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Published in: BMC Pediatrics 1/2020

01-12-2020 | Research article

Scaling left ventricular mass in adolescent female soccer players

Authors: Diogo V. Martinho, João Valente-dos-Santos, Manuel J. Coelho-e-Silva, Arturo O. Gutiérrez, João P. Duarte, Pedro Lourenço-Farinha, Leonardo G. O. Luz, João Gonçalves-Santos, Dalmo R. L. Machado, Neiva Leite, Jorge Conde, Joaquim M. Castanheira, Sean P. Cumming, Lauren B. Sherar, Robert M. Malina

Published in: BMC Pediatrics | Issue 1/2020

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Abstract

Background

The aim of the study was to examine the contribution of chronological age (CA), skeletal maturation, training experience and concurrent body size descriptors, to inter-individual variance in left ventricular mass (LVM) among female adolescent soccer players.

Methods

The sample included 228 female soccer players 11.8–17.1 years. Training experience defined as years of participation in competitive soccer (range 2–9 years), was obtained by interview. Stature, body mass and skinfolds (triceps, medial calf) were measured. Fat mass was estimated; Fat-free mass was derived. LVM was assessed by echocardiography. Skeletal maturity status was as the difference of skeletal age (SA, Fels method) minus CA.

Results

Fat-free mass was the most prominent single predictor of LVM (R2 = 36.6%). It was associated with an allometric coefficient close to linearity (k = 0.924, 95%CI: 0.737 to 1.112). A significant multiplicative allometric model including body mass, fat-free mass, CA, training experience and skeletal maturity status was also obtained (R = 0.684; R2 = 46.2%).

Conclusion

Stature has limitations as a valid size descriptor of LVM. Body mass, fat-free mass, training experience, CA, body mass and skeletal maturity status were relevant factors contributing to inter-individual variability in LVM.
Literature
1.
go back to reference Malina RM, Bouchard C, Bar-Or O. Growth, maturation, and physical activity. Human Kinetics: Champaign; 2004.CrossRef Malina RM, Bouchard C, Bar-Or O. Growth, maturation, and physical activity. Human Kinetics: Champaign; 2004.CrossRef
2.
go back to reference Janz KF, Dawson JD, Mahoney LT. Predicting heart growth during puberty: the Muscatine study. Pediatrics. 2000;105:63.CrossRef Janz KF, Dawson JD, Mahoney LT. Predicting heart growth during puberty: the Muscatine study. Pediatrics. 2000;105:63.CrossRef
3.
go back to reference Dekkers C, Treiber FA, Kapuku G, Van Den Oord EJCG, Snieder H. Growth of left ventricular mass in African American and European American youth. Hypertension. 2002;39:943–51.PubMedCrossRef Dekkers C, Treiber FA, Kapuku G, Van Den Oord EJCG, Snieder H. Growth of left ventricular mass in African American and European American youth. Hypertension. 2002;39:943–51.PubMedCrossRef
5.
go back to reference George K, Sharma S, Batterham A, Whyte G, McKenna W. Allometric analysis of the association between cardiac dimensions and body size variables in 464 junior athletes. Clin Sci (Lond). 2001;100:47–54.CrossRef George K, Sharma S, Batterham A, Whyte G, McKenna W. Allometric analysis of the association between cardiac dimensions and body size variables in 464 junior athletes. Clin Sci (Lond). 2001;100:47–54.CrossRef
6.
go back to reference Dewey FE, Rosenthal D, Murphy DJ, Froelicher VF, Ashley EA. Does size matter? Clinical applications of scaling cardiac size and function for body size. Circulation. 2008;117:2279–87.PubMedCrossRef Dewey FE, Rosenthal D, Murphy DJ, Froelicher VF, Ashley EA. Does size matter? Clinical applications of scaling cardiac size and function for body size. Circulation. 2008;117:2279–87.PubMedCrossRef
7.
go back to reference Pressler A, Haller B, Scherr J, Heitkamp D, Esefeld K, Boscheri A, et al. Association of body composition and left ventricular dimensions in elite athletes. Eur J Prev Cardiol. 2012;19:1194–204.PubMedCrossRef Pressler A, Haller B, Scherr J, Heitkamp D, Esefeld K, Boscheri A, et al. Association of body composition and left ventricular dimensions in elite athletes. Eur J Prev Cardiol. 2012;19:1194–204.PubMedCrossRef
8.
go back to reference Fagard RH. Athlete’s heart: a meta-analysis of the echocardiographic experience. Int J Sports Med. 1996;17(Suppl 3):140–4.CrossRef Fagard RH. Athlete’s heart: a meta-analysis of the echocardiographic experience. Int J Sports Med. 1996;17(Suppl 3):140–4.CrossRef
9.
go back to reference Scharhag J, Schneider G, Urhausen A, Rochette V, Kramann B, Kindermann W. Athlete’s heart: right and left ventricular mass and function in male endurance athletes and untrained individuals determined by magnetic resonance imaging. J Am Coll Cardiol. 2002;40:1856–63.PubMedCrossRef Scharhag J, Schneider G, Urhausen A, Rochette V, Kramann B, Kindermann W. Athlete’s heart: right and left ventricular mass and function in male endurance athletes and untrained individuals determined by magnetic resonance imaging. J Am Coll Cardiol. 2002;40:1856–63.PubMedCrossRef
10.
go back to reference Haykowsky MJ, Samuel TJ, Nelson MD, La Gerche A. Athlete’s heart: is the Morganroth hypothesis obsolete? Heart Lung Circ. 2018;27:1037–41.PubMedCrossRef Haykowsky MJ, Samuel TJ, Nelson MD, La Gerche A. Athlete’s heart: is the Morganroth hypothesis obsolete? Heart Lung Circ. 2018;27:1037–41.PubMedCrossRef
11.
go back to reference Demirelli S, Sam CT, Ermis E, Degirmenci H, Sen I, Arisoy A, et al. Long-term cardiac remodeling in elite athletes: assessment by tissue Doppler and speckle tracking echocardiography. Echocardiography. 2015;32:1367–73.PubMedCrossRef Demirelli S, Sam CT, Ermis E, Degirmenci H, Sen I, Arisoy A, et al. Long-term cardiac remodeling in elite athletes: assessment by tissue Doppler and speckle tracking echocardiography. Echocardiography. 2015;32:1367–73.PubMedCrossRef
13.
go back to reference George KP, Birch KM, Pennell DJ, Myerson SG. Magnetic-resonance-imaging-derived indices for the normalization of left ventricular morphology by body size. Magn Reson Imaging. 2009;27:207–13.PubMedCrossRef George KP, Birch KM, Pennell DJ, Myerson SG. Magnetic-resonance-imaging-derived indices for the normalization of left ventricular morphology by body size. Magn Reson Imaging. 2009;27:207–13.PubMedCrossRef
14.
go back to reference Giraldeau G, Kobayashi Y, Finocchiaro G, Wheeler M, Perez M, Kuznetsova T, et al. Gender differences in ventricular remodeling and function in college athletes, insights from lean body mass scaling and deformation imaging. Am J Cardiol. 2015;116:1610–6.PubMedCrossRef Giraldeau G, Kobayashi Y, Finocchiaro G, Wheeler M, Perez M, Kuznetsova T, et al. Gender differences in ventricular remodeling and function in college athletes, insights from lean body mass scaling and deformation imaging. Am J Cardiol. 2015;116:1610–6.PubMedCrossRef
15.
go back to reference Kooreman Z, Giraldeau G, Finocchiaro G, Kobayashi Y, Wheeler M, Perez M, et al. Athletic remodeling in female college athletes, the “Morganroth hypothesis” revisited. Clin J Sport Med. 2018;29:224–31.CrossRef Kooreman Z, Giraldeau G, Finocchiaro G, Kobayashi Y, Wheeler M, Perez M, et al. Athletic remodeling in female college athletes, the “Morganroth hypothesis” revisited. Clin J Sport Med. 2018;29:224–31.CrossRef
16.
go back to reference Valente-Dos-Santos J, Coelho-e-Silva MJ, Vaz V, Figueiredo AJ, Castanheira J, Leite N, et al. Ventricular mass in relation to body size, composition, and skeletal age in adolescent athletes. Clin J Sport Med. 2013;23:293–9.PubMedCrossRef Valente-Dos-Santos J, Coelho-e-Silva MJ, Vaz V, Figueiredo AJ, Castanheira J, Leite N, et al. Ventricular mass in relation to body size, composition, and skeletal age in adolescent athletes. Clin J Sport Med. 2013;23:293–9.PubMedCrossRef
17.
go back to reference Dai S, Harrist RB, Rosenthal GL, Labarthe DR. Effects of body size and body fatness on left ventricular mass in children and adolescents: project HeartBeat! Am J Prev Med. 2009;37(Suppl 1):97–104.CrossRef Dai S, Harrist RB, Rosenthal GL, Labarthe DR. Effects of body size and body fatness on left ventricular mass in children and adolescents: project HeartBeat! Am J Prev Med. 2009;37(Suppl 1):97–104.CrossRef
18.
go back to reference Chinali M, de Simone G, Roman MJ, Lee ET, Best LG, Howard BV, et al. Impact of obesity on cardiac geometry and function in a population of adolescents: the strong heart study. J Am Coll Cardiol. 2006;47:2267–73.PubMedCrossRef Chinali M, de Simone G, Roman MJ, Lee ET, Best LG, Howard BV, et al. Impact of obesity on cardiac geometry and function in a population of adolescents: the strong heart study. J Am Coll Cardiol. 2006;47:2267–73.PubMedCrossRef
19.
go back to reference Nevill AM, Ramsbottom R, Williams C. Scaling physiological measurements for individuals of different body size. Eur J Appl Physiol Occup Physiol. 1992;65:110–7.PubMedCrossRef Nevill AM, Ramsbottom R, Williams C. Scaling physiological measurements for individuals of different body size. Eur J Appl Physiol Occup Physiol. 1992;65:110–7.PubMedCrossRef
20.
go back to reference Nevill AM, Holder RL. Modelling maximum oxygen uptake-a case-study in non-linear regression model formulation and comparison. J R Stat Soc Ser C Appl Stat. 1994;43:653–66. Nevill AM, Holder RL. Modelling maximum oxygen uptake-a case-study in non-linear regression model formulation and comparison. J R Stat Soc Ser C Appl Stat. 1994;43:653–66.
21.
go back to reference de Simone G, Daniels SR, Devereux RB, Meyer RA, Roman MJ, de Divitiis O, et al. Left ventricular mass and body size in normotensive children and adults: assessment of allometric relations and impact of overweight. J Am Coll Cardiol. 1992;20:1251–60.PubMedCrossRef de Simone G, Daniels SR, Devereux RB, Meyer RA, Roman MJ, de Divitiis O, et al. Left ventricular mass and body size in normotensive children and adults: assessment of allometric relations and impact of overweight. J Am Coll Cardiol. 1992;20:1251–60.PubMedCrossRef
22.
go back to reference Malina RM, Geithner CA. Body composition of young athletes. Am J Lifestyle Med. 2011;5:262–78.CrossRef Malina RM, Geithner CA. Body composition of young athletes. Am J Lifestyle Med. 2011;5:262–78.CrossRef
23.
go back to reference Malina RM, Figueiredo AJ, Coelho-E-Silva MJ. Body size of male youth soccer players: 1978-2015. Sports Med. 2017;47:1983–92.PubMedCrossRef Malina RM, Figueiredo AJ, Coelho-E-Silva MJ. Body size of male youth soccer players: 1978-2015. Sports Med. 2017;47:1983–92.PubMedCrossRef
24.
go back to reference Valente-dos-Santos J, Sherar L, Coelho-E-Silva MJ, Pereira JR, Vaz V, Cupido-Dos-Santos A, et al. Allometric scaling of peak oxygen uptake in male roller hockey players under 17 years old. Appl Physiol Nutr Metab. 2013;38:390–5.PubMedCrossRef Valente-dos-Santos J, Sherar L, Coelho-E-Silva MJ, Pereira JR, Vaz V, Cupido-Dos-Santos A, et al. Allometric scaling of peak oxygen uptake in male roller hockey players under 17 years old. Appl Physiol Nutr Metab. 2013;38:390–5.PubMedCrossRef
25.
go back to reference Roche AF, Thissen D, Chumlea W. Assessing the skeletal maturity of the hand-wrist: Fels method. Charles C Thomas: Springfield, Illinois; 1988. Roche AF, Thissen D, Chumlea W. Assessing the skeletal maturity of the hand-wrist: Fels method. Charles C Thomas: Springfield, Illinois; 1988.
26.
27.
go back to reference Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Human Kinetics: Champaign, Illinois; 1988. Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Human Kinetics: Champaign, Illinois; 1988.
28.
go back to reference Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60:709–23.PubMed Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60:709–23.PubMed
29.
go back to reference Castanheira J, Valente-Dos-Santos J, Costa D, Martinho D, Fernandes J, Duarte J, et al. Cardiac remodeling indicators in adolescent athletes. Rev Assoc Med Bras. 2017;63:427–34.PubMedCrossRef Castanheira J, Valente-Dos-Santos J, Costa D, Martinho D, Fernandes J, Duarte J, et al. Cardiac remodeling indicators in adolescent athletes. Rev Assoc Med Bras. 2017;63:427–34.PubMedCrossRef
30.
go back to reference Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I, et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986;57:450–8.PubMedCrossRef Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I, et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986;57:450–8.PubMedCrossRef
31.
go back to reference Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s guidelines and standards committee and the chamber quantification writing group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18:1440–63.PubMedCrossRef Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s guidelines and standards committee and the chamber quantification writing group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18:1440–63.PubMedCrossRef
32.
go back to reference Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41:3–13.PubMedCrossRef Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41:3–13.PubMedCrossRef
33.
go back to reference Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11. 2002;246:1–190. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11. 2002;246:1–190.
34.
go back to reference Malina RM, Pena Reyes ME, Eisenmann JC, Horta L, Rodrigues J, Miller R. Height, mass and skeletal maturity of elite Portuguese soccer players aged 11-16 years. J Sports Sci. 2000;18:685–93.PubMedCrossRef Malina RM, Pena Reyes ME, Eisenmann JC, Horta L, Rodrigues J, Miller R. Height, mass and skeletal maturity of elite Portuguese soccer players aged 11-16 years. J Sports Sci. 2000;18:685–93.PubMedCrossRef
35.
go back to reference Coelho E, Silva MJ, Figueiredo AJ, Simoes F, Seabra A, Natal A, Vaeyens R, et al. Discrimination of u-14 soccer players by level and position. Int J Sports Med. 2010;31:790–6.CrossRef Coelho E, Silva MJ, Figueiredo AJ, Simoes F, Seabra A, Natal A, Vaeyens R, et al. Discrimination of u-14 soccer players by level and position. Int J Sports Med. 2010;31:790–6.CrossRef
36.
go back to reference Malina RM, Coelho E, Silva MJ, Figueiredo AJ, Carling C, Beunen GP. Interrelationships among invasive and non-invasive indicators of biological maturation in adolescent male soccer players. J Sports Sci. 2012;30:1705–17.PubMedCrossRef Malina RM, Coelho E, Silva MJ, Figueiredo AJ, Carling C, Beunen GP. Interrelationships among invasive and non-invasive indicators of biological maturation in adolescent male soccer players. J Sports Sci. 2012;30:1705–17.PubMedCrossRef
37.
go back to reference Valente-Dos-Santos J, Coelho-E-Silva MJ, Tavares OM, Brito J, Seabra A, Rebelo A, et al. Allometric modelling of peak oxygen uptake in male soccer players of 8-18 years of age. Ann Hum Biol. 2015;42:125–33.PubMedCrossRef Valente-Dos-Santos J, Coelho-E-Silva MJ, Tavares OM, Brito J, Seabra A, Rebelo A, et al. Allometric modelling of peak oxygen uptake in male soccer players of 8-18 years of age. Ann Hum Biol. 2015;42:125–33.PubMedCrossRef
38.
go back to reference Watson AM, Coutinho C, Haraldsdottir K, Brickson S, Dunn W, Eldridge M. In-season changes in ventricular morphology and systolic function in adolescent female athletes. Eur J Sport Sci. 2018;18:534–40.PubMedCrossRef Watson AM, Coutinho C, Haraldsdottir K, Brickson S, Dunn W, Eldridge M. In-season changes in ventricular morphology and systolic function in adolescent female athletes. Eur J Sport Sci. 2018;18:534–40.PubMedCrossRef
39.
go back to reference Csajagi E, Szauder I, Major Z, Pavlik G. Left ventricular morphology in different periods of the training season in elite young swimmers. Pediatr Exerc Sci. 2015;27:185–91.PubMedCrossRef Csajagi E, Szauder I, Major Z, Pavlik G. Left ventricular morphology in different periods of the training season in elite young swimmers. Pediatr Exerc Sci. 2015;27:185–91.PubMedCrossRef
40.
go back to reference Naylor LH, George K, O’Driscoll G, Green DJ. The athlete’s heart: a contemporary appraisal of the “Morganroth hypothesis”. Sports Med. 2008;38:69–90.PubMedCrossRef Naylor LH, George K, O’Driscoll G, Green DJ. The athlete’s heart: a contemporary appraisal of the “Morganroth hypothesis”. Sports Med. 2008;38:69–90.PubMedCrossRef
41.
go back to reference Petek BJ, Wasfy MM. Cardiac adaption to exercise training: the female athlete. Curr Treat Options Cardiovasc Med. 2018;20:68.PubMedCrossRef Petek BJ, Wasfy MM. Cardiac adaption to exercise training: the female athlete. Curr Treat Options Cardiovasc Med. 2018;20:68.PubMedCrossRef
42.
go back to reference Pela G, Crocamo A, Li Calzi M, Gianfreda M, Gioia MI, Visioli F, et al. Sex-related differences in left ventricular structure in early adolescent non-professional athletes. Eur J Prev Cardiol. 2016;23:777–84.PubMedCrossRef Pela G, Crocamo A, Li Calzi M, Gianfreda M, Gioia MI, Visioli F, et al. Sex-related differences in left ventricular structure in early adolescent non-professional athletes. Eur J Prev Cardiol. 2016;23:777–84.PubMedCrossRef
43.
go back to reference Batterham AM, George KP, Mullineaux DR. Allometric scaling of left ventricular mass by body dimensions in males and females. Med Sci Sports Exerc. 1997;29:181–6.PubMedCrossRef Batterham AM, George KP, Mullineaux DR. Allometric scaling of left ventricular mass by body dimensions in males and females. Med Sci Sports Exerc. 1997;29:181–6.PubMedCrossRef
44.
go back to reference Welsman JR, Armstrong N. Scaling for size: relevance to understanding effects of growth on performance. In: Hebestreit H, Bar-Or, editors. editors The Young Athlete. Oxford: Blackwell; 2008. p. 50–62. Welsman JR, Armstrong N. Scaling for size: relevance to understanding effects of growth on performance. In: Hebestreit H, Bar-Or, editors. editors The Young Athlete. Oxford: Blackwell; 2008. p. 50–62.
45.
go back to reference Valente-Dos-Santos J, Coelho-E-Silva MJ, Ferraz A, Castanheira J, Ronque ER, Sherar LB, et al. Scaling left ventricular mass in adolescent boys aged 11-15 years. Ann Hum Biol. 2014;41:465–8.PubMedCrossRef Valente-Dos-Santos J, Coelho-E-Silva MJ, Ferraz A, Castanheira J, Ronque ER, Sherar LB, et al. Scaling left ventricular mass in adolescent boys aged 11-15 years. Ann Hum Biol. 2014;41:465–8.PubMedCrossRef
46.
go back to reference Beunen GP, Malina RM, Lefevre JA, Claessens AL, Renson R, Vanreusel B. Adiposity and biological maturity in girls 6-16 years of age. Int J Obes Relat Metab Disord. 1994;18:542–6.PubMed Beunen GP, Malina RM, Lefevre JA, Claessens AL, Renson R, Vanreusel B. Adiposity and biological maturity in girls 6-16 years of age. Int J Obes Relat Metab Disord. 1994;18:542–6.PubMed
47.
go back to reference Werneck AO, Conde J, Coelho-E-Silva MJ, Pereira A, Costa DC, Martinho D, et al. Allometric scaling of aerobic fitness outputs in school-aged pubertal girls. BMC Pediatr. 2019;19:96.PubMedPubMedCentralCrossRef Werneck AO, Conde J, Coelho-E-Silva MJ, Pereira A, Costa DC, Martinho D, et al. Allometric scaling of aerobic fitness outputs in school-aged pubertal girls. BMC Pediatr. 2019;19:96.PubMedPubMedCentralCrossRef
48.
go back to reference Coelho E, Silva MJ, Figueiredo AJ, Moreira Carvalho H, Malina RM. Functional capacities and sport-specific skills of 14-to 15-year-old male basketball players: size and maturity effects. Eur J Sport Sci. 2008;8:277–85.CrossRef Coelho E, Silva MJ, Figueiredo AJ, Moreira Carvalho H, Malina RM. Functional capacities and sport-specific skills of 14-to 15-year-old male basketball players: size and maturity effects. Eur J Sport Sci. 2008;8:277–85.CrossRef
49.
go back to reference Emmonds S, Morris R, Murray E, Robinson C, Turner L, Jones B. The influence of age and maturity status on the maximum and explosive strength characteristics of elite youth female soccer players. Sci Med Footb. 2017;1:209–15.CrossRef Emmonds S, Morris R, Murray E, Robinson C, Turner L, Jones B. The influence of age and maturity status on the maximum and explosive strength characteristics of elite youth female soccer players. Sci Med Footb. 2017;1:209–15.CrossRef
50.
go back to reference Malina RM, Koziel SM. Validation of maturity offset in a longitudinal sample of polish girls. J Sports Sci. 2014;32:1374–82.PubMedCrossRef Malina RM, Koziel SM. Validation of maturity offset in a longitudinal sample of polish girls. J Sports Sci. 2014;32:1374–82.PubMedCrossRef
51.
go back to reference Malina RM, Choh AC, Czerwinski SA, Chumlea WC. Validation of maturity offset in the Fels longitudinal study. Pediatr Exerc Sci. 2016;28:439–55.PubMedCrossRef Malina RM, Choh AC, Czerwinski SA, Chumlea WC. Validation of maturity offset in the Fels longitudinal study. Pediatr Exerc Sci. 2016;28:439–55.PubMedCrossRef
52.
go back to reference Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE. Sudden death in young athletes. Circulation. 1980;62:218–29.PubMedCrossRef Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE. Sudden death in young athletes. Circulation. 1980;62:218–29.PubMedCrossRef
53.
go back to reference Maron BJ, Epstein SE, Roberts WC. Causes of sudden death in competitive athletes. J Am Coll Cardiol. 1986;7:204–14.PubMedCrossRef Maron BJ, Epstein SE, Roberts WC. Causes of sudden death in competitive athletes. J Am Coll Cardiol. 1986;7:204–14.PubMedCrossRef
54.
go back to reference Burke AP, Farb A, Virmani R, Goodin J, Smialek JE. Sports-related and non-sports-related sudden cardiac death in young adults. Am Heart J. 1991;121:568–75.PubMedCrossRef Burke AP, Farb A, Virmani R, Goodin J, Smialek JE. Sports-related and non-sports-related sudden cardiac death in young adults. Am Heart J. 1991;121:568–75.PubMedCrossRef
55.
go back to reference Maron BJ, Isner JM, McKenna WJ. 26th Bethesda conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Task force 3: hypertrophic cardiomyopathy, myocarditis and other myopericardial diseases and mitral valve prolapse. J Am Coll Cardiol. 1994;24:880–5.PubMedCrossRef Maron BJ, Isner JM, McKenna WJ. 26th Bethesda conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Task force 3: hypertrophic cardiomyopathy, myocarditis and other myopericardial diseases and mitral valve prolapse. J Am Coll Cardiol. 1994;24:880–5.PubMedCrossRef
56.
go back to reference Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ. Physiologic limits of left ventricular hypertrophy in elite junior athletes: relevance to differential diagnosis of athlete’s heart and hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;40:1431–6.PubMedCrossRef Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ. Physiologic limits of left ventricular hypertrophy in elite junior athletes: relevance to differential diagnosis of athlete’s heart and hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;40:1431–6.PubMedCrossRef
57.
go back to reference Lozano-Berges G, Matute-Llorente A, Gomez-Bruton A, Gonzalez-Aguero A, Vicente-Rodriguez G, Casajus JA. Accurate prediction equation to assess body fat in male and female adolescent football players. Int J Sport Nutr Exerc Metab. 2019;29:297–302.PubMedCrossRef Lozano-Berges G, Matute-Llorente A, Gomez-Bruton A, Gonzalez-Aguero A, Vicente-Rodriguez G, Casajus JA. Accurate prediction equation to assess body fat in male and female adolescent football players. Int J Sport Nutr Exerc Metab. 2019;29:297–302.PubMedCrossRef
Metadata
Title
Scaling left ventricular mass in adolescent female soccer players
Authors
Diogo V. Martinho
João Valente-dos-Santos
Manuel J. Coelho-e-Silva
Arturo O. Gutiérrez
João P. Duarte
Pedro Lourenço-Farinha
Leonardo G. O. Luz
João Gonçalves-Santos
Dalmo R. L. Machado
Neiva Leite
Jorge Conde
Joaquim M. Castanheira
Sean P. Cumming
Lauren B. Sherar
Robert M. Malina
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2020
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-020-02043-7

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