24-07-2008

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ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri

 

ORIGINAL RESEARCH ARTICLES


Isotonic Exercise Reduces Aortic Stiffness

Dr. Halil TANRIVERDİ,a Dr. Harun EVRENGÜL,aDr. Dursun DURSUNOĞLU,aDr. Tolga YAYLALI,aDr. Asuman KAFTANa
aKardiyoloji AD, Pamukkale Üniversitesi Tıp Fakültesi, DENİZLİ



Objective: The structural characteristics of a healthy athlete’s heart are quite different from those of normal individuals. Exercise induces hypertrophy in heart muscle as a normal biologic response to increased workload. The elastic properties of the aorta are important predictors of left ventricular structure and function. There is a paucity of studies in the literature on the effect of exercise on aortic stiffness. Our aim was to investigate the long-term effects of regular exercise on the elastic properties of the aorta.
Material and Methods: Fifty-six athletes (43 male and 13 female, mean age 23 ± 1.7) and 46 sedentary subjects (36 male and 10 female, mean age 22.5 ± 1.5) were recruited. All subjects underwent physical examination and echocardiography study. Aortic root motion was measured during systole and diastole. Aortic stiffness, distensibility, and strain parameters-all indicators of aortic elasticity -- were calculated.
Results: Left ventricular mass index and ejection fraction were found to be higher in athletes than in controls (p< 0.001). Aortic distensibility index and strain parameters were likewise increased in athletes when compared to controls (5.8 ± 2.7 vs 4.7 ± 1.8 cm-2dyn-110-6, p< 0.05, 12.3 ± 2.4 vs 9.3 ± 3.1, p< 0.001, respectively). However, the aortic stiffness index was found to be lower in athletes than in controls (4.8 ± 1.9 vs 6.1 ± 2.1, p< 0.001).
Conclusion: Long-term regular exercise reduces aortic stiffness and thereby increases aortic elasticity. This finding might provide one explanation for the positive effects of regular exercise on left ventricular functions.


Keywords: Exercise, aorta

Turkiye Klinikleri J Med Sci 2005, 25:501-505

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