Left ventricular mass index and sports: the influence of different sports activities and arterial blood pressure

Cubero, G.I.; Batalla, Alberto; Reguero, Julián R.; Barriales, Roberto; Gonzalez, Vidal; Iglesia, J.L. de la; Cepeda, Nicolás Terrados

doi:10.1016/s0167-5273(00)00342-9

Cited by 21 publications

(13 citation statements)

References 15 publications

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“…The same results have previously been reported in canoeists [28]. Upper-body exercise is well known to induce a higher relative blood pressure than lower-body exercise [5,47] and a relationship has been reported between exercise blood pressure and LV mass and geometry [34,36]. Cycling is mainly a lower-body dynamic exercise with a smaller static work part of the arms.…”

Section: Sports-specific Athlete's Heart Echocardiographic Adaptationssupporting

confidence: 84%

“…In addition, we have shown that the echocardiographic parameters concerned (Table 5) depend on the sport practiced [2]. The same results have been reported when studying different athletic populations [34,66,69] and comparing sedentary subjects and trained people [89,93]. This data may be explained, at least partly, by the different cardiac hypertrophy patterns observed in the three trained groups (Figure 2).…”

Section: Beneficial Effects Of Athlete's Heart Adaptations On Physicasupporting

confidence: 82%

“…For example in a large group of triath- [83]. Classically, myocardial wall thickness is related to the pressure load imposed by exercise [34,36]. Classically, myocardial wall thickness is related to the pressure load imposed by exercise [34,36].…”

Section: Myocardial Wall Thicknessmentioning

confidence: 99%

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Sports-Specific Features of Athlete’s Heart and their Relation to Echocardiographic Parameters

Barbier

Ville

Kervio

et al. 2006

Herz

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Chronic physical training may induce morphological and useful functional adaptations which affect all cardiac chambers. Morphological modifications are mainly modest and far from pathologic ones. All these adaptations seem helpful for sport's performance. Hemodynamic and neurohumoral stresses depend on the muscular exercise type performed, static or dynamic. However, sports-specific adaptive cardiac structural changes are yet debated. Actually, it appears that highly trained athletes develop a left ventricular fair combination of cavity dilatation and increased wall thickness. Thus, it is not possible to clearly separate a strength-trained from an endurance-trained athlete's heart. However, this review shows that some specific cardiac adaptations mainly linked to the specific training stimulus may be observed. Dilatation slightly predominates in dynamic endurance-trained athletes whereas increased wall thickness slightly predominates in dynamic resistance- and static-trained athletes. Thus, assessment of athletes' echocardiographic parameters should take into account both sport and training specificities practiced, in terms of quantity and contents.

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Section: Sports-specific Athlete's Heart Echocardiographic Adaptationssupporting

confidence: 84%

Section: Beneficial Effects Of Athlete's Heart Adaptations On Physicasupporting

confidence: 82%

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Sports-Specific Features of Athlete’s Heart and their Relation to Echocardiographic Parameters

Barbier

Ville

Kervio

et al. 2006

Herz

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“…These results reinforce the different nature of increased LVM in hypertensive patients and athletes. Cycling is a sport with particularly high dynamic and static demands, prolonged training and many years of high-competition practice, and cycling athletes have already been shown to have among the highest LVMI [8, 9]. However, this physiological hypertrophy is not associated with increased wall stress [10, 11].…”

Section: Discussionmentioning

confidence: 99%

B-Type Natriuretic Peptide Is Related to Left Ventricular Mass in Hypertensive Patients but Not in Athletes

Almeida¹,

Azevedo²,

Castro³

et al. 2002

Cardiology

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A positive correlation has been previously documented between B-type natriuretic peptide (BNP) levels and left ventricular mass index (LVMI) in hypertensive patients. We evaluated 8 cycling athletes, 8 healthy age-matched controls; 17 hypertensive patients and 7 age-matched controls. LVMI was significantly higher in athletes and hypertensive patients than in their controls. Plasma levels of BNP in hypertensive patients were significantly higher than in athletes and their age-matched controls. No significant difference was found between athletes and their controls. Cycling athletes had significantly larger LVMI than hypertensive patients and controls, without elevated BNP levels. These results suggest that BNP levels are elevated in patients with increased LVM due to hypertension but not in physiologically increased LVM. Whether elevated BNP levels in athletes is a sign of structural heart disease merits further investigation.

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“…Training volume also correlates with endurance athletes' V O 2max [20] and anaerobic threshold [36]. V O 2max in healthy humans is determined mainly by the maximal cardiac output, which in individuals of similar age is related strongly to stroke volume [2,4,31], and a positive correlation between V O 2max and different parameters of cardiac morphometry has been established [14,27,31,33]. Anaerobic threshold, on the other hand, seems to be related to skeletal muscle metabolic profile [1] rather than cardiac size [1,36].…”

mentioning

confidence: 99%

Relationship of Training versus Echocardiographic Parameters to Competitive Results in Distance Running

Venckūnas¹,

Raugalienė²,

Stasiulis³

2008

Int J Sports Med

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The aim of this study was to determine the relationship of training and echocardiographic left ventricular indices with competitive results in distance running. Echocardiography was performed on 53 male sub-elite runners. Training parameters and competitive results in races from 800 m to marathon were also analysed. Simple correlation analysis revealed a positive association between left ventricular mass or wall thickness and average running speed in races of 1500 m, 3000 m, and 10 000 m (p < 0.05). Training volume correlated with competitive results in distance running stronger and more consistently, however, than did cardiac size parameters. Additionally, training volume correlated positively with ventricular wall thickness and mass but not chamber size. Multiple linear regression analysis supported training volume and left ventricular mass index as independent predictors of distance running performance. Neither simple correlation nor multiple regression analysis evidenced a positive association between ventricular diameter or peak diastolic filling parameters and competitive results (p > 0.05). Thus, the results of our study suggest that competitive results of sub-elite middle and long distance runners are related stronger to training volume than echocardiographic data, and that left ventricular muscle mass but not chamber size correlates positively with average running velocity during distance races.

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Left ventricular mass index and sports: the influence of different sports activities and arterial blood pressure

Cited by 21 publications

References 15 publications

Sports-Specific Features of Athlete’s Heart and their Relation to Echocardiographic Parameters

Sports-Specific Features of Athlete’s Heart and their Relation to Echocardiographic Parameters

B-Type Natriuretic Peptide Is Related to Left Ventricular Mass in Hypertensive Patients but Not in Athletes

Relationship of Training versus Echocardiographic Parameters to Competitive Results in Distance Running

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