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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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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container_title The American journal of cardiology
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Voges, Inga
description 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 
doi_str_mv 10.1016/j.amjcard.2022.01.060
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In the overall cohort, running time and running distance were significantly associated with the hours of sports per week (p &lt;0.01). CPET results did not significantly differ between single right and single left ventricle patients. Furthermore, an open fenestration was not associated with reduced exercise capacity. In conclusion, most patients with a Fontan circulation participate in leisure sports and report good subjective healthiness. 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identifier ISSN: 0002-9149
ispartof The American journal of cardiology, 2022-05, Vol.171, p.140-145
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source ScienceDirect Journals
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
title Effect of Leisure Sports on Exercise Capacity and Quality of Life in Patients with a Fontan Circulation
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