Association between race and maladaptive concentric left ventricular hypertrophy in American-style football athletes
| Autor: | Aaron L. Baggish, Casey G Turner, Craig Clark, Herman A. Taylor, Chang Liu, Jonathan H. Kim, Angelo Galante, Carla R. Gilson, Arshed A. Quyyumi, Jason Tso |
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| Rok vydání: | 2021 |
| Předmět: |
Population
Football Blood Pressure Physical Therapy Sports Therapy and Rehabilitation Family income Concentric Left ventricular hypertrophy Article Humans Medicine Orthopedics and Sports Medicine cardiovascular diseases Risk factor education education.field_of_study biology business.industry Athletes General Medicine biology.organism_classification medicine.disease United States Blood pressure Echocardiography Hypertrophy Left Ventricular business Demography |
| Zdroj: | Br J Sports Med |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2021-104333 |
| Popis: | ObjectivesAmerican-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.MethodsCollegiate 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.ResultsAt 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).ConclusionsIndependent 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. |
| Databáze: | OpenAIRE |
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