The elite judo female athlete’s heart

Milovančev, Aleksandra; Petrović, Milovan; Miljković, Tatjana; Ilić, Aleksandra; Mudrinic, Tatjana Redzek; Miljković, Aleksandar; Ivanov, Olivera; Tripunović, Jelena; Anđelić, Bogdan; Bianco, Antonino; Drid, Patrik

doi:10.3389/fphys.2022.990142

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…As expected, significantly greater LV changes were observed in male compared to female athletes. The literature has already established that judokas, regardless of gender, have a significantly higher RWT and greater left ventricular mass than non-athletes of the same gender 17 , however the cardiac remodeling is complex and depends on various factors 18 . The results obtained are in line with research conducted to date, which indicate that gender is a significant factor that has an important influence on the change of heart geometry in athletes 19 20 .…”

Section: Discussionmentioning

confidence: 99%

“…There is currently little evidence regarding cardiac adaptation to resistance training in women. However, one study suggests that elite and highly trained female judokas show significant changes in the morphology of the LV 18 . A cross-sectional report revealed that 24 female weightlifters demonstrated concentric enlargement of the LV 27 .…”

Section: Discussionmentioning

confidence: 99%

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Left Ventricular Hypertrophy in Male and Female Judo Athletes

Rossi,

Roklicer,

Drid

et al. 2024

Int J Sports Med

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Changes in cardiac geometry develop after intense and prolonged training. Left ventricular enlargement, increased relative wall thickness, and growing mass of the left ventricle occur after strenuous exercise. Combat sports such as judo can lead to left ventricular hypertrophy. Previous studies have found that there are differences in left ventricular chamber size and thickness between the sexes, with female athletes having smaller wall diameters and less hypertrophy than male athletes. The research aims to examine heart muscle adaptations and remodeling of cardiac geometry among elite judo athletes and to evaluate differences between males and females. A cross-sectional study included a group of 19 (males n=10, females n=9) professional judokas between 20 and 30 years. Demographic and anthropometric data were collected. Cardiac geometry was determined by two-dimensional transthoracic echocardiography. In terms of left ventricular mass and the left ventricular mass index significant differences were found between male and female judokas (233.44±68.75 g vs. 164.11±16.59 g, p=0.009), (105.16±24.89 vs. 84.66±15.06, p=0.044), respectively. A greater enlargement of the heart muscle is observed in male athletes compared to the female group. Left ventricle enlargement is likely to occur among elite-level judokas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Left Ventricular Hypertrophy in Male and Female Judo Athletes

Rossi,

Roklicer,

Drid

et al. 2024

Int J Sports Med

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Electrocardiographic and morphological cardiac remodelling in competitive female athletes – a scoping review

Panhuyzen-Goedkoop,

van Hattum,

Beerman

et al. 2024

European Journal of Preventive Cardiology

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Aims To quantitatively analyse exercise-induced cardiac remodeling (EICR) data in female athletes. Methods This scoping review included from the databases Medline, Embase, and Google Scholar, peer-reviewed original English-language articles on female athlete-populations aged ≥18 years containing data on electrocardiography (ECG), echocardiography or cardiac magnetic resonance (CMR), and excluded athletes with cardiovascular conditions. From the extracted ECG data, we calculated prevalence percentages, and from the imaging data we compared the results with the upper reference limits of the general female population (URL). Results We included 31 articles comprising 4,896 female athletes, aged mean 22.2±4.6 years. On ECG (n=889), most prevalent findings were increased QRS voltages for LV hypertrophy (LVH, n=97), J-point elevation (JPE, n=108), and T-wave inversion (TWI, n=104). On echocardiography (n=4,644), we found increased mean of means BSA-indexed volumes for the LV 67.3 mL/m2 (95%CI 66.8–67.8; URL=61) and right ventricle (RV) 82.7 mL/m2 (95%CI 79.5–86.0; URL=74), while atrial volumes, septal wall thickness and LV mass were within the upper reference limits of the general population (URL). On CMR (n=309), the mean of means volumes of LA (62.0 mL/m2, 95%CI 58.8–65.2; URL=61), LV (103.4 mL/m2, 95%Ci 101.8–105.0; URL=96), and RV (105.3 mL/m2, 95%CI 103.3–110.6; URL=107.2) were >URL. Conclusion Female athletes demonstrate distinct features of electrical (increased QRS voltages for LVH, JPE and TWI) and morphological EICR (biventricular dilatation). On CMR, LA was borderline dilated. Extensive studies on female athletes are needed to understand sex specific EICR.

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Cardiac remodeling in elite young Asian female soccer players

Kim,

Park,

Sohn

et al. 2024

Front. Cardiovasc. Med.

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IntroductionAn athlete's heart (AH) varies depending on race, sex, age, and the type and intensity of training. Given that soccer is a common sport, evaluation of cardiac function in soccer players is important; however, few studies have analyzed adolescent soccer players. Therefore, this study, aimed to identify early changes in AH in soccer players by evaluating the echocardiographic findings of adolescent Asian female soccer players for whom existing data are scarce.MethodsWe evaluated 20 Korean female under-20 national soccer team players and 42 age-matched healthy females. Participants provided physical examination data such as height, weight, blood pressure, and pulse, along with echocardiographic results. On echocardiography, parameters related to the morphology of the left atrium (LA) and left ventricle (LV) and those related to the systolic and diastolic function of the LV were measured.ResultsThe athlete group had a lower blood pressure and pulse rate than the control group. Echocardiography indicated that both the LA volume index and LV volume in the athlete group were large by approximately 1.5 times compared with those in the control group. The LV wall thickness and mass index were also significantly large in the athlete group. For LV diastolic function, parameters indicating early diastolic filling were substantially higher in the athlete group than in the control group.ConclusionsAdolescent female soccer players exhibited differences in cardiac morphology and an enhanced diastolic function. Therefore, this study suggests that AH begins in adolescence, with changes in both morphology and function.

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The elite judo female athlete’s heart

Cited by 3 publications

References 30 publications

Left Ventricular Hypertrophy in Male and Female Judo Athletes

Left Ventricular Hypertrophy in Male and Female Judo Athletes

Electrocardiographic and morphological cardiac remodelling in competitive female athletes – a scoping review

Cardiac remodeling in elite young Asian female soccer players

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