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训练经历对力量训练者心脏形态的影响:一项关于左心室收缩和舒张参数及左心房力学功能的研究

The Effect of Training Experience on Cardiac Morphology in Resistance Exercise Practitioners: A Study on Left Ventricular Systolic and Diastolic Parameters and Left Atrium Mechanical Functions.

作者信息

Kurtoğlu Ahmet, Kurtoğlu Ertuğrul, Çar Bekir, Eken Özgür, Muracki Jarosław, Setiawan Edi, Alotaibi Madawi H, Elkholi Safaa M

机构信息

Department of Coaching Education, Faculty of Sport Science, Bandirma Onyedi Eylul University, 44170 Balikesir, Türkiye.

Department of Cardiology, Medical Faculty, Malatya Turgut Ozal University, 44170 Malatya, Türkiye.

出版信息

Medicina (Kaunas). 2024 Dec 4;60(12):2008. doi: 10.3390/medicina60122008.

Abstract

: Resistance exercises (REs) are a type of physical activity that individuals from many age groups have been doing recreationally, both as amateurs and professionally, in their daily lives in recent years. It is crucial to understand the effects of such sports on cardiac morphology in order to maximize the benefit of training and to tailor the training content accordingly. The aim of this study was to investigate the relationship between training experience (TE) and left ventricular (LV) systolic and diastolic parameters and left atrial (LA) mechanical function in healthy subjects who regularly performed RE for different durations. : Forty-five healthy adults [age = 28.91 ± 10.30 years, height = 178.37 ± 5.49 cm, weight = 83.15 ± 13.91 kg, body mass index = 26.03 ± 3.42 kg/m, TE = 7.28 ± 6.49 years] who performed RE between 1 year and 20 years were included in our study. The transthoracic echocardiograms (ECHOs) of the participants were evaluated by the cross-sectional research method, which is often used to understand the current situation in a given time period. Correlations between TE and LV systolic and diastolic parameters and LA mechanical function were analyzed. : As a result, interventricular septal thickness (IVS; r = 0.33, = 0.028), the aortic diameter systole (ADs; r = 0.56, < 0.001), and aortic diameter diastole (ADd; r = 0.58, < 0.001) were positively correlated with TE, indicating associations with increased left ventricular (LV) hypertrophy and reduced ventricular compliance, while the aortic strain (AS; r = -0.44, = 0.002), aortic distensibility (AD; r = -0.62, < 0.001), and diastolic flow parameters including E (r = -0.41, = 0.005), E/A (r = -0.38, = 0.011), and E/Em (r = -0.31, = 0.041) were negatively correlated with TE, reflecting impairments in diastolic function. : This study showed that diastolic parameters were adversely affected in chronic RE. Therefore, we think that these individuals may have decreased relaxation and filling functions of the heart, which may also reduce adequate oxygen and nutrient delivery to the tissues. In this context, cohort studies are needed to analyze in detail the reasons for the decrease in diastolic parameters in these individuals.

摘要

阻力训练(REs)是一种体育活动,近年来许多年龄段的人在日常生活中都将其作为业余或专业活动进行娱乐性锻炼。了解此类运动对心脏形态的影响至关重要,以便最大限度地提高训练效益并相应地调整训练内容。本研究的目的是调查在不同时间段定期进行阻力训练的健康受试者的训练经验(TE)与左心室(LV)收缩和舒张参数以及左心房(LA)机械功能之间的关系。

45名健康成年人[年龄 = 28.91 ± 10.30岁,身高 = 178.37 ± 5.49厘米,体重 = 83.15 ± 13.91千克,体重指数 = 26.03 ± 3.42千克/平方米,TE = 7.28 ± 6.49年]参与了我们的研究,他们进行阻力训练的时间在1年至20年之间。采用横断面研究方法对参与者的经胸超声心动图(ECHOs)进行评估,这种方法常用于了解特定时间段的现状。分析了TE与LV收缩和舒张参数以及LA机械功能之间的相关性。

结果显示,室间隔厚度(IVS;r = 0.33,P = 0.028)、主动脉收缩期直径(ADs;r = 0.56,P < 0.001)和主动脉舒张期直径(ADd;r = 0.58,P < 0.001)与TE呈正相关,表明与左心室(LV)肥厚增加和心室顺应性降低有关,而主动脉应变(AS;r = -0.44,P = 0.002)、主动脉扩张性(AD;r = -0.62,P < 0.001)以及包括E(r = -0.41,P = 0.005)、E/A(r = -0.38,P = 0.011)和E/Em(r = -0.31,P = 0.041)在内的舒张期血流参数与TE呈负相关,反映舒张功能受损。

本研究表明,长期阻力训练会对舒张参数产生不利影响。因此,我们认为这些个体的心脏舒张和充盈功能可能下降,这也可能减少向组织的充足氧气和营养物质输送。在此背景下,需要进行队列研究以详细分析这些个体舒张参数下降的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32a7/11727778/586f41243009/medicina-60-02008-g001.jpg

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