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ARTICLE |

Cardiac Dimension Changes With Endurance Training: Title and subTitle BreakIndications of a Genotype Dependency FREE

Fernand Landry, PhD; Claude Bouchard, PhD; Jean Dumesnil, MD
[+] Author Affiliations

Reprint requests to Physical Activity Sciences Laboratory, PEPS, Laval University, Ste-Foy, Quebec, Canada G1K 7P4 (Dr Landry).


JAMA. 1985;254(1):77-80. doi:10.1001/jama.1985.03360010083031
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We studied the sensitivity of cardiac structures to endurance training. To evaluate variability in adaptation, 20 sedentary subjects and ten pairs of monozygotic twins were submitted to a 20-week endurance training program. Maximal oxygen uptake increased significantly in both groups: 11 mL O2/kg/min-1 or 30% in the sedentary group and 6 mL O2/kg/min-1 or 13% in the monozygotic twins. Statistically significant increases in left ventricular diameter, posterior wall and septal thicknesses, as well as left ventricular end-diastolic volume and left ventricular mass were observed in the sedentary subjects, but not in the monozygotic twins. We could demonstrate that after training, twin pairs differed more from each other than at the start. Concomitantly, within-pair resemblance was greater after training than before. Results indicate that cardiac dimensions are amenable to significant modifications under controlled endurance training conditions and furthermore that the extent and variability of the response of cardiac structures to training are perhaps genotype dependent.

(JAMA 1985;254:77-80)

REFERENCES

Blomqvist CG, Saltin B:  Cardiovascular adaptations to physical training . Annu Rev Physiol 1983;;45:169-189.
Dowell RT:  Cardiac adaptations to exercise , in Terjung RL (ed): Exercise and Sport Sciences Reviews . Philadelphia, Franklin Institute, 1983;, vol 2, pp 99-118.
Keul J, Dickhuth HH, Lehmann M, et al:  The athlete's heart: Hemodynamics and structure . Int J Sports Med 1982;;3:33-43.
Ryan AJ:  Heart size and sports . Physician Sports Med 1980;;8:29-38.
Keul J, Dickhuth HH, Simon G, et al:  Effect of static and dynamic exercise on heart volume, contractility, and left ventricular dimensions . Circ Res 1981;;48:I-162-I-170.
Froelicher UF:  Echocardiographic studies evaluating the effects of exercise training on the heart . Adv Cardiol 1980;;27:51-57.
Snoeckx LHEH, Abeling HFM, Lambregts JAC, et al:  Cardiac dimensions in athletes in relation to variations in their training program . Eur J Appl Physiol 1983;;52:20-28.
Dickhuth HH, Nause A, Staiger J, et al:  Two-dimensional echocardiographic measurements of left ventricular volume and stroke volume of endurance-trained athletes and untrained subjects . Int J Sports Med 1983;;4:21-26.
Schaible TF, Scheuer J:  Response of the heart to exercise training , in Zak E (ed): Growth of the Heart in Health and Disease . New York, Raven Press, 1984;, pp 383-392.
Bouchard C, Malina RM:  Genetics of physiological fitness and motor performance , in Terjung RL (ed): Exercise and Sports Sciences Reviews . Philadelphia, Franklin Institute, 1983;, pp 306-339.
Bouchard C, Lortie G:  Heredity and endurance performance . Sports Med 1984;;1:38-64.
Bett JH, Dryburg LG:  Beat to beat variation in echocardiographic measurements of left ventricular dimensions and function . J Clin Ultrasound 1981;;9:3, 119-125.
Krayenbuehl HP, Hess DM, Schneider J, et al:  Physiologic or pathologic hypertrophy . Eur Heart J 1983;;4( (suppl A) ):29-34.
Bienmuller H, Ebner H, Hilpert P:  Echokardiographische Untersuchungen von und wahrend des Trainings von Hochleistungssportlern (Skilanglaufer) . Z Kardiol 1982;;71:754-760.
Geenen DL, Gilliam TB, Crowley D, et al:  Echocardiographic measures in 6 to 7 year old children after an eight month exercise program . Am J Cardiol 1982;;49:1990-1995.
Shapiro LM, Smith RG:  Effect of training on left ventricular structure and function: An echocardiographic study . Br Heart J 1983;;50:534-539.
Paulsen WJ, Boughner DR, Ko P, et al:  Left ventricular function in marathon runners: Echocardiographic assessment . J Appl Physiol 1981;;51:881-886.
Longhurst JC, Kelly AR, Gonyea WJ, et al:  Echocardiographic left ventricular masses in distance runners and weight lifters . J Appl Physiol 1980;;48:154-162.
Cohen JL, Gupta PK, Lichstein E, et al:  The heart of a dancer: Noninvasive cardiac evaluation of professional ballet dancers . Am J Cardiol 1980;;45:959-965.
Hickson RC, Kanakis C Jr, Davis JR, et al:  Reduced training duration effects on aerobic power, endurance, and cardiac growth . J Appl Physiol 1982;;53:225-229.
Fagard R, Aubert A, Lysens R, et al:  Noninvasive assessment of personal variations in the cardiac structure and function in cyclists . Circulation 1983;;67:896-901.
Péronnet F, Ferguson RJ, Perrault H, et al:  Echocardiography and the athlete's heart . Physician Sports Med 1981;;9:103-112.
Perrault H, Lajoie D, Péronnet F, et al:  Left ventricular dimensions following training in young and middle-aged men . Int J Sports Med 1982;;3:141-144.

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Blomqvist CG, Saltin B:  Cardiovascular adaptations to physical training . Annu Rev Physiol 1983;;45:169-189.
Dowell RT:  Cardiac adaptations to exercise , in Terjung RL (ed): Exercise and Sport Sciences Reviews . Philadelphia, Franklin Institute, 1983;, vol 2, pp 99-118.
Keul J, Dickhuth HH, Lehmann M, et al:  The athlete's heart: Hemodynamics and structure . Int J Sports Med 1982;;3:33-43.
Ryan AJ:  Heart size and sports . Physician Sports Med 1980;;8:29-38.
Keul J, Dickhuth HH, Simon G, et al:  Effect of static and dynamic exercise on heart volume, contractility, and left ventricular dimensions . Circ Res 1981;;48:I-162-I-170.
Froelicher UF:  Echocardiographic studies evaluating the effects of exercise training on the heart . Adv Cardiol 1980;;27:51-57.
Snoeckx LHEH, Abeling HFM, Lambregts JAC, et al:  Cardiac dimensions in athletes in relation to variations in their training program . Eur J Appl Physiol 1983;;52:20-28.
Dickhuth HH, Nause A, Staiger J, et al:  Two-dimensional echocardiographic measurements of left ventricular volume and stroke volume of endurance-trained athletes and untrained subjects . Int J Sports Med 1983;;4:21-26.
Schaible TF, Scheuer J:  Response of the heart to exercise training , in Zak E (ed): Growth of the Heart in Health and Disease . New York, Raven Press, 1984;, pp 383-392.
Bouchard C, Malina RM:  Genetics of physiological fitness and motor performance , in Terjung RL (ed): Exercise and Sports Sciences Reviews . Philadelphia, Franklin Institute, 1983;, pp 306-339.
Bouchard C, Lortie G:  Heredity and endurance performance . Sports Med 1984;;1:38-64.
Bett JH, Dryburg LG:  Beat to beat variation in echocardiographic measurements of left ventricular dimensions and function . J Clin Ultrasound 1981;;9:3, 119-125.
Krayenbuehl HP, Hess DM, Schneider J, et al:  Physiologic or pathologic hypertrophy . Eur Heart J 1983;;4( (suppl A) ):29-34.
Bienmuller H, Ebner H, Hilpert P:  Echokardiographische Untersuchungen von und wahrend des Trainings von Hochleistungssportlern (Skilanglaufer) . Z Kardiol 1982;;71:754-760.
Geenen DL, Gilliam TB, Crowley D, et al:  Echocardiographic measures in 6 to 7 year old children after an eight month exercise program . Am J Cardiol 1982;;49:1990-1995.
Shapiro LM, Smith RG:  Effect of training on left ventricular structure and function: An echocardiographic study . Br Heart J 1983;;50:534-539.
Paulsen WJ, Boughner DR, Ko P, et al:  Left ventricular function in marathon runners: Echocardiographic assessment . J Appl Physiol 1981;;51:881-886.
Longhurst JC, Kelly AR, Gonyea WJ, et al:  Echocardiographic left ventricular masses in distance runners and weight lifters . J Appl Physiol 1980;;48:154-162.
Cohen JL, Gupta PK, Lichstein E, et al:  The heart of a dancer: Noninvasive cardiac evaluation of professional ballet dancers . Am J Cardiol 1980;;45:959-965.
Hickson RC, Kanakis C Jr, Davis JR, et al:  Reduced training duration effects on aerobic power, endurance, and cardiac growth . J Appl Physiol 1982;;53:225-229.
Fagard R, Aubert A, Lysens R, et al:  Noninvasive assessment of personal variations in the cardiac structure and function in cyclists . Circulation 1983;;67:896-901.
Péronnet F, Ferguson RJ, Perrault H, et al:  Echocardiography and the athlete's heart . Physician Sports Med 1981;;9:103-112.
Perrault H, Lajoie D, Péronnet F, et al:  Left ventricular dimensions following training in young and middle-aged men . Int J Sports Med 1982;;3:141-144.
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