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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
Rivista di Medicina, Traumatologia e Psicologia dello Sport
Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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ORIGINAL ARTICLES SPORTS CARDIOLOGY
The Journal of Sports Medicine and Physical Fitness 2012 Agosto;52(4):424-31
Influence of sex on ventricular remodeling in collegiate athletes
Smith D. 1, Deblois J. 1, Wharton M. 2, Rowland T. 1, 3 ✉
1 Department of Health and Exercise Sciences, Skidmore College, Saratoga Springs, NY, USA;
2 Saratoga Hospital, Saratoga Springs, NY, USA;
3 Department of Pediatrics, Baystate Medical Center, Springfield, MA, USA
AIM: Previous reports indicate that the “athlete’s heart” is more prominent in males than females, but the mechanisms responsible for this sex difference have not been elucidated. This study examined male-female differences in cardiac mass and volume in highly trained athletes and normally active individuals to assess the relative contributions of pre-existing sex differences and sports training to cardiac findings.
METHODS: Echocardiographic and electrocardiographic findings were compared between 20 male and 21 female collegiate athletes and 22 male and 29 female normally-active subjects.
RESULTS: Cardiac mass (per kg lean body mass) was significantly greater in the male compared to female athletes (3.62±0.55 and 3.31±0.56 g.kg-1, respectively). A similar magnitude of difference in average relative cardiac mass was observed between the normally active males and females, and cardiac mass was greater in athletic versus nonathletic groups by +14.9% in the males and +13.3% in the females. Relative left ventricular volume was greater in the male athletes (47.5±6.3 ml•BSA-1.5) compared to male nonathletes (42.9±6.1 ml•BSA-1.5); no such difference was observed in the females.
CONCLUSION: These findings suggest that sex differences in both the untrained state and magnitude of training response contribute to male-female differences in the “athlete’s heart”.