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Journal of Sports Sciences Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/rjsp20
Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE) a
b
a
Gunther Gores , William Ravekes & Martin Koestenberger a
Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Graz, Austria b
Division of Pediatric Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA Published online: 26 Mar 2014.
Click for updates To cite this article: Gunther Gores, William Ravekes & Martin Koestenberger (2014) Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE), Journal of Sports Sciences, 32:14, 1350-1350, DOI: 10.1080/02640414.2014.889848 To link to this article: http://dx.doi.org/10.1080/02640414.2014.889848
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
Journal of Sports Sciences, 2014 Vol. 32, No. 14, 1350, http://dx.doi.org/10.1080/02640414.2014.889848
LETTER TO THE EDITOR
Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE)
Downloaded by [University of Sunderland] at 20:20 30 December 2014
GUNTHER GORES1, WILLIAM RAVEKES2 & MARTIN KOESTENBERGER1 1
Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Graz, Austria and 2Division of Pediatric Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA (Accepted 27 January 2014)
To the Editor, We read with interest the article “Cardiovascular effects of 3 months of football training in overweight children examined by comprehensive echocardiography: a pilot study” from Hansen et al. (2013). They described an improvement of systolic right ventricular (RV) function in overweight children participating in vigorous 3-month football training without significantly changing the systolic left ventricular (LV) function. We completely agree with Hansen et al. (2013) that physical activity can have beneficial effects on weight control and reduce cardiovascular risks, which have been shown in adults (Nadeau, Maahs, Daniels, & Eckel, 2011). Harada, Orino, and Takada (2001) previously demonstrated alterations of cardiac function and especially an impairment of diastolic LV filling in obese children. Subsequently physical activity is stated to be an important treatment strategy as cardiac alterations in obese adolescents have been reported to be restored by aerobic interval training to normal values observed in lean participants (Ingul, Tjønna, Stolen, Stoylen, & Wisløff, 2010). The current study recorded significant changes of tricuspid annular plane systolic excursion (TAPSE) values for obese children between 8 and 12 years in the football group (2.01 ± 0.29 and 2.27 ± 0.28 at 0 months and 3 months, respectively), but not in the control group. For the convenience of the audience of Journal of Sports Sciences, we would like to mention that in our opinion a comparison of their observed TAPSE values to available normal paediatric TAPSE
values and Z-scores (Koestenberger et al., 2009) would have improved the statistical power of their analysis, considering an addressed limitation of the small sample size of the study. We would like to highlight the value of this study and thank the authors for addressing the need for careful and systematic evaluation of the RV function amongst other potential cardiac health risks in obese children. We hope that with more interesting studies like this from Hansen et al.’s (2013) determination of systolic RV function will become a helpful indicator of treatment success of training on obese children. References Hansen, P. R., Andersen, L. J., Rebelo, A. N., Brito, J., Hornstrup, T., Schmidt, J. F., … Krustrup, P. (2013). Cardiovascular effects of 3 months of football training in overweight children examined by comprehensive echocardiography: A pilot study. Journal Sports Sciences, 31, 1432–1440. Harada, K., Orino, T., & Takada, G. (2001). Body mass indexcan predict left ventricular diastolic filling in asymptomatic obese children. Pediatric Cardiology, 22, 273–278. Ingul, C. B., Tjønna, A. E., Stolen, T. O., Stoylen, A., & Wisløff, U. (2010). Impaired cardiac function among obese adolescents: Effect of aerobic interval training. Archives of Pediatric and Adolescent Medicine, 164, 852–859. Koestenberger, M., Ravekes, W., Everett, A. D., Stueger, H. P., Heinzl, B., Gamillscheg, A., … Nagel, B. (2009). Right ventricular function in infants, children and adolescents: Reference values of the tricuspid annular plane systolic excursion (TAPSE) in 640 healthy patients and calculation of z score values. Journal of the American Society of Echocardiography, 22, 715–719. Nadeau, K. J., Maahs, D. M., Daniels, S. R., & Eckel, R. H. (2011). Childhood obesity and cardiovascular disease: Links and prevention strategies. Nature Reviews Cardiology, 8, 513–525.
Correspondence: Martin Koestenberger, PhD, MD, Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Auenbruggerplatz 34/2, A-8036 Graz, Austria; Tel.: ++43 316 385 84276. E-mail: [email protected] or [email protected] © 2014 Taylor & Francis
Journal of Sports Sciences Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/rjsp20
Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE) a
b
a
Gunther Gores , William Ravekes & Martin Koestenberger a
Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Graz, Austria b
Division of Pediatric Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA Published online: 26 Mar 2014.
Click for updates To cite this article: Gunther Gores, William Ravekes & Martin Koestenberger (2014) Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE), Journal of Sports Sciences, 32:14, 1350-1350, DOI: 10.1080/02640414.2014.889848 To link to this article: http://dx.doi.org/10.1080/02640414.2014.889848
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
Journal of Sports Sciences, 2014 Vol. 32, No. 14, 1350, http://dx.doi.org/10.1080/02640414.2014.889848
LETTER TO THE EDITOR
Improvement of systolic right ventricular function in overweight children participating in a three month football training determined by tricuspid annular plane systolic excursion (TAPSE)
Downloaded by [University of Sunderland] at 20:20 30 December 2014
GUNTHER GORES1, WILLIAM RAVEKES2 & MARTIN KOESTENBERGER1 1
Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Graz, Austria and 2Division of Pediatric Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA (Accepted 27 January 2014)
To the Editor, We read with interest the article “Cardiovascular effects of 3 months of football training in overweight children examined by comprehensive echocardiography: a pilot study” from Hansen et al. (2013). They described an improvement of systolic right ventricular (RV) function in overweight children participating in vigorous 3-month football training without significantly changing the systolic left ventricular (LV) function. We completely agree with Hansen et al. (2013) that physical activity can have beneficial effects on weight control and reduce cardiovascular risks, which have been shown in adults (Nadeau, Maahs, Daniels, & Eckel, 2011). Harada, Orino, and Takada (2001) previously demonstrated alterations of cardiac function and especially an impairment of diastolic LV filling in obese children. Subsequently physical activity is stated to be an important treatment strategy as cardiac alterations in obese adolescents have been reported to be restored by aerobic interval training to normal values observed in lean participants (Ingul, Tjønna, Stolen, Stoylen, & Wisløff, 2010). The current study recorded significant changes of tricuspid annular plane systolic excursion (TAPSE) values for obese children between 8 and 12 years in the football group (2.01 ± 0.29 and 2.27 ± 0.28 at 0 months and 3 months, respectively), but not in the control group. For the convenience of the audience of Journal of Sports Sciences, we would like to mention that in our opinion a comparison of their observed TAPSE values to available normal paediatric TAPSE
values and Z-scores (Koestenberger et al., 2009) would have improved the statistical power of their analysis, considering an addressed limitation of the small sample size of the study. We would like to highlight the value of this study and thank the authors for addressing the need for careful and systematic evaluation of the RV function amongst other potential cardiac health risks in obese children. We hope that with more interesting studies like this from Hansen et al.’s (2013) determination of systolic RV function will become a helpful indicator of treatment success of training on obese children. References Hansen, P. R., Andersen, L. J., Rebelo, A. N., Brito, J., Hornstrup, T., Schmidt, J. F., … Krustrup, P. (2013). Cardiovascular effects of 3 months of football training in overweight children examined by comprehensive echocardiography: A pilot study. Journal Sports Sciences, 31, 1432–1440. Harada, K., Orino, T., & Takada, G. (2001). Body mass indexcan predict left ventricular diastolic filling in asymptomatic obese children. Pediatric Cardiology, 22, 273–278. Ingul, C. B., Tjønna, A. E., Stolen, T. O., Stoylen, A., & Wisløff, U. (2010). Impaired cardiac function among obese adolescents: Effect of aerobic interval training. Archives of Pediatric and Adolescent Medicine, 164, 852–859. Koestenberger, M., Ravekes, W., Everett, A. D., Stueger, H. P., Heinzl, B., Gamillscheg, A., … Nagel, B. (2009). Right ventricular function in infants, children and adolescents: Reference values of the tricuspid annular plane systolic excursion (TAPSE) in 640 healthy patients and calculation of z score values. Journal of the American Society of Echocardiography, 22, 715–719. Nadeau, K. J., Maahs, D. M., Daniels, S. R., & Eckel, R. H. (2011). Childhood obesity and cardiovascular disease: Links and prevention strategies. Nature Reviews Cardiology, 8, 513–525.
Correspondence: Martin Koestenberger, PhD, MD, Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Auenbruggerplatz 34/2, A-8036 Graz, Austria; Tel.: ++43 316 385 84276. E-mail: [email protected] or [email protected] © 2014 Taylor & Francis
