年轻运动员的心脏结构和功能:回声心脏学研究的系统审查
Heidi Weberruß1, Tobias Engl1, Lisa Baumgartner1
1Institute of Preventive Pediatrics, TUM Department of Sport and Health Sciences, Technical University of Munich, 80992 Munich, Germany.
Reviews in cardiovascular medicine
|July 30, 2024
概括
初级运动员表现出结构性心脏适应,特别是在左心室和心房. 虽然心脏功能通常保持或改善,但需要进一步的研究来了解年轻运动员的与运动有关的心脏重塑.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 儿科 儿科 儿科
背景情况:
- 青少年体育竞争力的提高导致了更高的训练负载.
- 在年轻运动员中,运动诱导的心脏重塑的潜力需要调查.
- 成年运动员可能会经历病理性心脏变化,需要与初级运动员进行比较.
研究的目的:
- 与非活动对照相比,系统地审查初级运动员 (7-19岁) 对运动的心脏适应性.
- 分析应对训练的结构和功能性心脏变化.
主要方法:
- 对三个电子数据库 (PubMed/Medline,ScienceDirect,Web of Science) 的系统审查.
- 包括使用二维跨胸腔心声学 (2D TTE) 和二维斑点跟踪心声学 (2D STE) 的研究.
- 数据选,提取和质量/偏差评估由多个审查者进行.
主要成果:
- 八项涉及540名初级运动员和270名对照者的研究符合纳入标准.
- 在初级运动员的左心室和心房中,有结构性心脏适应的证据.
- 左心室功能显示混合的结果,动态炼者有改善的趋势;静态炼者显示增加的质量和壁厚.
结论:
- 运动诱导儿童和青少年的心脏适应.
- 结构性适应,特别是在左心室,更为突出.
- 在初级运动员中,心脏功能保持或改善,但没有损害.
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