MORPHOFUNCTIONAL BASIS OF HIGH FUNCTIONAL CAPABILITIES OF ATHLETES IN THE LIGHT OF A SIMPLIFIED FOREIGN CLASSIFICATION OF SPORTS. Part 2

  • A. Sharykin Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia https://orcid.org/0000-0002-5378-7316 sharykin1947@mail.ru
  • V. Badtieva Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; I.M. Sechenov First Moscow State Medical University, Moscow, Russia https://orcid.org/0000-0003-4291-679X vbadtieva@gmail.com
  • V. Pavlov Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia http://orcid.org/0000-0001-5131-7401 mnpcsm@mail.ru
  • Y. Ivanova Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia https://orcid.org/0000-0002-4616-8322 ivanovaum@mail.ru
  • D. Usmanov Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia https://orcid.org/0000-0003-1129-8271 damirmed@mail.ru
Keywords: athletes, A. Pelliccia classification, heart remodeling, left ventricular myocardial hypertrophy, VO2 Peak

Abstract

Aim. To identify morphological changes of the heart and physiological capabilities of athletes in different sports. Materials and methods. The sample involved 2647 national-level athletes. In 1917 of them, echocardiographic data were compared with the results of a cardiopulmonary test. Results. The main trend was increased frequency and magnitude of eccentric LV hypertrophy, as well as increased VO2 peak, VO2 anaerobic threshold, and performance capacity values from the first to the fourth group. The proportion of people with signs of left ventricular remodeling varied between groups, ranging from 14.4 to 45%. The greatest correlation with functional parameters was associated not with the linear characteristics of the left ventricle but with the volume ones indexed by the BSA. Conclusion. The A. Pelliccia classification reflects general patterns of heart remodeling in athletes. However, their quantitative expression is subject to significant fluctuations, and therefore, its application to athletes below the international level should be limited. It is advisable to evaluate the dimensions of the heart according to the centile values obtained for each of the classification groups.

Author Biographies

A. Sharykin , Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia

Doctor of Medical Sciences, Cardiologist, Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Leading Researcher, Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia.

V. Badtieva , Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Doctor of Medical Sciences, Corresponding Member of the Russian Aca­demy of Sciences, Head of Branch No. 1, Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology, I.M. Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia.

V. Pavlov , Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia

Doctor of Medical Sciences, Head of the Department of Functional Diagnostics, Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia.

Y. Ivanova , Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia

Candidate of Medical Sciences, Doctor of the Department of Functional Diagnostics and Sports Medicine, Moscow Research and Practical Center for Medical Rehabilitation, Resto­rative and Sports Medicine of Moscow Health Care Department, Moscow, Russia.

D. Usmanov , Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia

Postgraduate Student, Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Care Department, Moscow, Russia; Sports Medicine Doctor, Federal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical and Biological Agency, Moscow, Russia.

References

References on translit

Published
2024-01-19
How to Cite
Sharykin, A., Badtieva, V., Pavlov, V., Ivanova, Y., & Usmanov, D. (2024). MORPHOFUNCTIONAL BASIS OF HIGH FUNCTIONAL CAPABILITIES OF ATHLETES IN THE LIGHT OF A SIMPLIFIED FOREIGN CLASSIFICATION OF SPORTS. Part 2. Human. Sport. Medicine, 23(4), 31-39. https://doi.org/10.14529/hsm230404
Section
Physiology