Association between race and maladaptive concentric left ventricular hypertrophy in American-style football athletes.

Autor:	Tso JV; Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA., Turner CG; Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA., Liu C; Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA., Galante A; Sports Medicine, Georgia Institute of Technology, Atlanta, Georgia, USA., Gilson CR; Sports Medicine, Georgia Institute of Technology, Atlanta, Georgia, USA., Clark C; Sports Medicine, Furman University, Greenville, South Carolina, USA., Taylor HA; Department of Medicine, Division of Cardiology, Morehouse School of Medicine, Atlanta, Georgia, USA., Quyyumi AA; Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA., Baggish AL; Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts, USA., Kim JH; Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA jonathan.kim@emory.edu.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2022 Feb; Vol. 56 (3), pp. 151-157. Date of Electronic Publication: 2021 Aug 13.
DOI:	10.1136/bjsports-2021-104333
Abstrakt:	Objectives: American-style football (ASF) athletes are at risk for the development of concentric left ventricular hypertrophy (C-LVH), an established cardiovascular risk factor in the general population. We sought to address whether black race is associated with acquired C-LVH in collegiate ASF athletes. Methods: Collegiate ASF athletes from two National Collegiate Athletic Association Division-I programmes were recruited as freshmen between 2014 and 2019 and analysed over 3 years. Demographics (neighbourhood family income) and repeated clinical characteristics and echocardiography were recorded longitudinally at multiple timepoints. A mixed-modelling approach was performed to evaluate acquired C-LVH in black versus white athletes controlling for playing position (linemen (LM) and non-linemen (NLM)), family income, body weight and blood pressure. Results: At baseline, black athletes (N=124) were more often NLM (72% vs 54%, p=0.005) and had lower median neighbourhood family income ($54 119 vs $63 146, p=0.006) compared with white athletes (N=125). While both black and white LM demonstrated similar increases in C-LVH over time, among NLM acquired C-LVH was more common in black versus white athletes (postseason year-1: N=14/89 (16%) vs N=2/68 (3%); postseason year-2: N=9/50 (18%) vs N=2/32 (6%); postseason year-3: N=8/33 (24%) vs N=1/13 (8%), p=0.005 change over time). In stratified models, black race was associated with acquired C-LVH in NLM (OR: 3.70, 95% CI 1.12 to 12.21, p=0.03) and LM was associated with acquired C-LVH in white athletes (OR: 3.40, 95% CI 1.03 to 11.27, p=0.048). Conclusions: Independent of family income and changes in weight and blood pressure, black race was associated with acquired C-LVH among collegiate ASF NLM and LM was associated with acquired C-LVH in white athletes. Competing Interests: Competing interests: JHK receives compensation serving in his role as team cardiologist for the Atlanta Falcons. AB receives compensation serving in his role as team cardiologist for the New England Patriots. HAT is an Advisory Board Member for Pfizer and Educational Consultant for Novartis. (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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