Key result
Highly trained athletes show superior cardiac index and diastolic function during exercise versus recreational peers.
Why the study?
Resting echocardiographic LV evaluation cannot provide a comprehensive overview of youth athlete LV function during exercise, necessitating interrogation of in-exercise LV responses.
Does high-volume training in youth athletes alter left ventricular functional responses during exercise compared to recreationally active peers?
Does high-volume training in youth athletes alter left ventricular functional responses during exercise compared to recreationally active peers?
Highly trained youth athletes exhibit enhanced left ventricular diastolic function and pre-load during exercise, leading to greater stroke and cardiac indices compared to recreational peers.
No immediate practice change for youth athletes; leaves open prospective effects of training on LV function.
There is an increase in the prevalence of elite youth sports academies, whose sole aim is to develop future elite athletes. This involves the exposure of the child and adolescent athlete to high-volume training during a period of volatile growth. The large amount of data in this area has been garnered from the resting echocardiographic left ventricular (LV) evaluation of the youth athlete; while this can provide some insight on the functional adaptations to training, it is unable to elucidate a comprehensive overview of the function of the youth athletes' LV during exercise. Consequently, there is a need to interrogate the LV responses in-exercise. This review outlines the feasibility and functional insight of capturing global indices of LV function (Stroke Index-SVIndex and Cardiac Index-QIndex), systolic and diastolic markers, and cardiac strain during submaximal and maximal exercise. Larger SVI and QI were noted in these highly trained young athletes compared to recreationally active peers during submaximal and maximal exercise. The mechanistic insights suggest that there are minimal functional systolic adaptions during exercise compared to their recreationally active peers. Diastolic function was superior during exercise in these young athletes, and this appears to be underpinned by enhanced determinants of pre-load.
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Unnithan et al. (2022) conducted a review in Highly trained youth athletes. High-volume training vs. Recreationally active peers was evaluated on Left ventricular responses during exercise (Stroke Index, Cardiac Index, systolic and diastolic markers). Highly trained young athletes exhibited larger Stroke Volume Index and Cardiac Index and superior diastolic function during exercise compared to recreationally active peers.
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