Browsing by Author "Lovic, D. (57205232088)"

Objectives Regular endurance training in athletes is associated with a higher maximal oxygen uptake (VO2max), a lower body fat percentage (BF%), and improved blood pressure (BP) control. However, are those adaptive changes present in athletes with higher BF%, has not been previously examined. This study aimed to evaluate the influence of the body composition to the resting and maximal BP values and cardiorespiratory functional capacity in elite athletes. Equipment and methods A total of 194 men elite athletes were examined. According to World Health Organization recommendation, athletes were divided according to BF% in 3 groups: low: ≤ 8, optimal: 9–19%, overweight: ≥ 20%. Anthropometric measurements, resting systolic (SBP) and diastolic (DBP) pressures were measured. VO2max and maximal BP were directly measured by maximal graded exercise test on treadmill until exhaustion. Results Seventy-six (39%) athletes had low BF%, 107 (55%) had optimal BF%, while 11 (5%) athletes had BF% in overweight category. The incidence of hypertension (SBP ≥ 140 and/or DBP ≥ 90 mmHg) was 4% in low BF%, 6% in optimal and 21% in the overweight group. Athletes in overweight category had significantly higher resting SBP and DBP values, and maximal DBP and lower VO2max compared to all other athletes (P < 0.001). Recovery DBP was significantly lower in low BF% group compared to all other athletes (P < 0.01). There was statistically significant negative correlation between resting SBP and VO2max values in normal BF% group (r = −0.24; P < 0.001). BF% independently predicted resting BP and HR, as well as maximal DBP and VO2max, while BMI independently predicted only maximal HR and resting DBP (P < 0.001). Optimal body composition in athletes is a strong determinant of optimal functional aerobic capacity and resting BP. BF% elevation is strong negative predictive factor for maximal oxygen uptake and resting BP. © 2017 Elsevier Masson SAS

The aim of this study was to assess the early electrocardiogram (ECG) changes induced by physical training in preadolescent elite footballers. This study included 94 preadolescent highly trained male footballers (FG) competing in Serbian Football League (minimum of 7 training hours/week) and 47 age-matched healthy male controls (less than 2 training hours/week) (CG). They were screened by ECG and echocardiography at a tertiary referral cardio center. Sokolow-Lyon index was used as a voltage electrocardiographic criterion for left ventricular hypertrophy diagnosis. Characteristic ECG intervals and voltage were compared and reference range was given for preadolescent footballers. Highly significant differences between FG and CG were registered in all ECG parameters: P-wave voltage (p < 0.001), S-wave (V1 or V2 lead) voltage (p < 0.001), R-wave (V5 and V6 lead) voltage (p < 0.001), ECG sum of S V1-2 +R V5-6 (p < 0.001), T-wave voltage (p < 0.001), QRS complex duration (p < 0.001), T-wave duration (p < 0.001), QTc interval duration (p < 0.001), and R/T ratio (p < 0.001). No differences were found in PQ interval duration between these two groups (p > 0.05). During 6-year follow-up period, there was no adverse cardiac event in these footballers. None of them expressed pathological ECG changes. Benign ECG changes are presented in the early stage of athlete's heart remodeling, but they are not related to pathological ECG changes and they should be regarded as ECG pattern of LV remodeling. © 2017 Akadémiai Kiadó, Budapest.

Background and aims: One of the objectives of the ESC-EORP EUROASPIRE V survey is to determine how well European guidelines on the management of dyslipidaemias are implemented in coronary patients. Methods: Standardized methods were used by trained technicians to collect information on 7824 patients from 130 centers in 27 countries, from the medical records and at a visit at least 6 months after hospitalization for a coronary event. All lipid measurements were performed in one central laboratory. Patients were divided into three groups: on high-intensity LDL-C-lowering-drug therapy (LLT), on low or moderate-intensity LLT and on no LLT. Results: At the time of the visit, almost half of the patients were on a high-intensity LLT. Between hospital discharge and the visit, LLT had been reduced in intensity or interrupted in 20.8% of the patients and had been started or increased in intensity in 11.7%. In those who had interrupted LLT or had reduced the intensity, intolerance to LLT and the advice of their physician were reported as the reason why in 15.8 and 36.8% of the cases, respectively. LDL-C control was better in those on a high-intensity LLT compared to those on low or moderate intensity LLT. LDL-C control was better in men than women and in patients with self-reported diabetes. Conclusions: The results of the EUROASPIRE V survey show that most coronary patients have a less than optimal management of LDL-C. More professional strategies are needed, aiming at lifestyle changes and LLT adapted to the need of the individual patient. © 2019