The Hospital for Sick Children, 555 University Ave, Toronto, ON, M4L 2W9, Canada.
Department of Pediatric Cardiology, Oregon Health and Science University, Portland, USA.
Pediatr Cardiol. 2024 Oct;45(7):1596-1602. doi: 10.1007/s00246-023-03237-3. Epub 2023 Jul 29.
Individuals with bicuspid aortic valve (BAV) have historically been advised to avoid contact sports and isometric exercise for risk of increasing aortic dilation and valve disease. There is mounting evidence that current sports participation guidelines qualify children for a high rate of sports exclusion, and that this population is at increased risk of obesity. The primary aim of this study was to evaluate relationship between sports participation and aortic dilation in children with bicuspid aortic valve and secondarily the relationship between competitive sports participation and obesity. We performed a review of children between the ages of 8 and 17 years with isolated BAV followed at Oregon Health & Science University. We excluded those with other congenital heart diseases, genetic conditions, prior cardiac intervention, and inability to ambulate independently. Parents completed a phone survey detailing their child's level of daily activity and participation in competitive sports. Demographic information and most recent echo findings were collected from the electronic medical record. We found no difference between the aortic diameters of athletes vs non-athletes. We also found that sports participation and daily activity were both associated with a decreased likelihood of obesity (OR 0.24, 95% CI 0.078-0.73 and OR 0.24, 95% CI 0.081-0.71 respectively). In summary, in our sample population, competitive sports participation was associated with a decreased risk of obesity. Competitive sports participation does not appear to be associated with an increased risk of aortic dilation in our population.
患有二叶式主动脉瓣（BAV）的个体历来被建议避免接触性运动和等长运动，以防主动脉扩张和瓣膜疾病的风险增加。越来越多的证据表明，目前的运动参与指南使儿童有很高的运动排除率，而且该人群肥胖的风险增加。这项研究的主要目的是评估二叶式主动脉瓣儿童的运动参与与主动脉扩张之间的关系，其次是竞技运动参与与肥胖之间的关系。我们对在俄勒冈健康与科学大学接受治疗的年龄在 8 至 17 岁之间的孤立性二叶式主动脉瓣的儿童进行了回顾性研究。我们排除了那些患有其他先天性心脏病、遗传疾病、先前的心脏介入治疗以及无法独立行走的儿童。家长们通过电话调查详细了解了孩子的日常活动水平和竞技运动参与情况。我们从电子病历中收集了人口统计学信息和最近的超声心动图检查结果。我们发现运动员和非运动员的主动脉直径之间没有差异。我们还发现，运动参与和日常活动都与肥胖的可能性降低有关（OR 0.24，95%CI 0.078-0.73 和 OR 0.24，95%CI 0.081-0.71 分别）。总的来说，在我们的样本人群中，竞技运动参与与肥胖的风险降低有关。在我们的人群中，竞技运动参与似乎与主动脉扩张的风险增加无关。
