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Myocardial Performance during Progressive Exercise in Athletic Adolescent Males


Medicine & Science in Sports & Exercise: September 2009 - Volume 41 - Issue 9 - p 1721-1728
doi: 10.1249/MSS.0b013e3181a06cb5
Basic Sciences

Purpose: The extent that enhanced ventricular function contributes to superior aerobic fitness of trained athletes is unclear. This study compared cardiovascular responses to progressive cycle exercise in 12 adolescent soccer players and 10 untrained boys with assessment of ventricular inotropic and relaxation properties by Doppler ultrasound techniques.

Methods: Resting cardiac dimensions were measured by M-mode echocardiography. Stroke volume was estimated by the Doppler technique, and systolic function by peak aortic flow velocity and ejection flow rate. Diastolic transmitral pressure gradient was assessed by pulse wave peak E-wave velocity, ventricular relaxation properties by tissue Doppler imaging (E′ velocity, adjusted for ventricular size), and ventricular filling pressure by E/E′ ratio.

Results: Size-adjusted cardiac dimensions were significantly greater in the athletes. Peak V˙O2 values for the athletes and nonathletes were 57.4 ± 4.8 and 44.4 ± 6.6 mL·kg−1·min−1, respectively. Maximal cardiac index and stroke index were greater in the athletes (11.10± 1.52 vs 9.02 ± 2.05 L·min−1·m−2; 59 ± 8 vs 46 ± 10 mL·m−2). Athletes and nonathletes demonstrated similar maximal peak aortic velocity (231 ± 20 and 208 ± 45 cm·s−1, respectively) and ejection rate (13.3 ± 1.0 and 12.5 ± 2.8 mL·s−1·cm−2 × 10−2, respectively). No significant group differences were observed in E max (155 ± 17 and 149 ± 23 cm·s−1 for athletes and nonathletes, respectively), adjusted Emax (5.9 ± 1.2 and 5.8 ± 1.2 cm·s−1·mm−1 for athletes and nonathletes, respectively), and E/Emax (265 ± 40 and 262 ± 56 for athletes and nonathletes, respectively).

Conclusions: This study revealed no differences between young trained athletes and nonathletes in myocardial functional responses to progressive exercise, implying that greater aerobic fitness in these athletes reflected volume expansion of the cardiovascular system without contribution of enhanced systolic or diastolic ventricular function. Such findings should be considered limited to the context of young athletes with limited duration of athletic training.

1Department of Pediatrics, Baystate Medical Center, Springfield, MA; 2Sport Department, Liverpool Hope University, Liverpool, UNITED KINGDOM; and 3Department of Physical Activity and Sport Sciences, Universitat Ramon Llull, Barcelona, SPAIN

Address for correspondence: Thomas Rowland, M.D., Department of Pediatrics, Baystate Medical Center, Springfield, MA 01199; E-mail:

Submitted for publication January 2009.

Accepted for publication February 2009.

©2009The American College of Sports Medicine