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Atrial chamber remodelling in healthy pre-adolescent athletes engaged in endurance sports: A study with a longitudinal design. The CHILD study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Cardiology. Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy.
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2016 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 223, 325-330 p.Article in journal (Refereed) Published
Abstract [en]

AIMS: Previous studies investigated the exercise-induced adaptation of left (LA) and right atrium (RA) in adults, but little is known about respective changes in the growing heart of children. We aimed to longitudinally investigate the effects of endurance training on biatrial remodelling in preadolescent athletes.

METHODS AND RESULTS: Ninety-four children (57 endurance athletes, 37 sedentary controls; mean age 10.8±0.2 and 10.2±0.2years, respectively) were evaluated at baseline and after 5months by ECG and by two-dimensional, three-dimensional (3D) and speckle-tracking echocardiography. Athletes were trained at least 10h/week. The resting heart rate was lower in athletes (p=0.046) and decreased further after training (p<0.0001). Neither athletes nor controls had ECG evidence for LA or RA enlargement. At baseline, indexed LA volumes did not differ between groups (p=0.14) but indexed RA dimensions were larger in athletes (p=0.007). After 5months, indexed LA volumes increased in athletes but not in controls (p<0.0001, p=0.29; respectively) while indexed RA volumes increased in both groups (p<0.0001, p=0.018; respectively). At the same time, slight differences in biatrial reservoir and contractile function were found either in athletes, as demonstrated by speckle-tracking echocardiography, but 3D-derived LA and RA ejection fraction remained stable in both groups.

CONCLUSION: Endurance training influences the growing heart of preadolescent athletes with an additive increase in biatrial size, suggesting that morphological adaptations can occur also in the early phases of the sports career. Training-induced remodelling was associated with a preserved biatrial function, supporting the hypothesis of a physiological remodelling.

Place, publisher, year, edition, pages
2016. Vol. 223, 325-330 p.
Keyword [en]
Speckle-tracking echocardiography, Atrial strain, Training, 3-dimensional echocardiography, Echocardiography, athlete's heart
National Category
Clinical Medicine
URN: urn:nbn:se:umu:diva-127537DOI: 10.1016/j.ijcard.2016.08.231ISI: 000387036200102PubMedID: 27543703OAI: diva2:1046791
Available from: 2016-11-15 Created: 2016-11-15 Last updated: 2017-01-26Bibliographically approved

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D'Ascenzi, FlavioHenein, Michael
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