Table 6

Echocardiographic patterns of paediatric athletes: impact of age

Parameter ≥14 years <14 years % Difference
LVIDd (mm)51.2 (50.6–51.9)*
(14; 2856) (93%)
44.3 (43.3–45.3)
(14; 872) (94%)
13.5
LVIDs (mm)32.8 (30.8–34.7)*
(5; 288) (97%)
27.6 (25.9–29.2)
(8; 363) (98%)
15.9
IVSd (mm)9.2 (8.8–9.6)*
(12; 1366) (97%)
7.8 (7.5–8.0)
(13; 787) (96%)
15.2
PWTd (mm)8.9 (8.5–9.3)*
(12; 1378) (98%)
7 (6.6–7.3)
(14; 872) (0%)
21.3
RWT0.36 (0.33–0.39)
(12; 2857) (99%)
0.35 (0.33–0.36)
(13; 787) (96%)
2.8
LVM (g)167 (153.5–180.4)*
(12; 1378) (96%)
102.3 (91.8–112.8)
(14; 872) (87%)
38.7
Ao (mm)28.9 (27.3–30.4)*
(5; 2396) (98%)
24.8 (23.7–25.8)
(6; 2420) (97%)
14.2
LAD (mm)33.3 (32.0–34.5)*
(6; 2462) (95%)
28.1 (27.0–29.2)
(8; 601) (93%)
15.6
EF (%)63.7 (59.1–68.2)
(4; 285) (99%)
67.5 (55.2–79.8)
(4; 217) (99%)
−6.0
FS (%)35.8 (33.0–38.7)
(3; 1052) (98%)
38.1 (37.0–39.2)
(6; 226) (56%)
−6.4
E Wave (m/s)0.86 (0.83–0.90)
(10; 1915) (92%)
0.72 (0.56–0.88)
(4; 480) (99%)
16.3
A Wave (m/s)0.43 (0.39–0.46)
(10; 1915) (95.3%)
E/A ratio2.2 (2.1–2.3)†
(9; 2710) (92%)
1.9 (1.9–2.0)
(5; 530) (77%)
13.6
  • Data are mean (95% CI) (number of studies; number of participants) (heterogeneity).

  • *p≤0.001, significantly greater in athletes≥14 years than in athletes <14 years.

  • †p≤0.05, significantly greater in athletes≥14 years than in athletes <14 years.

  • Ao, aortic root diameter; EF, ejection fraction; FS, fractional shortening; IVSd, interventricular septum thickness in end diastole; LAD, left atrial diameter; LVIDd, left ventricular cavity diameter in end diastole; LVIDs, left ventricular cavity diameter in end systole; LVM, left ventricular mass; PWTd, posterior wall thickness in end diastole; RWT, relative wall thickness.