Abstract
The aim of this study was to determine the relationship of training and echocardiographic
left ventricular indices with competitive results in distance running. Echocardiography
was performed on 53 male sub-elite runners. Training parameters and competitive results
in races from 800 m to marathon were also analysed. Simple correlation analysis revealed
a positive association between left ventricular mass or wall thickness and average
running speed in races of 1500 m, 3000 m, and 10 000 m (p < 0.05). Training volume
correlated with competitive results in distance running stronger and more consistently,
however, than did cardiac size parameters. Additionally, training volume correlated
positively with ventricular wall thickness and mass but not chamber size. Multiple
linear regression analysis supported training volume and left ventricular mass index
as independent predictors of distance running performance. Neither simple correlation
nor multiple regression analysis evidenced a positive association between ventricular
diameter or peak diastolic filling parameters and competitive results (p > 0.05).
Thus, the results of our study suggest that competitive results of sub-elite middle
and long distance runners are related stronger to training volume than echocardiographic
data, and that left ventricular muscle mass but not chamber size correlates positively
with average running velocity during distance races.
Key words
athletes - hypertrophy - left ventricle - training volume
References
- 1
Aunola S, Marniemi J, Alanen E, Mantyla M, Saraste M, Rusko H.
Muscle metabolic profile and oxygen transport capacity as determinants of aerobic
and anaerobic thresholds.
Eur J Appl Physiol.
1988;
57
726-734
- 2
Bassett Jr D R, Howley E T.
Limiting factors for maximum oxygen uptake and determinants of endurance performance.
Med Sci Sports Exerc.
2000;
32
70-84
- 3
Boraita A, Esteve-Lanao J, Perez M, Rabadan M, Foster C, Lucia A.
Ventricular septal defect in a world class runner.
Br J Sports Med.
2005;
39
e32
- 4
Convertino V A.
Cardiovascular consequences of bed rest: effect on maximal oxygen uptake.
Med Sci Sports Exerc.
1997;
29
191-196
- 5
Crawford M H, Petru M A, Rabinowitz C.
Effect of isotonic exercise training on left ventricular volume during upright exercise.
Circulation.
1985;
72
1237-1243
- 6
Devereux R B, Alonso D R, Lutas E M, Gottlieb G J, Campo E, Sachs I, Reichek N.
Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy
findings.
Am J Cardiol.
1986;
57
450-458
- 7
Douglas P S.
Cardiac considerations in the triathlete.
Med Sci Sports Exerc.
1989;
21
S214-S218
- 8
Esteve-Lanao J, San Juan A F, Earnest C P, Foster C, Lucia A.
How do endurance runners actually train? Relationship with competition performance.
Med Sci Sports Exerc.
2005;
37
496-504
- 9
Fagard R.
Athlete's heart.
Heart.
2003;
89
1455-1461
- 10
Ferguson S, Gledhill N, Jamnik V K, Wiebe C, Payne N.
Cardiac performance in endurance-trained and moderately active young women.
Med Sci Sports Exerc.
2001;
33
1114-1119
- 11
Genovesi-Ebert A, Marabotti C, Palombo C, Giaconi S, Rossi G, Ghione S.
Echo Doppler diastolic function and exercise tolerance.
Int J Cardiol.
1994;
43
67-73
- 12
Gledhill N, Cox D, Jamnik R.
Endurance athletes' stroke volume does not plateau: major advantage is diastolic function.
Med Sci Sports Exerc.
1994;
26
1116-1121
- 13
Grant S, Craig I, Wilson J, Aitchison T.
The relationship between 3-km running performance and selected physiological variables.
J Sports Sci.
1997;
15
403-410
- 14
Iglesias Cubero G, Batalla A, Rodriguez Reguero J J, Barriales R, Gonzalez V, de la
Iglesia J L, Terrados N.
Left ventricular mass index and sports: the influence of different sports activities
and arterial blood pressure.
Int J Cardiol.
2000;
75
261-265
- 15
Jones A M, Whipp B J.
Bioenergetic constraints on tactical decision making in middle distance running.
Br J Sports Med.
2002;
36
102-104
- 16
Karjalainen J, Mantysaari M, Viitasalo M, Kujala U.
Left ventricular mass, geometry, and filling in endurance athletes: association with
exercise blood pressure.
J Appl Physiol.
1997;
82
531-537
- 17
Krip B, Gledhill N, Jamnik V, Warburton D.
Effect of alterations in blood volume on cardiac function during maximal exercise.
Med Sci Sports Exerc.
1997;
29
1469-1476
- 18
Larsen H B.
Kenyan dominance in distance running.
Comp Biochem Physiol A Mol Integr Physiol.
2003;
136
161-170
- 19
Legaz Arrese A, Serrano Ostariz E, Gonzalez Carretero M, Lacambra Blasco I.
Echocardiography to measure fitness of elite runners.
J Am Soc Echocardiogr.
2005;
18
419-426
- 20
Messonnier L, Aranda-Berthouze S E, Bourdin M, Bredel Y, Lacour J R.
Rowing performance and estimated training load.
Int J Sports Med.
2005;
26
376-382
- 21
Mickelson J K. Byrd BF 3rd .
Left ventricular dimensions and mechanics in distance runners.
Am Heart J.
1986;
112
1251-1256
- 22
Nagashima J, Musha H, Takada H, Murayama M.
Left ventricular chamber size predicts the race time of Japanese participants in a
100-km ultramarathon.
Br J Sports Med.
2006;
40
331-333
- 23
Nagashima J, Musha H, Takada H, Murayama M.
New upper limit of physiologic cardiac hypertrophy in Japanese participants in the
100-km ultramarathon.
J Am Coll Cardiol.
2003;
42
1617-1623
- 24
Nicholson R M, Sleivert G G.
Indices of lactate threshold and their relationship with 10-km running velocity.
Med Sci Sports Exerc.
2001;
33
339-342
- 25
Oakley D.
The athlete's heart.
Heart.
2001;
86
722-726
- 26
Okura H, Inoue H, Tomon M, Nishiyama S, Yoshikawa T, Yoshida K, Yoshikawa J.
Impact of Doppler-derived left ventricular diastolic performance on exercise capacity
in normal individuals.
Am Heart J.
2000;
139
716-722
- 27
Osborne G, Wolfe L A, Burggraf G W, Norman R.
Relationship between cardiac dimensions, anthropometric characteristics and maximal
aerobic power (V·O2max) in young men.
J Sports Med.
1992;
13
219-224
- 28
Palazzuoli A, Puccetti L, Pastorelli M, Pasqui A L, Auteri A, Bruni F.
Transmitral and pulmonary venous flow study in elite male runners and young adults.
Int J Cardiol.
2002;
84
47-51
- 29
Pavlik G, Kemeny D, Kneffel Z, Petrekanits M, Horvath P, Sido Z.
Echocardiographic data in Hungarian top-level water polo players.
Med Sci Sports Exerc.
2005;
37
323-328
- 30
Sahn D J, DeMaria A, Kisslo J, Weyman A.
Recommendations regarding quantitation in M-mode echocardiography: results of a survey
of echocardiographic measurements.
Circulation.
1978;
58
1072-1083
- 31
Saito K, Matushita M.
The contribution of left ventricular mass to maximal oxygen uptake in female college
rowers.
Int J Sports Med.
2004;
25
27-31
- 32
Sundstedt M, Hedberg P, Jonason T, Ringqvist I, Brodin L A, Henriksen E.
Left ventricular volumes during exercise in endurance athletes assessed by contrast
echocardiography.
Acta Physiol Scand.
2004;
182
45-51
- 33
Turpeinen A K, Kuikka J T, Vanninen E, Vainio P, Vanninen R, Litmanen H, Koivisto V A,
Bergstrom K, Uusitupa M I.
Athletic heart: a metabolic, anatomical, and functional study.
Med Sci Sports Exerc.
1996;
28
33-40
- 34
Urhausen A, Kindermann W.
Sports-specific adaptations and differentiation of the athlete's heart.
Sports Med.
1999;
28
237-244
- 35
Urhausen A, Monz T, Kindermann W.
Sports-specific adaptation of left ventricular muscle mass in athlete's heart. II:
An echocardiographic study with 400-m runners and soccer players.
Int J Sports Med.
1996;
17
S152-S156
- 36
Venckunas T, Stasiulis A, Raugaliene R.
Relationship between echocardiographic and aerobic capacity parameters in distance
runners.
Int J Cardiol.
2005;
102
531-532
- 37
Warburton D E, Haykowsky M J, Quinney H A, Blackmore D, Teo K K, Humen D P.
Myocardial response to incremental exercise in endurance-trained athletes: influence
of heart rate, contractility and the Frank-Starling effect.
Exp Physiol.
2002;
87
613-622
- 38
Whyte G, Lumley S, George K, Gates P, Sharma S, Prasad K, McKenna W J.
Physiological profile and predictors of cycling performance in ultra-endurance triathletes.
J Sports Med Phys Fitness.
2000;
40
103-109
- 39
Young L E, Rogers K, Wood J L.
Left ventricular size and systolic function in Thoroughbred racehorses and their relationships
to race performance.
J Appl Physiol.
2005;
99
1278-1285
- 40
Zhou B, Conlee R K, Jensen R, Fellingham G W, George J D, Fisher A G.
Stroke volume does not plateau during graded exercise in elite male distance runners.
Med Sci Sports Exerc.
2001;
33
1849-1854
PhD Tomas Venckunas
Department of Applied Physiology and Health Education
Lithuanian Academy of Physical Education
44221 Kaunas
Lithuania
Fax: + 37 037 20 45 15
Email: t.venckunas@lkka.ltt.venckunas@gmail.com