Show me:
Show me:
heartfoundation.org.au|Helpline 13 11 12

FONTAN Personalised Exercise Prescription at yoUr Place Trial

Dr Rachael Cordina, Institution: University of Sydney

2018 Vanguard Grant

Years funded: 2019-2021


Babies born with a single ventricle (pumping heart chamber) now commonly survive well into adulthood after they undergo the Fontan operation. Approximately 1,400 people are alive today after this procedure in Australia and New Zealand, and 60,000 worldwide. People with a Fontan circulation have impaired exercise capacity, reduced life expectancy and no available medications with proven long-term benefits. In contrast, several small studies indicate that the only way to improve exercise capacity and cardiac function (which are closely associated with survival) is to improve the function of the muscles through aerobic and resistance exercise.

This is because the muscles play an important role in improving the circulation of blood back to the heart so that it can be pumped around the body. Our previous research in Fontan patients who lived close to a hospital gym, demonstrated that the single ventricle circulation heavily relies on this peripheral muscle pump (the squeezing of veins by muscles during activity), and that closely supervised face-to-face exercise training builds the muscles to help the peripheral muscle pump work more effectively, improving heart function. To date, a model of care that delivers effective exercise training to patients, no matter where they live, has not been established.

We propose a trial of home-based exercise in patients with a Fontan circulation aged 16 years and over. Participants will be randomly allocated to receive a 4-month innovative home-based exercise training program supervised by an exercise physiologist via face-to-face internet sessions to provide guidance and support for exercise, or to usual care (maintaining their usual activity levels). This trial will determine the efficacy and feasibility (defined as recruitment, retention, adherence and satisfaction) of a novel home-based supervised exercise program to improve cardiorespiratory fitness in young people with a Fontan circulation that is scalable and cost-effective.

You might also be interested in

Research Directory

Research Directory

A program of research to improve ACCESS to cardiovascular care

A program of research to improve ACCESS to cardiovascular care

Professor Robyn Clark, Institution: Flinders University...

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Assistant Professor Neil Spratt, Institution: The University of Newcastle...

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Ms Joanne Luke, Institution: University of Melbourne...

Exercise and brain volume loss after stroke

Exercise and brain volume loss after stroke

Professor Amy Brodtmann, Institution: Florey Institute of Neuroscience and Mental Health...

Growing healthy hearts - how passive smoke exposure and elevated blood pressure early in life impacts adult cardiovascular health

Growing healthy hearts - how passive smoke exposure and elevated blood pressure early in life impacts adult cardiovascular health

Growing healthy hearts - how passive smoke exposure and elevated blood pressure early in life impacts adult cardiovascular health

Dr Costan Magnussen, Institution: University of Tasmania...

Lipid disorders in patients at high cardiovascular disease risk

Lipid disorders in patients at high cardiovascular disease risk

Dr Esther Ooi, Institution: University of Western Australia...

Promoting active, healthy lifestyles among women at key life stages

Promoting active, healthy lifestyles among women at key life stages

Associate Professor Verity Cleland, Institution: University of Tasmania...

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Professor Bruce Neal, Institution: University of New South Wales...

Starting early – Increasing young children’s physical activity

Starting early – Increasing young children’s physical activity

Associate Professor Hayley Christian, Institution: University of Western Australia...

Health Professional Tools

Health Professional Tools

Health Professional Tools

Guidelines, publications and support for the health professional community....

Heart Health Check Toolkit

Heart Health Check Toolkit

Together, we can change the future of heart disease

Together, we can change the future of heart disease

Together, we can change the future of heart disease

The power of your ongoing support can help save lives and keep more families together. Help us continue to fund promising heart research projects by donating today. ...

Time to book a Heart Health Check?

Time to book a Heart Health Check?

Time to book a Heart Health Check?

If you're 45 and over, or 30 and over if you're of Aboriginal or Torres Strait Islander descent, you should book your Heart Health Check today...

Supporting Young Hearts

Supporting Young Hearts

Supporting Young Hearts

Advice from young people living with a heart condition....

Easy chicken nasi goreng

Easy chicken nasi goreng

Easy chicken nasi goreng

10 minutes
Serves 4

Christmas recipes

Christmas recipes

Christmas recipes

Find heart healthy festive recipes. ...

What is angina?

What is angina?

What is angina?

Angina is a type of chest pain or discomfort that’s a symptom of an underlying heart problem, usually coronary heart disease (CHD)....

Eating well to protect your heart (information sheet – download PDF)

Eating well to protect your heart (information sheet – download PDF)

What is heart failure?

What is heart failure?

What is heart failure?

Heart failure is a condition where your heart isn’t pumping as well as it should be....

Heart Foundation recipes

Heart Foundation recipes

Heart Foundation recipes

Check out our recipe categories to find your next heart healthy meal....

Driving and travelling after a heart attack

Driving and travelling after a heart attack

Driving and travelling after a heart attack

Explore our guide for driving and heart attack recovery. ...

Sorting out your finances after a heart attack

Sorting out your finances after a heart attack

Sorting out your finances after a heart attack

Explore how to manage your financial concerns after a heart attack. ...

Improving cardiovascular health: New and innovative treatments for reducing tobacco smoking

Improving cardiovascular health: New and innovative treatments for reducing tobacco smoking

Dr Ryan Courtney, Institution: University of New South Wales...

Cardiomyopathy; another health curveball for Ange

Cardiomyopathy; another health curveball for Ange

Cardiomyopathy; another health curveball for Ange

A story from Ange Foster ...

Exercises to do at home

Exercises to do at home

Exercises to do at home

All you need to know about keeping active during COVID-19....

Cardiac arrest at 26: adjusting to a new ‘normal’

Cardiac arrest at 26: adjusting to a new ‘normal’

Cardiac arrest at 26: adjusting to a new ‘normal’

Developing strategies to reduce emergency services presentations after acute coronary syndrome

Developing strategies to reduce emergency services presentations after acute coronary syndrome

Dr Kathryn Eastwood, Institution: Monash University...

Italian fish parcels

Italian fish parcels

Italian fish parcels

20 minutes
Serves 4

Q&A with Dr Susie Cartledge

Q&A with Dr Susie Cartledge

Q&A with Dr Susie Cartledge

Breaking down the silos - a pathway from acute hospital care to cardiac rehabilitation ...

Women's Health Week: Put your heart and mind first

Women's Health Week: Put your heart and mind first

Women's Health Week: Put your heart and mind first

Women and heart disease

Women and heart disease

Women and heart disease

Information and resources for healthcare professionals....

Every minute counts: a strategy to strengthen the links in the Chain of Survival

Every minute counts: a strategy to strengthen the links in the Chain of Survival

Dr Ziad Nehme, Institution: Monash University...

5 warning signs of a heart attack that you may not know

5 warning signs of a heart attack that you may not know

5 warning signs of a heart attack that you may not know

Acute coronary syndromes (ACS) clinical resources

Acute coronary syndromes (ACS) clinical resources

Resources and clinical information for health professionals...

Are you at risk of heart disease?

Are you at risk of heart disease?

Are you at risk of heart disease?

There is no single cause for any one heart condition, but there are risk factors that increase your chance of developing one. ...

Asian recipes

Asian recipes

Asian recipes

Find heart healthy Asian recipes....

Cardiac Rehabilitation for Health Professionals - Patient Resources

Cardiac Rehabilitation for Health Professionals - Patient Resources

Holiday Treats | Holiday Recipe Booklet

Holiday Treats | Holiday Recipe Booklet

Holiday Treats | Holiday Recipe Booklet

Bring family and friends together in the kitchen over this Festive season to help you create your favourite festive treats!...

Grilled haloumi and crunchy green salad

Grilled haloumi and crunchy green salad

Grilled haloumi and crunchy green salad

8-10 minutes
Serves 4 (as a side)