Exercise-induced cardiac fatigue in low and normal birth weight young black adults

Jephat Chifamba1, Chidochashe Mapfumo1, Dorcas W Mawoneke2

  • 11Department of Physiology,University of Zimbabwe,College of Health Sciences,Mount Pleasant,Harare,Zimbabwe.

Insights

Low birth weight is linked to greater exercise-induced diastolic dysfunction in young adults. This study found that individuals with low birth weight experienced more significant decreases in cardiac function after prolonged exercise compared to normal birth weight peers.

Area of Science:

  • Cardiology
  • Physiology
  • Public Health

Background:

  • Low birth weight (LBW) is a global health concern with potential long-term cardiovascular implications.
  • Diastolic function, assessed by the E/A ratio, is a critical indicator of cardiac health.
  • The impact of exercise on diastolic function in LBW individuals remains under-investigated.

Purpose of the Study:

  • To compare the exercise-induced changes in diastolic function (E/A ratio) between low birth weight (LBW) and normal birth weight (NBW) young adults.
  • To investigate the association between LBW and exercise-induced cardiac fatigue.

Main Methods:

  • A case-control study involving 23 university students with documented birth weights.
  • Echocardiographic measurements of diastolic function (E/A ratio) were taken before and after 75 minutes of treadmill exercise.
  • Statistical analyses included t-tests and chi-squared tests to compare groups and assess associations.

Main Results:

  • Individuals with LBW (<2500 g) exhibited significantly greater decreases in diastolic function (E/A ratio) post-exercise compared to NBW individuals (0.48±0.27 vs. 0.19±0.18, p<0.05).
  • A significant association was found between LBW and exercise-induced cardiac fatigue (p<0.05, OR=4.64).

Conclusions:

  • Low birth weight is associated with exercise-induced diastolic dysfunction in young adults.
  • LBW may predispose individuals to impaired cardiac response during prolonged physical exertion.
  • Further research is warranted to explore the underlying mechanisms and long-term consequences.

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