A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography

Plant-based diets are a growing trend, including among athletes. This study compares the differences in physical performance and heart morphology and function between vegan and omnivorous amateur runners. A study group and a matched control group were recruited comprising <i>N</i> = 30 p...

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Main Authors: Wojciech Król, Szymon Price, Daniel Śliż, Damian Parol, Marcin Konopka, Artur Mamcarz, Marcin Wełnicki, Wojciech Braksator
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/7/477
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author Wojciech Król
Szymon Price
Daniel Śliż
Damian Parol
Marcin Konopka
Artur Mamcarz
Marcin Wełnicki
Wojciech Braksator
author_facet Wojciech Król
Szymon Price
Daniel Śliż
Damian Parol
Marcin Konopka
Artur Mamcarz
Marcin Wełnicki
Wojciech Braksator
author_sort Wojciech Król
collection DOAJ
description Plant-based diets are a growing trend, including among athletes. This study compares the differences in physical performance and heart morphology and function between vegan and omnivorous amateur runners. A study group and a matched control group were recruited comprising <i>N</i> = 30 participants each. Eight members of the study group were excluded, leaving <i>N</i> = 22 participants. Members of both groups were of similar age and trained with similar frequency and intensity. Vegans displayed a higher VO2max (54.08 vs. 50.10 mL/kg/min, <i>p</i> < 0.05), which correlated positively with carbohydrate intake (ρ = 0.52) and negatively with MUFA (monounsaturated fatty acids) intake (ρ = −0.43). The vegans presented a more eccentric form of remodelling with greater left ventricular end diastolic diameter (LVEDd, 2.93 vs. 2.81 cm/m<sup>2</sup>, <i>p</i> = 0.04) and a lower relative wall thickness (RWT, 0.39 vs. 0.42, <i>p</i> = 0.04) and left ventricular mass (LVM, 190 vs. 210 g, <i>p</i> = 0.01). The left ventricular mass index (LVMI) was similar (108 vs. 115 g/m<sup>2</sup>, <i>p</i> = NS). Longitudinal strain was higher in the vegan group (−20.5 vs. −19.6%, <i>p</i> = 0.04), suggesting better systolic function. Higher E-wave velocities (87 vs. 78 cm/s, <i>p</i> = 0.001) and E/e′ ratios (6.32 vs. 5.6, <i>p</i> = 0.03) may suggest better diastolic function in the vegan group. The results demonstrate that following a plant-based diet does not impair amateur athletes’ performance and influences both morphological and functional heart remodelling. The lower RWT and better LV systolic and diastolic function are most likely positive echocardiographic findings.
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spelling doaj.art-724d1929caf0464c8e7ed4a90b8fe9962023-11-20T06:45:49ZengMDPI AGDiagnostics2075-44182020-07-0110747710.3390/diagnostics10070477A Vegan Athlete’s Heart—Is It Different? Morphology and Function in EchocardiographyWojciech Król0Szymon Price1Daniel Śliż2Damian Parol3Marcin Konopka4Artur Mamcarz5Marcin Wełnicki6Wojciech Braksator7Department of Sports Cardiology and Noninvasive Cardiovascular Imagining, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Sports Cardiology and Noninvasive Cardiovascular Imagining, Medical University of Warsaw, 02-091 Warszawa, Poland3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warszawa, Poland3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Sports Cardiology and Noninvasive Cardiovascular Imagining, Medical University of Warsaw, 02-091 Warszawa, Poland3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warszawa, Poland3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, 02-091 Warszawa, PolandDepartment of Sports Cardiology and Noninvasive Cardiovascular Imagining, Medical University of Warsaw, 02-091 Warszawa, PolandPlant-based diets are a growing trend, including among athletes. This study compares the differences in physical performance and heart morphology and function between vegan and omnivorous amateur runners. A study group and a matched control group were recruited comprising <i>N</i> = 30 participants each. Eight members of the study group were excluded, leaving <i>N</i> = 22 participants. Members of both groups were of similar age and trained with similar frequency and intensity. Vegans displayed a higher VO2max (54.08 vs. 50.10 mL/kg/min, <i>p</i> < 0.05), which correlated positively with carbohydrate intake (ρ = 0.52) and negatively with MUFA (monounsaturated fatty acids) intake (ρ = −0.43). The vegans presented a more eccentric form of remodelling with greater left ventricular end diastolic diameter (LVEDd, 2.93 vs. 2.81 cm/m<sup>2</sup>, <i>p</i> = 0.04) and a lower relative wall thickness (RWT, 0.39 vs. 0.42, <i>p</i> = 0.04) and left ventricular mass (LVM, 190 vs. 210 g, <i>p</i> = 0.01). The left ventricular mass index (LVMI) was similar (108 vs. 115 g/m<sup>2</sup>, <i>p</i> = NS). Longitudinal strain was higher in the vegan group (−20.5 vs. −19.6%, <i>p</i> = 0.04), suggesting better systolic function. Higher E-wave velocities (87 vs. 78 cm/s, <i>p</i> = 0.001) and E/e′ ratios (6.32 vs. 5.6, <i>p</i> = 0.03) may suggest better diastolic function in the vegan group. The results demonstrate that following a plant-based diet does not impair amateur athletes’ performance and influences both morphological and functional heart remodelling. The lower RWT and better LV systolic and diastolic function are most likely positive echocardiographic findings.https://www.mdpi.com/2075-4418/10/7/477echocardiographyveganathletes’ heartsrunnersdiet
spellingShingle Wojciech Król
Szymon Price
Daniel Śliż
Damian Parol
Marcin Konopka
Artur Mamcarz
Marcin Wełnicki
Wojciech Braksator
A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
Diagnostics
echocardiography
vegan
athletes’ hearts
runners
diet
title A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
title_full A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
title_fullStr A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
title_full_unstemmed A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
title_short A Vegan Athlete’s Heart—Is It Different? Morphology and Function in Echocardiography
title_sort vegan athlete s heart is it different morphology and function in echocardiography
topic echocardiography
vegan
athletes’ hearts
runners
diet
url https://www.mdpi.com/2075-4418/10/7/477
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