Gender influence on the adaptation of atrial performance to training

Background: High-intensity training has been associated with atrial remodelling and arrhythmias in men. Our purpose was to analyse atrial performance in female endurance athletes, compared to male athletes and controls. Methods: This was a cross-sectional study. We included four groups: female athle...

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Authors: Sanchis, Laura, Sanz de la Garza, Maria, Bijnens, Bart, Giraldeau, Geneviève, Grazioli, Gonzalo, Marin, Josefa, Gabrielli, Luigi, Montserrat, Silvia, Sitges, Marta
Format: article
Status:Versión aceptada para publicación
Publication Date:2017
Country:España
Institution:Universitat Pompeu Fabra
Repository:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/37004
Online Access:http://hdl.handle.net/10230/37004
http://dx.doi.org/10.1080/17461391.2017.1294620
Access Level:Open access
Keyword:Atrial strain
Atrial fibrillation
Endurance exercise
Women
Speckle-tracking echocardiography
id ES_57bbe64907c2da2ee5212ab8cf41ca78
oai_identifier_str oai:repositori.upf.edu:10230/37004
network_acronym_str ES
network_name_str España
repository_id_str
spelling Gender influence on the adaptation of atrial performance to trainingSanchis, LauraSanz de la Garza, MariaBijnens, BartGiraldeau, GenevièveGrazioli, GonzaloMarin, JosefaGabrielli, LuigiMontserrat, SilviaSitges, MartaAtrial strainAtrial fibrillationEndurance exerciseWomenSpeckle-tracking echocardiographyBackground: High-intensity training has been associated with atrial remodelling and arrhythmias in men. Our purpose was to analyse atrial performance in female endurance athletes, compared to male athletes and controls. Methods: This was a cross-sectional study. We included four groups: female athletes, females controls, male athletes and male controls. Left (LA) and right atrial (RA) volumes and function were assessed using 2D and speckle-tracking echocardiography to determine peak atrial strain-rate at atrial (SRa) and ventricular contraction (SRs), as surrogates of atrial contractile and reservoir function, respectively. ANOVA and Bonferroni’s statistical tests were used to compare variables among groups. Results: We included 82 subjects, 39 women (19 endurance athletes, 20 controls) and 43 men (22 endurance athletes, 21 controls). Mean age was similar between groups (36.6 ± 5.6 years). Athletes had larger bi-atrial volumes, compared to controls (women, LA 27.1 vs. 15.8 ml/m2, p < 0.001; RA 22.31 vs. 14.2 ml/m2, p = 0.009; men, LA: 25.0 vs. 18.5 ml/m2, p = 0.003; RA 30.8 vs. 21.9 ml/m2, p < 0.001) and lower strain-rate (women, LASRa −1.60 vs. −2.18 s−1, p < 0.001; RASRa −1.89 vs. −2.38 s−1, p = 0.009; men, LASRa −1.21 vs. −1.44 s−1, p = 1; RASRa −1.44 vs. −1.60 s−1, p = 1). However, RA indexed size was lower and bi-atrial deformation greater in female athletes, compared to male athletes. Conclusions: The atria of both male and female athletes shows specific remodelling, compared to sedentary subjects, with larger size and less deformation at rest, particularly for the RA. Despite a similar extent of remodelling, the pattern in women had greater bi-atrial myocardial deformation and smaller RA size.This work was partially funded by grants from the Generalitat de Catalunya (FI-AGAUR 2014–2017 (RH 040991, M. Sanz)), and from the Spanish Government (Plan Nacional I+D, Ministerio de Economía y Competitividad DEP2013-44923-P; TIN2014-52923-R and FEDER).Taylor & Francis201920192017info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/37004http://dx.doi.org/10.1080/17461391.2017.1294620reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésEuropean Journal of Sport Science. 2017;17(6):720-6info:eu-repo/grantAgreement/ES/1PE/DEP2013-44923-Pinfo:eu-repo/grantAgreement/ES/1PE/TIN2014-52923-R© This is an Accepted Manuscript of an article published by Taylor & Francis in European Journal of Sport Science on 13 Mar 2017, available online: http://www.tandfonline.com/10.1080/17461391.2017.1294620info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/370042026-06-12T07:21:37Z
dc.title.none.fl_str_mv Gender influence on the adaptation of atrial performance to training
title Gender influence on the adaptation of atrial performance to training
spellingShingle Gender influence on the adaptation of atrial performance to training
Sanchis, Laura
Atrial strain
Atrial fibrillation
Endurance exercise
Women
Speckle-tracking echocardiography
title_short Gender influence on the adaptation of atrial performance to training
title_full Gender influence on the adaptation of atrial performance to training
title_fullStr Gender influence on the adaptation of atrial performance to training
title_full_unstemmed Gender influence on the adaptation of atrial performance to training
title_sort Gender influence on the adaptation of atrial performance to training
dc.creator.none.fl_str_mv Sanchis, Laura
Sanz de la Garza, Maria
Bijnens, Bart
Giraldeau, Geneviève
Grazioli, Gonzalo
Marin, Josefa
Gabrielli, Luigi
Montserrat, Silvia
Sitges, Marta
author Sanchis, Laura
author_facet Sanchis, Laura
Sanz de la Garza, Maria
Bijnens, Bart
Giraldeau, Geneviève
Grazioli, Gonzalo
Marin, Josefa
Gabrielli, Luigi
Montserrat, Silvia
Sitges, Marta
author_role author
author2 Sanz de la Garza, Maria
Bijnens, Bart
Giraldeau, Geneviève
Grazioli, Gonzalo
Marin, Josefa
Gabrielli, Luigi
Montserrat, Silvia
Sitges, Marta
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atrial strain
Atrial fibrillation
Endurance exercise
Women
Speckle-tracking echocardiography
topic Atrial strain
Atrial fibrillation
Endurance exercise
Women
Speckle-tracking echocardiography
description Background: High-intensity training has been associated with atrial remodelling and arrhythmias in men. Our purpose was to analyse atrial performance in female endurance athletes, compared to male athletes and controls. Methods: This was a cross-sectional study. We included four groups: female athletes, females controls, male athletes and male controls. Left (LA) and right atrial (RA) volumes and function were assessed using 2D and speckle-tracking echocardiography to determine peak atrial strain-rate at atrial (SRa) and ventricular contraction (SRs), as surrogates of atrial contractile and reservoir function, respectively. ANOVA and Bonferroni’s statistical tests were used to compare variables among groups. Results: We included 82 subjects, 39 women (19 endurance athletes, 20 controls) and 43 men (22 endurance athletes, 21 controls). Mean age was similar between groups (36.6 ± 5.6 years). Athletes had larger bi-atrial volumes, compared to controls (women, LA 27.1 vs. 15.8 ml/m2, p < 0.001; RA 22.31 vs. 14.2 ml/m2, p = 0.009; men, LA: 25.0 vs. 18.5 ml/m2, p = 0.003; RA 30.8 vs. 21.9 ml/m2, p < 0.001) and lower strain-rate (women, LASRa −1.60 vs. −2.18 s−1, p < 0.001; RASRa −1.89 vs. −2.38 s−1, p = 0.009; men, LASRa −1.21 vs. −1.44 s−1, p = 1; RASRa −1.44 vs. −1.60 s−1, p = 1). However, RA indexed size was lower and bi-atrial deformation greater in female athletes, compared to male athletes. Conclusions: The atria of both male and female athletes shows specific remodelling, compared to sedentary subjects, with larger size and less deformation at rest, particularly for the RA. Despite a similar extent of remodelling, the pattern in women had greater bi-atrial myocardial deformation and smaller RA size.
publishDate 2017
dc.date.none.fl_str_mv 2017
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/37004
http://dx.doi.org/10.1080/17461391.2017.1294620
url http://hdl.handle.net/10230/37004
http://dx.doi.org/10.1080/17461391.2017.1294620
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv European Journal of Sport Science. 2017;17(6):720-6
info:eu-repo/grantAgreement/ES/1PE/DEP2013-44923-P
info:eu-repo/grantAgreement/ES/1PE/TIN2014-52923-R
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis
publisher.none.fl_str_mv Taylor & Francis
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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