在奥林匹克运动员的右心室形态功能参数上,同位体运动训练与同位体运动训练的影响
Giuseppe Di Gioia1,2,3, Dajana Polito2, Simone Pasquale Crispino2
1Institute of Sports Medicine and Science, National Italian Olympic Committee, Rome, Italy.
Echocardiography (Mount Kisco, N.Y.)
|December 19, 2023
概括
精英运动员表现出运动特定的右心室 (RV) 重塑,同位素训练导致更大的变化. 然而,这些结构性适应不会影响RV功能,并且在RV功能配置文件中存在性别差异.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 精英运动员表现出显著的心血管适应,包括心室和心房结构的变化.
- 对运动员的右心室 (RV) 重塑的研究是有限的,特别是在女性运动员和不同的训练方式方面.
研究的目的:
- 为了研究不同类型的运动 (同度与同) 对精英运动员的VR形态功能参数的影响.
- 为了比较男性和女性运动员之间的RV改造和功能.
- 分析VR适应运动的性别特异性差异.
主要方法:
- 对来自2020年东京和2022年北京奥运会的370名精英运动员 (61%男性) 进行了心声评估.
- 运动员根据其主要的运动类型进行分类:异度或异.
- 分析了RV的形态功能参数,并对性别和运动类别进行了比较.
主要成果:
- 与同位体运动员相比,同位体运动员表现出更大的RV重塑,这可以通过更大的RV外流通道,末端透析/末端静脉缩区域以及右心房大小来证明.
- 男性运动员的RV和右心房尺寸较大,但与女性相比,RV组织多普勒成像 (TDI) 速度 (E') 和E'/A'比率较低.
- 尽管有形态差异,功能性RV TDI参数 (包括S'速度) 在同位素和同位素组之间以及性别之间是可比的,除了特定的女性E'和S'速度.
结论:
- 运动模式影响精英运动员的RV形态重塑,但这些变化不会导致功能障碍.
- 女运动员拥有独特的RV功能配置文件,其特点是较低的S'速度和较高的E'/A'比率.
- 功能性RV TDI参数不受运动员进行的特定运动类型的影响.
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