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 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 <0.05) and the amount of leisure sports activity (p <0.01). In the overall cohort, running time and running distance were significantly associated with the hours of sports per week (p <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. In pediatric patients, increased sports activity is associated with better exercise capacity and subjective healthiness.

The COVID-19 pandemic and government responses: A gender perspective on differences in public opinion.

OBJECTIVE: The 2019 novel coronavirus disease (COVID-19) crisis has led to shutdowns of the cultural, associational, and economic life in many parts of the world and had a severe impact on gender relations in many societies. This study engages with gender differences in public support of severe infringements of personal and economic freedoms. METHODS: We use data from an original survey conducted by CINT in the United States and Germany in June 2020. Descriptive statistics both aggregated for the two countries and then split by country as well as multinomial logistic regression analyses gauge gender differences in support of COVID-19 related confinement measures. RESULTS: Men and women rather converge on the level of risk COVID-19 might cause to their health and economic situation, but the two sexes still differ in their assessment of their preferred government reaction to the disease. Women are approximately one-third more likely to advocate stricter infringements, compared to men. This finding illustrates that while both sexes share similar risk evaluations, women are more prudent for their health than men. CONCLUSION: With this study, we add to the literature on risk aversion and gender differences. In a pandemic situation, women appear to be more risk averse than men.