Association between race and maladaptive concentric left ventricular hypertrophy in American-style football athletes.

Details

Serval ID
serval:BIB_89E3265B6A14
Type
Article: article from journal or magazin.
Collection
Publications
Title
Association between race and maladaptive concentric left ventricular hypertrophy in American-style football athletes.
Journal
British journal of sports medicine
Author(s)
Tso J.V., Turner C.G., Liu C., Galante A., Gilson C.R., Clark C., Taylor H.A., Quyyumi A.A., Baggish A.L., Kim J.H.
ISSN
1473-0480 (Electronic)
ISSN-L
0306-3674
Publication state
Published
Issued date
02/2022
Peer-reviewed
Oui
Volume
56
Number
3
Pages
151-157
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
American-style football (ASF) athletes are at risk for the development of concentric left ventricular hypertrophy (C-LVH), an established cardiovascular risk factor in the general population. We sought to address whether black race is associated with acquired C-LVH in collegiate ASF athletes.
Collegiate ASF athletes from two National Collegiate Athletic Association Division-I programmes were recruited as freshmen between 2014 and 2019 and analysed over 3 years. Demographics (neighbourhood family income) and repeated clinical characteristics and echocardiography were recorded longitudinally at multiple timepoints. A mixed-modelling approach was performed to evaluate acquired C-LVH in black versus white athletes controlling for playing position (linemen (LM) and non-linemen (NLM)), family income, body weight and blood pressure.
At baseline, black athletes (N=124) were more often NLM (72% vs 54%, p=0.005) and had lower median neighbourhood family income ($54 119 vs $63 146, p=0.006) compared with white athletes (N=125). While both black and white LM demonstrated similar increases in C-LVH over time, among NLM acquired C-LVH was more common in black versus white athletes (postseason year-1: N=14/89 (16%) vs N=2/68 (3%); postseason year-2: N=9/50 (18%) vs N=2/32 (6%); postseason year-3: N=8/33 (24%) vs N=1/13 (8%), p=0.005 change over time). In stratified models, black race was associated with acquired C-LVH in NLM (OR: 3.70, 95% CI 1.12 to 12.21, p=0.03) and LM was associated with acquired C-LVH in white athletes (OR: 3.40, 95% CI 1.03 to 11.27, p=0.048).
Independent of family income and changes in weight and blood pressure, black race was associated with acquired C-LVH among collegiate ASF NLM and LM was associated with acquired C-LVH in white athletes.
Keywords
Athletes, Blood Pressure, Echocardiography, Football, Humans, Hypertrophy, Left Ventricular, United States/epidemiology, cardiology, cardiomegaly, exercise-induced, football, longitudinal studies
Pubmed
Web of science
Create date
07/12/2022 12:03
Last modification date
21/02/2024 8:17
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