Effect of Leisure Sports on Exercise Capacity and Quality of Life in Patients with a Fontan Circulation

Despite improvement in survival, patients with a Fontan circulation are at risk for numerous complications, and exercise capacity and quality of life are usually reduced compared with healthy controls. However, only a few studies have assessed the impact of the amount of sporting activity on exercis...

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Bibliographic Details
Published in:The American journal of cardiology 2022-05, Vol.171, p.140-145
Main Authors: Niemann, Arne, Rinne, Katy, Hansen, Jan Hinnerk, Scheewe, Jens, Uebing, Anselm, Voges, Inga
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Age
Anaerobic threshold
Child
Circulation
Complications
Exercise
Exercise Test
Exercise Tolerance
Female
Fitness equipment
Fitness training programs
Fontan Procedure - methods
Heart Defects, Congenital - surgery
Heart surgery
Humans
Leisure
Oxygen
Oxygen Consumption
Oxygen saturation
Oxygen uptake
Patients
Pediatrics
Physical fitness
Physical training
Quality assessment
Quality of Life
Questionnaires
Running
Sports
Subgroups
Ventricle
Young Adult
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Summary:Despite improvement in survival, patients with a Fontan circulation are at risk for numerous complications, and exercise capacity and quality of life are usually reduced compared with healthy controls. However, only a few studies have assessed the impact of the amount of sporting activity on exercise capacity and health-related quality of life. We analyzed cardiopulmonary exercise tests (CPET) in a large cohort of patients with a Fontan circulation. Questionnaires were used to assess health-related quality of life and sporting activity. A total of 79 patients with a median age of 13.0 (6.5 to 34.4) years at CPET were included (female, n = 31). Questionnaires revealed that 80% of patients (n = 63) do leisure sports with 43% (n = 27) exercising more than 2 hours per /week. In a subgroup analysis on pediatric patients (n = 52) we found that nearly all participate in school sports (n = 51) and report good subjective health (n = 48). In the pediatric subgroup, oxygen uptake at the anaerobic threshold and peak oxygen uptake correlated with subjective health (p 
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2022.01.060