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- Publisher Website: 10.1177/2047487314566759
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Article: Maximal cardiac output in athletes: Influence of age
Title | Maximal cardiac output in athletes: Influence of age |
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Authors | |
Keywords | Endurance training ageing maximal oxygen consumption maximal cardiac output |
Issue Date | 2015 |
Citation | European Journal of Preventive Cardiology, 2015, v. 22, n. 12, p. 1588-1600 How to Cite? |
Abstract | © European Society of Cardiology 2014. Background The decline in maximal oxygen consumption (VO2max) with age seems to be exacerbated in endurance-trained athletes (EA) relative to untrained healthy subjects. Whether maximal cardiac output (Qmax) parallels this group-specific decline with age remains uncertain. Therefore, we sought to systematically review the literature and determine whether Qmax is similarly enhanced in EA across all ages relative to age-matched untrained counterparts. Design and methods We conducted a systematic search of MEDLINE, Cochrane and Web of Science from their inceptions until June 2014 for articles evaluating Qmax in athletes. A meta-analysis was performed to determine the standardized mean difference (SMD) in Qmax between EA and age-matched untrained healthy subjects. Included studies had to (i) comprise EA and control groups matched for body size or (ii) present Qmax values normalized for body size. Subgroup and meta-regression analyses were used to study the influence of age and potential moderating factors. Results Eighteen studies were selected after systematic review, comprising 268 EA and 232 age-matched untrained subjects. Nine studies involved young EA (mean age ≤40 years) while nine studies involved master EA (mean age >55 years). After data pooling, young and master EA groups showed higher Q;bsubesub& compared with control groups (SMD = 1.49 and SMD = 1.68, respectively; both p < 0.0001). The SMD in Q;bsubesub& between EA and control groups was similar in studies in young EA compared with studies in master EA (p = 0.61). Moreover, the SMD in VO;bsubesub& between EA and control groups did not differ in studies in young EA compared with studies in master EA (p = 0.37). In meta-regression analyses, the difference in percentage of body fat between EA and control groups was inversely associated with the SMD in Q;bsubesub& (B = - 0.17, p = 0.01) and the SMD in VO;bsubesub& (B = -0.20, p = 0.01). Mean age was not associated with the SMD in Q;bsubesub& (B = -0.001, P = 0.90) nor with the SMD in VO;bsubesub& (B = 0.01, P = 0.58). Conclusions Based on current published studies, the enhanced Q;bsubesub& observed in EA compared with untrained healthy subjects matched for body size is not affected by age but may be related, at least in part, to the improved body composition of EA. |
Persistent Identifier | http://hdl.handle.net/10722/288682 |
ISSN | 2023 Impact Factor: 8.4 2023 SCImago Journal Rankings: 1.866 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Montero, David | - |
dc.contributor.author | Díaz-Cañestro, Candela | - |
dc.date.accessioned | 2020-10-12T08:05:35Z | - |
dc.date.available | 2020-10-12T08:05:35Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | European Journal of Preventive Cardiology, 2015, v. 22, n. 12, p. 1588-1600 | - |
dc.identifier.issn | 2047-4873 | - |
dc.identifier.uri | http://hdl.handle.net/10722/288682 | - |
dc.description.abstract | © European Society of Cardiology 2014. Background The decline in maximal oxygen consumption (VO2max) with age seems to be exacerbated in endurance-trained athletes (EA) relative to untrained healthy subjects. Whether maximal cardiac output (Qmax) parallels this group-specific decline with age remains uncertain. Therefore, we sought to systematically review the literature and determine whether Qmax is similarly enhanced in EA across all ages relative to age-matched untrained counterparts. Design and methods We conducted a systematic search of MEDLINE, Cochrane and Web of Science from their inceptions until June 2014 for articles evaluating Qmax in athletes. A meta-analysis was performed to determine the standardized mean difference (SMD) in Qmax between EA and age-matched untrained healthy subjects. Included studies had to (i) comprise EA and control groups matched for body size or (ii) present Qmax values normalized for body size. Subgroup and meta-regression analyses were used to study the influence of age and potential moderating factors. Results Eighteen studies were selected after systematic review, comprising 268 EA and 232 age-matched untrained subjects. Nine studies involved young EA (mean age ≤40 years) while nine studies involved master EA (mean age >55 years). After data pooling, young and master EA groups showed higher Q;bsubesub& compared with control groups (SMD = 1.49 and SMD = 1.68, respectively; both p < 0.0001). The SMD in Q;bsubesub& between EA and control groups was similar in studies in young EA compared with studies in master EA (p = 0.61). Moreover, the SMD in VO;bsubesub& between EA and control groups did not differ in studies in young EA compared with studies in master EA (p = 0.37). In meta-regression analyses, the difference in percentage of body fat between EA and control groups was inversely associated with the SMD in Q;bsubesub& (B = - 0.17, p = 0.01) and the SMD in VO;bsubesub& (B = -0.20, p = 0.01). Mean age was not associated with the SMD in Q;bsubesub& (B = -0.001, P = 0.90) nor with the SMD in VO;bsubesub& (B = 0.01, P = 0.58). Conclusions Based on current published studies, the enhanced Q;bsubesub& observed in EA compared with untrained healthy subjects matched for body size is not affected by age but may be related, at least in part, to the improved body composition of EA. | - |
dc.language | eng | - |
dc.relation.ispartof | European Journal of Preventive Cardiology | - |
dc.subject | Endurance training | - |
dc.subject | ageing | - |
dc.subject | maximal oxygen consumption | - |
dc.subject | maximal cardiac output | - |
dc.title | Maximal cardiac output in athletes: Influence of age | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1177/2047487314566759 | - |
dc.identifier.pmid | 25595549 | - |
dc.identifier.scopus | eid_2-s2.0-84947442505 | - |
dc.identifier.volume | 22 | - |
dc.identifier.issue | 12 | - |
dc.identifier.spage | 1588 | - |
dc.identifier.epage | 1600 | - |
dc.identifier.eissn | 2047-4881 | - |
dc.identifier.isi | WOS:000364824400009 | - |
dc.identifier.issnl | 2047-4873 | - |