Cardiovascular response to prescribed detraining among recreational athletes.

Details

Serval ID
serval:BIB_9EB7BC9F77BC
Type
Article: article from journal or magazin.
Collection
Publications
Title
Cardiovascular response to prescribed detraining among recreational athletes.
Journal
Journal of applied physiology
Author(s)
Pedlar C.R., Brown M.G., Shave R.E., Otto J.M., Drane A., Michaud-Finch J., Contursi M., Wasfy M.M., Hutter A., Picard M.H., Lewis G.D., Baggish A.L.
ISSN
1522-1601 (Electronic)
ISSN-L
0161-7567
Publication state
Published
Issued date
01/04/2018
Peer-reviewed
Oui
Volume
124
Number
4
Pages
813-820
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Exercise-induced cardiac remodeling (EICR) and the attendant myocardial adaptations characteristic of the athlete's heart may regress during periods of exercise reduction or abstinence. The time course and mechanisms underlying this reverse remodeling, specifically the impact of concomitant plasma volume (PV) contraction on cardiac chamber size, remain incompletely understood. We therefore studied recreational runners ( n = 21, age 34 ± 7 yr; 48% male) who completed an 18-wk training program (~7 h/wk) culminating in the 2016 Boston Marathon after which total exercise exposure was confined to <2 h/wk (no single session >1 h) for 8 wk. Cardiac structure and function, exercise capacity, and PV were assessed at peak fitness (10-14 days before) and at 4 wk and 8 wk postmarathon. Mixed linear modeling adjusting for age, sex, V̇o <sub>2peak</sub> , and marathon finish time was used to compare data across time points. Physiological detraining was evidenced by serial reductions in treadmill performance. Two distinct phases of myocardial remodeling and hematological adaptation were observed. After 4 wk of detraining, there were significant reductions in PV (Δ -6.0%, P < 0.01), left ventricular (LV) wall thickness (Δ -8.1%, <0.05), LV mass (Δ -10.3%, P < 0.001), and right atrial area (Δ -8.2%, P < 0.001). After 8 wk of detraining, there was a significant reduction in right ventricle chamber size (end-diastolic area Δ = -8.0%, P < 0.05) without further concomitant reductions in PV or LV wall thickness. Abrupt reductions in exercise training stimulus result in a structure-specific time course of reverse cardiac remodeling that occurs largely independently of PV contraction. NEW & NOTEWORTHY Significant reverse cardiac remodeling, previously documented among competitive athletes, extends to recreational runners and occurs with a distinct time course. Initial reductions in plasma volume and left ventricular (LV) mass, driven by reductions in wall thickness, are followed by contraction of the right ventricle. Consistent with data from competitive athletes, LV chamber volumes appear less responsive to detraining and may be a more permanent adaptation to sport.
Keywords
Adaptation, Physiological, Adult, Blood Volume, Cardiorespiratory Fitness/physiology, Female, Humans, Longitudinal Studies, Male, Prospective Studies, Ventricular Remodeling, cardiac morphology, echocardiography, hemoglobin mass, left ventricle, sports cardiology
Pubmed
Web of science
Open Access
Yes
Create date
07/12/2022 12:03
Last modification date
13/03/2025 8:10
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