Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes

Limited data are available on athlete’s heart for rugby athletes. This study aimed to investigate cardiac structure and its relationship with cardiorespiratory fitness in young Japanese rugby athletes. A prospective cross-sectional study using echocardiography and cardiopulmonary exercise testing (C...

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Main Authors: Yoshitaka Iso, Hitomi Kitai, Keiko Ichimori, Megumi Kubota, Miki Tsujiuchi, Sakura Nagumo, Tsutomu Toshida, Toru Yonechi, Mio Ebato, Hiroshi Suzuki
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/10/1/12
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author Yoshitaka Iso
Hitomi Kitai
Keiko Ichimori
Megumi Kubota
Miki Tsujiuchi
Sakura Nagumo
Tsutomu Toshida
Toru Yonechi
Mio Ebato
Hiroshi Suzuki
author_facet Yoshitaka Iso
Hitomi Kitai
Keiko Ichimori
Megumi Kubota
Miki Tsujiuchi
Sakura Nagumo
Tsutomu Toshida
Toru Yonechi
Mio Ebato
Hiroshi Suzuki
author_sort Yoshitaka Iso
collection DOAJ
description Limited data are available on athlete’s heart for rugby athletes. This study aimed to investigate cardiac structure and its relationship with cardiorespiratory fitness in young Japanese rugby athletes. A prospective cross-sectional study using echocardiography and cardiopulmonary exercise testing (CPET) was conducted on 114 male collegiate rugby players. There was a higher prevalence of increased left ventricular (LV), atrial, and aortic dimensions in the young athletes than that in previously published reports, whereas the wall thickness was within the normal range. Anthropometry and CPET analyses indicated that the forwards and backs presented muscular and endurance phenotypes, respectively. Indexed LV and aortic dimensions were significantly larger in the backs than in the forwards, and the dimensions significantly correlated with oxygen uptake measured by CPET. On the four-tiered classification for LV hypertrophy, abnormal LV geometry was found in 16% of the athletes. Notably, the resting systolic blood pressure was significantly higher in athletes with concentric abnormal geometry than in the other geometry groups, regardless of their field positions. Japanese young athletes may exhibit unique phenotypes of cardiac remodeling in association with their fitness characteristics. The four-tiered LV geometry classification potentially offers information regarding the subclinical cardiovascular risks of young athletes.
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spelling doaj.art-7ac3ca8293084dc4af3448c65d62e4002023-11-30T22:49:07ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-01-011011210.3390/jcdd10010012Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby AthletesYoshitaka Iso0Hitomi Kitai1Keiko Ichimori2Megumi Kubota3Miki Tsujiuchi4Sakura Nagumo5Tsutomu Toshida6Toru Yonechi7Mio Ebato8Hiroshi Suzuki9Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDepartment of Clinical Pathology and Laboratory, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDepartment of Clinical Pathology and Laboratory, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanFaculty of Sport Science, Nippon Sport Science University, Yokohama 227-0033, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanDivision of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, JapanLimited data are available on athlete’s heart for rugby athletes. This study aimed to investigate cardiac structure and its relationship with cardiorespiratory fitness in young Japanese rugby athletes. A prospective cross-sectional study using echocardiography and cardiopulmonary exercise testing (CPET) was conducted on 114 male collegiate rugby players. There was a higher prevalence of increased left ventricular (LV), atrial, and aortic dimensions in the young athletes than that in previously published reports, whereas the wall thickness was within the normal range. Anthropometry and CPET analyses indicated that the forwards and backs presented muscular and endurance phenotypes, respectively. Indexed LV and aortic dimensions were significantly larger in the backs than in the forwards, and the dimensions significantly correlated with oxygen uptake measured by CPET. On the four-tiered classification for LV hypertrophy, abnormal LV geometry was found in 16% of the athletes. Notably, the resting systolic blood pressure was significantly higher in athletes with concentric abnormal geometry than in the other geometry groups, regardless of their field positions. Japanese young athletes may exhibit unique phenotypes of cardiac remodeling in association with their fitness characteristics. The four-tiered LV geometry classification potentially offers information regarding the subclinical cardiovascular risks of young athletes.https://www.mdpi.com/2308-3425/10/1/12athlete’s heartrugbyyoung athletescardiopulmonary exercise testing
spellingShingle Yoshitaka Iso
Hitomi Kitai
Keiko Ichimori
Megumi Kubota
Miki Tsujiuchi
Sakura Nagumo
Tsutomu Toshida
Toru Yonechi
Mio Ebato
Hiroshi Suzuki
Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
Journal of Cardiovascular Development and Disease
athlete’s heart
rugby
young athletes
cardiopulmonary exercise testing
title Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
title_full Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
title_fullStr Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
title_full_unstemmed Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
title_short Cardiac Structure and Cardiorespiratory Fitness in Young Male Japanese Rugby Athletes
title_sort cardiac structure and cardiorespiratory fitness in young male japanese rugby athletes
topic athlete’s heart
rugby
young athletes
cardiopulmonary exercise testing
url https://www.mdpi.com/2308-3425/10/1/12
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