Address activity levels with each patient you see.  Advise parents to establish time limits for sedentary activities and encourage a daily time for physical activity in all age groups.

Never exclude a child from activities because of physical or mental limitations – including heart disease!  Even children with cardiomyopathies or severe stenoses will self-limit their activities if need be.  Teach parents the importance of being role models for active lifestyles and providing children with opportunities for increased physical activity.  And be an advocate for physical health and recreation facilities in your community.