TY - JOUR T1 - Association between race and maladaptive concentric left ventricular hypertrophy in American-style football athletes JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 151 LP - 157 DO - 10.1136/bjsports-2021-104333 VL - 56 IS - 3 AU - Jason V Tso AU - Casey G Turner AU - Chang Liu AU - Angelo Galante AU - Carla R Gilson AU - Craig Clark AU - Herman A Taylor AU - Arshed A Quyyumi AU - Aaron L Baggish AU - Jonathan H Kim Y1 - 2022/02/01 UR - http://bjsm.bmj.com/content/56/3/151.abstract N2 - Objectives American-style football (ASF) athletes are at risk for the development of concentric left ventricular hypertrophy (C-LVH), an established cardiovascular risk factor in the general population. We sought to address whether black race is associated with acquired C-LVH in collegiate ASF athletes.Methods Collegiate ASF athletes from two National Collegiate Athletic Association Division-I programmes were recruited as freshmen between 2014 and 2019 and analysed over 3 years. Demographics (neighbourhood family income) and repeated clinical characteristics and echocardiography were recorded longitudinally at multiple timepoints. A mixed-modelling approach was performed to evaluate acquired C-LVH in black versus white athletes controlling for playing position (linemen (LM) and non-linemen (NLM)), family income, body weight and blood pressure.Results At baseline, black athletes (N=124) were more often NLM (72% vs 54%, p=0.005) and had lower median neighbourhood family income ($54 119 vs $63 146, p=0.006) compared with white athletes (N=125). While both black and white LM demonstrated similar increases in C-LVH over time, among NLM acquired C-LVH was more common in black versus white athletes (postseason year-1: N=14/89 (16%) vs N=2/68 (3%); postseason year-2: N=9/50 (18%) vs N=2/32 (6%); postseason year-3: N=8/33 (24%) vs N=1/13 (8%), p=0.005 change over time). In stratified models, black race was associated with acquired C-LVH in NLM (OR: 3.70, 95% CI 1.12 to 12.21, p=0.03) and LM was associated with acquired C-LVH in white athletes (OR: 3.40, 95% CI 1.03 to 11.27, p=0.048).Conclusions Independent of family income and changes in weight and blood pressure, black race was associated with acquired C-LVH among collegiate ASF NLM and LM was associated with acquired C-LVH in white athletes.No data are available. No data are available. The data are deidentified participant data and not available for public use. ER -