CClinicalTrials.gg
CompletedNCT03656861Updated Sep 5, 2018

Lithuanian Atletes' Aortic Diameter

An observational study in Sports Accident and Athletes Heart, sponsored by Agne Slapsinskaite. Completed. Open to participants aged 16 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-09-05.

Sponsored by Agne Slapsinskaite · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Retrospective
Enrollment
151
Ages
16 Years to 35 Years
Sex
All
01

Study summary

Recent developments in football have seen the sudden death of young football player due to aortic rupture hence reinforcing the controversy of football as a field with substantial risk for sudden cardiac arrest and death. Moreover, there is an argument that aortic dilatation and the subsequent event of thoracic aortic aneurysm may be an occupational disease due to the nature of some vocations (i.e., military and security personnel, blue collar workers, weightlifters, athletes etc.). Of particular importance, there is some evidence that elite athletic training is associated with small but significantly larger aortic root diameter. The purpose of this study was to investigate aortic root adaptation to physical workload and to determine if aortic root's and left ventricle sizes are contingent upon the physical workload

Read the detailed description

A preliminary data was collected from a total of 944 subjects in Kaunas Sports Medicine Centre during the recruiting period in 2014-2015. Final data analysis consisted of 151 Caucasian subjects who met the inclusion criteria.

All subjects underwent two-dimensional (2D) transthoracic echocardiography (TTE) procedure. Prior to performing 2D TTE, subjects' arterial blood pressure, heart rate, height, weight, and self-reported physical activity levels were measured.

The Ultrasound system CX50 (Philips Ultrasound, Philips Healthcare, Philips Medical Systems Nederland, USA) - with transducer S5-1 was used in this study. Two physicians performed 2D TTE and averages for all variables of interest were computed. The measurements of aortic root and the left ventricle were drawn upon the guidelines of the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

The maximal diameter of the sinuses of Valsalva was measured at end-diastole, in a strictly perpendicular plane to that of the long axis of the aorta using the edge to leading edge (L-L) convention. The aortic annulus was measured at midsystole from inner edge to inner edge (I-I). This was done in order to obtain the rounder shape and bigger diameter of aortic annulus.

02

Conditions studied

  • Sports Accident
  • Athletes Heart

Keywords

  • Aortic Valve
  • Sinus of Valsalva
  • Echocardiography
  • Sudden cardiac death
03

In context

Lead sponsor

This is the only study on the registry with Agne Slapsinskaite as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The subjects were divided into groups according to gender (i.e., female, male), physical activity (i.e., athletes, non-athletes) and physical activity type (i.e., strength and endurance sports). Of the 151 subjects, 122 were athletes (41 females and 81 males) and 29 were non-athletes (14 females and 15 males). Of the 41 female athletes, 32 were endurance athletes, and 9 strength athletes. From 81 male athletes, 56 were endurance athletes, and 25 were strength athletes.

Inclusion criteria

  • A total of 2D transthoracic echocardiography performed in Kaunas Sports Medicine Centre 2014-2015.
  • Age range 16- 35 years, given the literature definition of 'young' and 'old' athletes as \< 35 and > 35 years.
  • Physical activity levels (athletes or non-athletes). Individuals who participated in sports for more than 4 years and 4.5 hours per week were included in the group of athletes. Individual who were active for less than 4 years and/or 4.5 hours per week were classified as non-athletes.
  • Physical activity type (endurance and strength sports).
  • No current or previous history cardiovascular diseases.
  • No activity on the test day.
  • Consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • No 2D transthoracic echocardiography.
  • Age below 16 or over 35.
  • Involvement in sports for less than 4 years and 4.5 hours per week.
  • Sports branches not included in the list of endurance or strength sports (i.e., sprint, high jump, etc.).
  • Cardiovascular disease (i.e., hypertonic disease, Marfan syndrome, bicuspid aortic valve, detected cardiomyopathy, etc.).
  • Physical activity on the echocardiography test day.
  • No content to participate in the study.
05

Study design

Observational model
Ecologic or community
Time perspective
Retrospective
Enrollment
151 participants (actual)
Patient registry
No

Groups and cohorts

  • Athletes

    122 were athletes (41 females and 81 males). Of the 41 female athletes, 32 were endurance athletes, and 9 strength athletes. From 81 male athletes, 56 were endurance athletes, and 25 were strength athletes.

    Other: Physical load

  • Non-athletes

    29 were non-athletes (14 females and 15 males)

Interventions

  • OtherPhysical load

    The impact of training on cardiac structure and function depends on the type, intensity and duration of the activity, as well as previous physical activity engagement, genetics and gender type. More knowledge about cardiac pathophysiologic training adaptation is needed.

06

What researchers measure

Primary outcomes

  1. Measurement of aortic root at aortic valve annulus (AA)

    Changes in aortic root at aortic valve annulus (AA) and at individuals.

    Time frame: Long-term adaptation more when 4 years of physical activity with 4.5 hours per week training sessions

  2. Measurement of aortic root at sinus of Valsalva (VS)

    Changes in aortic root at sinus of Valsalva (VS) individuals.

    Time frame: Long-term adaptation more when 4 years of physical activity with 4.5 hours per week training sessions

Secondary outcomes

  1. Measurement of values of the left ventricle (LV): LV end-diastolic diameter (LVEDD)

    Changes values of the left ventricle (LV): LV end-diastolic diameter (LVEDD)

    Time frame: Long-term adaptation more when 4 years of physical activity with 4.5 hours per week training sessions

  2. Measurement of values of interventricular septum thickness in diastole (IVSTd)

    Changes values of interventricular septum thickness in diastole (IVSTd)

    Time frame: Long-term adaptation more when 4 years of physical activity with 4.5 hours per week training sessions

  3. LV posterior wall thickness in diastole (LVPWTd)

    Changes values of LV posterior wall thickness in diastole (LVPWTd)

    Time frame: Long-term adaptation more when 4 years of physical activity with 4.5 hours per week training sessions

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03656861
Lead sponsor
Agne Slapsinskaite
Collaborators
Renata Žumbakytė-Šermukšnienė, Baranauskaitė Miglė, Berškienė Kristina
Responsible party
Agne Slapsinskaite (Principal Investigator, Institut Nacional d'Educacio Fisica de Catalunya) — Sponsor-investigator
First posted
Sep 4, 2018
Start date
Sep 1, 2014
Primary completion
Sep 30, 2015
Completion
Sep 30, 2015
Last update
Sep 5, 2018

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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