2025