Subscribe to RSS
DOI: 10.1055/s-2001-11343
Georg Thieme Verlag Stuttgart ·New York
Effect of Aerobic Training and Detraining on Left Ventricular Dimensions and Diastolic Function in Prepubertal Boys and Girls
Publication History
Publication Date:
31 December 2001 (online)
Purpose: The purpose of this study was to determine the effect of an aerobic training program on the left ventricular (LV) cardiac morphology and function of prepubertal children. Methods: Twenty-nine 10 - 11 year old boys and girls (TG) participated in a 13-week running program (3 × 1 h/week, intensity: > 80 % HRmax), 26, of the same age, served as a control group (CG). M-mode, 2-dimensional and pulsed-wave Doppler analyses were performed, during resting conditions, before and after the training period (T) as well as, for TG only, after 2 months of detraining (D). Results: LV internal chamber dimension increased (+ 4.6 %, p < 0.01) while wall thicknesses concomitantly decreased (- 10.7 %, p < 0.05) as a result of T. All cardiac morphological parameters returned to pretraining values after D. Doppler-derived measurements of LV diastolic filling performance were also significantly altered by T and D. A significant enhancement in the early diastolic passive LV filling with a concomitant reduction in the late diastolic active LV filling were in fact obtained after T. The training-induced bradycardia (- 7 beats · min-1, p < 0.01) was probably responsible for the changes in the late characteristics of the diastolic active filling. All diastolic filling indexes returned to pretraining values after D. Systolic function indexes were not modified after either T or D. No changes were obtained for the overall LV morphological and functional variables after 13 weeks of normal life for CG. Conclusion: These findings indicate that cardiac morphological adaptations can occur in prepubertal children after several months of aerobic training. These alterations differ however, in some areas, to those classically reported in adults following endurance training programs where both an increase in LV size and mass exist. Our data likewise demonstrate that endurance training is able to induce favourable LV diastolic filling modifications, directed principally towards an enhancement in the early rapid filling inflow and a corresponding reduction in the atrial contribution to the total diastolic inflow.
Key words:
Children, echocardiography, doppler, diastolic properties, endurance training.
References
- 1 Bouchard C, Lortie G. Heredity and endurance performance. Sports Med. 1984; 1 38-64
- 2 Bowman L IC, Lee F A, Jaffe C C, Mattera J, Wackers F J, Zarret B L. Peak filling rate normalized to mitral stroke volume: a new Doppler echocardiographic filling index validated by radionucleic angiographic techniques. J Am Coll Cardio. 1988; 12 937-943
- 3 Bu'Lock F A, Mott M G, Martin R P. Left ventricular diastolic function in children measured by Doppler echocardiography: normal values and relation with growth. Br Heart J. 1995; 73 334-339
- 4 Choong C Y, Herrmann H C, Weyman A E, Fifer M A. Preload dependence of Doppler-derivated indexes of left ventricular diastolic function in humans. J Am Coll Cardiol. 1987; 10 800-808
- 5 Colan S D. Mechanics of left ventricular systolic and diastolic function in physiologic hypertrophy of the athlete's heart. Cardiol Clinics. 1992; 10 227-240
- 6 Daniels S R, Kimball T R, Morrison J A, Khoury P, Meyer R A. Indexing left ventricular mass for difference in body size in children and adolescents without cardiovascular disease. Am J Cardiol. 1995; 76 699-701
- 7 Dart M M, Meredith J J, Jennings G L. Effects of 4 weeks of endurance training on cardiac left ventricular structure and function. Clin Exp Pharmacol Physiol. 1992; 19 777-783
- 8 De Maria A N, Neumann A, Schubart P J, Lee G, Mason D T. Systematic correlation of cardiac chamber size and ventricular performance determined by echocardiography and alterations in heart rate in normal persons. Am J Cardiol. 1979; 43 1-9
- 9 Devereux R B, Alonso D R, Lutas E M . et al . Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy. Am J Cardiol. 1986; 57 450-458
- 10 DuBois D, DuBois E F. Nomogramme pour la détermination de la surface cutanée à partir de la taille et du poids. Arch Int Med. 1916; 17 863-871
- 11 Eriksson B O, Koch G. Effect of physical training on hemodynamic response during submaximal and maximal exercise. Acta Physiol Scand. 1973; 87 27-29
- 12 Fragard R, Van den Broeke C, Vanhees L, Staessen J, Amery A. Noninvasive assessment of systolic and diastolic LV function in female runners. Eur Heart J. 1987; 8 1305-1311
- 13 Geenen D L, Gilliam T B, Crowley D, Morehead-Steffiens C, Rosenthal A. Echocardiograph measures in 6 to 7-year-old children after an 8 month exercise program. Am J Cardiol. 1982; 49 1990-1995
-
14 Gutin B, Mayers N, Levy J A, Herman M V.
Physiologic and echocardiographic studies of age-group runners. In: Brown EW, Branta CF (eds) Competitive Sport for Children and Youth. Champaign, IL; Human Kinetics 1988: 117-128 - 15 Hagberg J M, Goldberg A P, Lakatta L . et al . Expanded blood volumes contribute to the increased cardiovascular performance of endurance-trained older men. J Appl Physiol. 1998; 85 484-489
- 16 Hayashi T. Echocardiographic and electrocardiographic measures in obese children after an exercise program. Int J Obes. 1987; 11 465-472
- 17 Hollmann W, Rost R, Meirleir J C, Liesen H, Heck H, Mader A. Cardiovascular effects of extreme physical training. Acta Med Scand. 1986; 711 193-203
- 18 Huonker M, Köning D, Keul J. Assessment of left ventricular dimensions and functions in athletes and sedentary subjects at rest and during exercise using echocardiography, Doppler sonography and radionuclide ventriculography. Int J Sports Med. 1996; 17 S173-S179
- 19 Koening H, Goldstone A, Lu C Y. Testosterone-mediated sexual dismorphism of the rodent heart: Ventricular lysosomes, mitochondria and cell growth are modulated by androgens. Circ Res. 1982; 50 782-787
- 20 Levy W C, Cerqueira M D, Abrass I B, Schwartz R S, Stratton J R. Endurance exercise training augments diastolic filling at rest and during exercise in healthy young and older men. Circulation. 1993; 88 116-126
- 21 Lewis J F, Kuo L C, Nelson J G, Limacher M C, Quinones M A. Doppler echocardiographic determination of stroke volume and cardiac output: clinical validation of two new methods using the apical window. Circulation. 1984; 70 425-431
- 22 Maingourd Y, Bourges-Petit E, Tanguy C, Quintard J M, Medelli J, Freville M. A peripubertal longitudinal echocardiographc study of cardiac development in a group of ice hockey players. Arch Mal Coeur. 1990; 83 371-375
- 23 Miki S, Murakami T, Iwase T, Tomita T, Nakamura Y, Kowai L. Doppler echocardiographic transmitral peak early velocity does not directly reflect hemodynamic changes in humans: importance of normalization to mitral stroke volume. J Am Coll Cardiol. 1991; 17 1507-1516
- 24 Missault L, Duprez D, Jordaens L . et al . Cardiac anatomy and diastolic filling in professional road cyclists. Eur J Appl Physiol. 1993; 66 405-408
- 25 Nixon J V, Wright A R, Porter T R, Roy V, Arrowood J A. Effects of exercise on LV diastolic performance in trained athletes. Am J Cardiol. 1991; 68 945-949
- 26 Obert P, Courteix D, Lecoq A M, Guenon P. Effect of long-term intensive swimming training on the upper body peak VO2 of prepubertal girls. Eur J Appl Physiol. 1996; 73 136-143
- 27 Obert P, Stecken F, Courteix D, Leqoc A M, Guenon P. Effect of long-term intensive endurance training on left ventricular structure and diastolic function in prepubertal children. Int J Sports Med. 1998; 19 149-154
- 28 Ozer S, Cil E, Baltaci G, Ergun N, Ozme S. Left ventricular structure and function by echocardiography in childhood swimmers. Jpn Heart J. 1994; 35 300-306
- 29 Pelliccia A. Determinants of morphologic cardiac adaptation in elite athletes: the role of athletic training and constitutional factors. Int J Sports Med. 1996; 17 157-163
- 30 Perrault H, Turcotte R. Exercise-induced cardiac hypertrophy: fact or fallacy. Sports Med. 1994; 17 288-308
- 31 Rowland T W, Unninthan V B, Macfarlane N G, Gibson N G, Paton J Y. Clinical manifestations of the 'athlete's heart' in prepubertal male runners. Int J Sports Med. 1994; 8 515-519
-
32 Rowland T W.
Aerobic responses to physical training in children. In: Shephard RJ, Astrand PO (eds) Endurane in Sport. Blackwell Scientific Publication 1992: 377-384 - 33 Rowland T W, Delaney B C, Siconolfi S F. “Athlete's heart” in prepubertal children. Pediatrics. 1987; 79 800-804
- 34 Sahn D J, DeMaria A, Kisslo J, Weyman G. Recommendations regarding quantitation in M-mode echocardiographic measurements. Circulation. 1978; 58 1072-1083
- 35 Shephard R J. Effectiveness of training programmes for prebuescent children. Sports Med. 1992; 13 194-213
- 36 Tanner J M. Growth at Adolescence. Oxford; Blackwell Scientific Publications 1962 Second Edition: 325
- 37 Telford R D, McDonald I G, Ellis L B, Chennells M HD, Sandstrom E R, Fuller P J. Echocardiographic dimensions in trained and untrained 12-year-old boys and girls. J Sports Sci. 1988; 6 49-57
- 38 Tharp G D. Echocardiographic dimensions of prepubescent boys during a competitive basketball season. J Sports Cardiol. 1987; 4 15-19
-
39 Thoren C AR, Asano K.
Functional capacity and cardiac function in 10-year-old boys and girls with high and low running performance. In: Ilmarinen J, Välimäki I (eds) Children and Sport. Berlin; Springer-Verlag 1984: 183-188 - 40 Wanne O PS, Haapoja E. Blood pressure during exercise in healthy children. Eur J Appl Physiol. 1988; 58 62-67
- 41 Wolfe L A, Cunningham D A, Boughner D R. Physical conditioning effects on cardiac dimensions: a review of echocardiographic studies. Can J Appl Spt Sci. 1986; 11 66-79
Prof. P. Obert
Laboratoire de Physiologie des Adaptations Cardiovasculaires à l'Exercice MusculaireDépartement STAPSFaculté des SciencesUniversité d'Avignon
33 Louis Pasteur84000 AvignonFrance
Phone: Phone:+33 (4) 9014-4436
Fax: Fax:+33 (4) 9014-4409
Email: E-mail:Philippe.Obert@univ-avignon.fr