Participation in organized sport has been in a decline for the past decade, but there is still an exercisetrend in Sweden, as people are training individually. For that reason, the purpose of this study is tounderstand how the sport movement relates to the exercise trend. The study addresses the followingquestions: How do sport clubs perceive the exercise trend? Have sport clubs worked and adaptedactivities around the exercise trend? Are there any difficulties working with the exercise trend? How canthe clubs work around the exercise trend and develop according to the clubs themselves? The study wasdone using a qualitative method interviewing eight sport clubs using semi-structured interviews. Theresults show that every sport club in the study have worked towards the exercise trend in one way oranother. Sport clubs are mostly aware of the exercise trend and are trying to adapt to it. Some of theclubs are going great lengths to work and adapt to the exercise trend while some clubs are not. Based onthe results there are some challenges the clubs need to consider internally and externally.

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Background: This study compared patient profiles and clinical courses of SARS-CoV-2 infected inpatients over different pandemic periods. Methods: In a retrospective cross-sectional analysis, we examined administrative data of German Helios hospitals using ICD-10-codes at discharge. Inpatient cases with SARS-CoV-2 infection admitted between 03/04/2020 and 07/19/2022 were included irrespective of the reason for hospitalization. All endpoints were timely assigned to admission date for trend analysis. The first pandemic wave was defined by change points in time-series of incident daily infections and compared with different later pandemic phases according to virus type predominance. Results: We included 72,459 inpatient cases. Patients hospitalized during the first pandemic wave (03/04/2020–05/05/2020; n = 1,803) were older (68.5 ± 17.2 vs. 64.4±22.6 years, p<0.01) and severe acute respiratory infections were more prevalent (85.2 vs. 53.3%, p < 0.01). No differences were observed with respect to distribution of sex, but comorbidity burden was higher in the first pandemic wave. The risk of receiving intensive care therapy was reduced in all later pandemic phases as was in-hospital mortality when compared to the first pandemic wave. Trend analysis revealed declines of mean age and Elixhauser comorbidity index over time as well as a decline of the utilization of intensive care therapy, mechanical ventilation and in-hospital mortality. Conclusion: Characteristics and outcomes of inpatients with SARS-CoV-2 infection changed throughout the observational period. An ongoing evaluation of trends and care pathways will allow for the assessment of future demands