KRK
  • KRK
  • Veteran Member Topic Starter
4 years ago
I wouldn't have guessed this....comments from the Packershome medical team would be appreciated.

College Football: Literally Heartbreaking for Players?

Weight, hypertension complicit in maladaptive CV phenotype

by Nicole Lou, Contributing Writer, MedPage Today October 16, 2019

College football players in a longitudinal study tended to follow a trajectory of cardiovascular (CV) changes leading to a specific kind of adverse CV remodeling.

Over the course of 3 years of college football, after adjusting for race, height, and player position, players had significant changes from the beginning of freshman year:

Systolic blood pressure: average increase of 11.6 Mike McCarthy Hg (P<0.001)
Arterial stiffness: average pulse-wave velocity increase of 0.24 m/s (P=0.007)
Diastolic function: average decline in early diastolic myocardial relaxation velocity (E′) of 1.7 cm/s (P<0.001)
Global longitudinal strain: average decline of 0.9% (P=0.005)
Left ventricular (LV) ejection fraction: average decline of 2.9% (P<0.001)
Weight: average increase of 10.45 lbs (P<0.001)

Weight gain and increased systolic blood pressure were both independent predictors of arterial stiffening the development of concentric LV hypertrophy, according to investigators led by Jonathan Kim, MD, MS, of Emory University School of Medicine in Atlanta.

"In summary, we observed the emergence and progression of a maladaptive CV phenotype over several years of collegiate U.S. football participation," the authors noted in JAMA Cardiology. "Future work aimed at optimizing CV health in this population, who are young but uniquely at risk, is warranted."

Given that football is often the "highlight entertainment" at many universities, it's very important to understand the risks -- chronic traumatic encephalopathy being only one concern, commented Martha Gulati, MD, of the University of Arizona College of Medicine-Phoenix, who was not part of Kim's group.

"Keeping these kids safe should be our priority," she told MedPage Today. "Weight gain affects so many" -- indeed, it's a goal in most football programs, which emphasize strength training -- "and the long-term consequences may be bigger than we realize."

The study followed 186 men recruited as freshmen at one of two NCAA Division I football programs in the U.S.: Georgia Institute of Technology and Furman University. Among them, 126 had 3 complete years of college football and were therefore eligible for analysis.

Players were evenly split between black and white men. At the freshman season baseline, mean weight and systolic blood pressure were 222.9 lbs and 129.1 Mike McCarthy Hg, respectively.

Prior epidemiologic data consistently show that former professional players who held lineman positions or were obese during play experience increased CV mortality compared with the general population, Kim and colleagues noted.

It is now suggested that factors including weight gain and higher blood pressure are "more potent determinants" of which strength athletes go on to experience concentric LV remodeling, which is known to be common among this group, the investigators said.

"Importantly, the emergence of concentric LV hypertrophy, coupled with reductions in LV diastolic function and arterial stiffening, strongly suggests that this is not an adaptive response to sport but rather a form of subclinical pathology that should not be labeled athlete heart," they emphasized.

Several limitations exist for the study, however, chief among them the lack of a control group and the inability of the authors to assess football players at a senior year postseason point due to logistical challenges.

This study is "very important" as it identifies features that may distinguish between patients with LV hypertrophy of significant consequences and those for whom it may be benign, Gulati said.

"Further definition underlying the mechanism for this maladaptive cardiac phenotype needs to be done," she noted. "Certainly weight gain and hypertension are associated with this abnormal cardiac function. But there could be other variables that might contribute and be associated with these changes seen. With weight gain, can come sleep apnea. And this can have cardiac effects."

"Additionally, if these maladaptive changes are a result of weight gain, the question still remains: is it in certain people who might gain weight as fat rather than muscle? It isn't clear from this study but certainly a question for the future," according to her.

For now, Kim's team said, serial anthropometric and blood pressure measurements can be used to identify U.S. football athletes who may benefit from lifestyle counseling and guideline-based medical therapies.

Since trainers already measure weight and BMI over time, it may be beneficial to identify players who've gained weight for hypertension screening and possibly an echocardiogram to assess for any cardiovascular changes, Gulati said. "Treating elevated blood pressure with both lifestyle and medications, when appropriate, can be the simplest and most cost-effective measure that can be taken."
In Luce tua Videmus Lucem KRK
Cheesey
4 years ago
Well...I had to have open heart surgery in 2009, I have hypertension (high blood pressure).....I didn’t play college football......but watching the Packers probably GAVE me both health issues!!!😂
UserPostedImage
Fan Shout
Zero2Cool (11h) : Chase Young to sign $13M contract with Saints
Zero2Cool (11h) : Yosh to Panthers what noooo. Wait he didn't do crap
wpr (18-Mar) : I say that he is technically HER BIL as he married her sister. I checked it out, he's considered my BIL as well. Sad.
Mucky Tundra (18-Mar) : wpr, I assume its your BIL via marriage to your wife? If so, I can figure out where the smarts in the family went ;)
wpr (18-Mar) : Mucky my B-I-L is Bare Stupid. I could write a book.
Mucky Tundra (18-Mar) : As a teenager in Rockford IL I would get heckled by adults in public for wearing GB gear
Mucky Tundra (18-Mar) : if you think the online ones are bad, try *living amongst* them
Mucky Tundra (18-Mar) : Never doubt wprs loyalty. Poor guy is surrounded by Bears fans in Northern IL
wpr (17-Mar) : pass Martha. Thanks for the invite though.
Martha Careful (17-Mar) : blog * as the same ugly Illinois colors were adopted by the Baer
Martha Careful (17-Mar) : WPR, perhaps you should be joining the Bears fans blog has the same ugly Illinois colors were adopted by the Bears
Mucky Tundra (17-Mar) : Ah a fellow U of Illinois hater. I can respect that though I imagine it's for different reasons
Zero2Cool (17-Mar) : BTW. I didn't catch the game. I just hate Illinois.
Mucky Tundra (17-Mar) : They're your Big Ten Chumps and you will like it!
Zero2Cool (17-Mar) : No, not for the record. Referee's handled that BS. Orange team was trash ass
Mucky Tundra (17-Mar) : *Your* Big Ten Chumps for the record
Zero2Cool (17-Mar) : No, not Big Ten Champs. IL is big ten CHUMPS
wpr (17-Mar) : Big Ten Champs
wpr (17-Mar) : !!!
wpr (17-Mar) : INI
wpr (17-Mar) : ILL
Martha Careful (17-Mar) : Wisconsin with an outstanding on in the men’s Big Ten basketball tournament. Let’s hope it continues in the NCAAs
Zero2Cool (17-Mar) : Almost like taking QB in 2020 even if you don't need one is good move.
Mucky Tundra (16-Mar) : 2021 QB Draft class looking like a real clunker
Mucky Tundra (16-Mar) : A conditional 6th rounder? I remember Bears fans arguing they'd get a day 2 pick at worst lol
dfosterf (16-Mar) : So I got the no extension part right and the have to wait on the CW physical wrong
Zero2Cool (16-Mar) : Bears are trading Justin Fields for a 2025 6th-round pick that goes to a 4th-round pick based on playtime, per sources.
Zero2Cool (16-Mar) : Former Packer Jarrett Bush opens Wisconsin’s first blow dry bar in Green Bay
dfosterf (16-Mar) : If the Bears are not doing a deal with Washington, they also cannot trade Fields until Williams physical with them. All hail Caleb Williams!
dfosterf (16-Mar) : The talent is undeniable, but the (advertised) haul is obscene.
dfosterf (16-Mar) : If the Bears are cutting a deal with the Commanders, in either scenario, cannot happen until williams passes a Commanders physical
dfosterf (16-Mar) : My guess is no to the Fields extension, but yes to the trade back with the Commanders.
dhazer (15-Mar) : I think the Bears do a Love extension and they will trade out of the 1st pick and take the haul
Martha Careful (15-Mar) : that might make sense
Zero2Cool (15-Mar) : Justin Fields to Steelers?
Zero2Cool (15-Mar) : Kenny Pickett. Eagles. Done.
Zero2Cool (15-Mar) : They can claim best two WR tandem.
Mucky Tundra (15-Mar) : Aaron Donald retiring
dhazer (15-Mar) : Campbell signing with 49ers
dhazer (15-Mar) : I love how the Bear Fans are now claiming they have the best skill players in the NFC North lol
Zero2Cool (15-Mar) : Vikings made a move to get a 2nd first round pick
Mucky Tundra (15-Mar) : That's a not a bad deal for the Bears
Zero2Cool (15-Mar) : Bears have traded for WR Keenan Allen sending Chargers a fourth rounder.
Martha Careful (15-Mar) : *signs
Martha Careful (14-Mar) : MLB Devon White science with the Eagles
Mucky Tundra (14-Mar) : But that was before FA started
Mucky Tundra (14-Mar) : Dhaze, I thought Kurls would be their #1 target when I read that he was an Amos comp (jack of all trades guy)
dhazer (14-Mar) : I would like to see the Packers target 2 more FA still available Kamren Curl Safety and Chase Young edge
Martha Careful (14-Mar) : wow...didn't see that coming
Zero2Cool (14-Mar) : AJ Dillon re-signing with Packers.
Please sign in to use Fan Shout
2023 Packers Schedule
Sunday, Sep 10 @ 3:25 PM
Bears
Sunday, Sep 17 @ 12:00 PM
Falcons
Sunday, Sep 24 @ 12:00 PM
SAINTS
Thursday, Sep 28 @ 7:15 PM
LIONS
Monday, Oct 9 @ 7:15 PM
Raiders
Sunday, Oct 22 @ 3:25 PM
Broncos
Sunday, Oct 29 @ 12:00 PM
VIKINGS
Sunday, Nov 5 @ 12:00 PM
RAMS
Sunday, Nov 12 @ 12:00 PM
Steelers
Sunday, Nov 19 @ 12:00 PM
CHARGERS
Thursday, Nov 23 @ 11:30 AM
Lions
Sunday, Dec 3 @ 7:20 PM
CHIEFS
Monday, Dec 11 @ 7:15 PM
Giants
Sunday, Dec 17 @ 12:00 PM
BUCCANEERS
Sunday, Dec 24 @ 12:00 PM
Panthers
Sunday, Dec 31 @ 7:20 PM
Vikings
Sunday, Jan 7 @ 3:25 PM
BEARS
Sunday, Jan 14 @ 3:30 PM
Cowboys
Saturday, Jan 20 @ 7:15 PM
49ers
Recent Topics
7h / Green Bay Packers Talk / beast

16h / Green Bay Packers Talk / dfosterf

17h / Green Bay Packers Talk / beast

18-Mar / Around The NFL / Mucky Tundra

16-Mar / Random Babble / Martha Careful

16-Mar / Green Bay Packers Talk / TheKanataThrilla

15-Mar / Green Bay Packers Talk / dhazer

15-Mar / Green Bay Packers Talk / dfosterf

14-Mar / Green Bay Packers Talk / beast

14-Mar / Random Babble / Zero2Cool

14-Mar / Green Bay Packers Talk / dfosterf

13-Mar / Random Babble / Zero2Cool

13-Mar / Green Bay Packers Talk / Martha Careful

13-Mar / Green Bay Packers Talk / Martha Careful

13-Mar / Green Bay Packers Talk / beast

Headlines
Copyright © 2006 - 2024 PackersHome.com™. All Rights Reserved.