No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study

Schurink, Merel; Braber, Thijs L; Prakken, Niek H J; Doevendans, Pieter A.; Backx, Frank; Grobbee, D. E.; Rienks, Rienk; Nathoe, Hendrik M.; Bots, Michiel L.; Velthuis, Birgitta K.; Mosterd, Arend

doi:10.1007/s12471-017-0948-5

Cited by 7 publications

(25 citation statements)

References 29 publications

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“…Twenty studies (10,12,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(36)(37)(38)(39)(40) met the inclusion criteria by providing vascular images to motivate changes toward improving diet, physical activity or anthropometric measures. Of these, thirteen were observational studies (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) and 7 were RCTs (10,12,(36)(37)(38)(39)(40). Nineteen articles were published within 2006 to 2021, while one study was published in 1996 (Tables 2, 3).…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

“…The outcomes of interest found in the eligible studies comprised: overall diet composition ( 23 , 25 – 27 , 29 , 31 , 34 ), vegetable intake ( 34 ), fiber intake ( 32 , 37 ), fat and cholesterol intake ( 22 , 24 , 36 , 37 ), salt intake ( 24 , 32 ), consumption of processed foods ( 34 ), and amount of physical activity or exercise ( 10 , 22 , 23 , 25 – 27 , 30 – 32 , 34 , 36 , 39 ). These components were chosen due to their role as critical modifiable lifestyle factors to prevent and/or delay the development of CVD.…”

Section: Resultsmentioning

confidence: 99%

“…In the observational studies, participants were asymptomatic ( Table 2 ) and included healthy individuals ( 22 – 26 , 28 , 29 ), smokers ( 30 ), adults with at least one CVD risk factor ( 27 , 31 , 32 ), individuals with hypertension ( 33 ) and individuals with type 2 diabetes ( 34 ). Participants were recruited by contacting the study investigators directly ( 22 , 30 ), or referred by physicians ( 23 , 25 , 31 ), or a combination of the above ( 26 – 28 ), and were enrolled at routine clinic visits ( 29 , 32 , 33 ), or at hospitals ( 34 ). In one study, investigators recruited a subsample of most residents (82%) from a southern California community ( 24 ) ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Observational studies exploring the associations between provision of coronary artery and carotid calcification and changes in diet yielded mixed results. Five studies (out of seven studies) observed a positive change in overall diet measures (23,(25)(26)(27)29). Improvements in dietary fiber (32), fat (22,24) and salt (24,32) were observed.…”

Section: Qualitative and Quantitative Outcomesmentioning

confidence: 99%

“…Overall diet (23,(25)(26)(27)29) xx (31,34) Vegetable intake x (34) Intake of processed foods x (34) Fiber intake…”

Section: Outcomes Of Interest Observational Cac Observational Cus Rct...mentioning

confidence: 99%

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Provision of non-invasive coronary and carotid vascular imaging results on changes in diet and physical activity in asymptomatic adults: A scoping review

Radavelli-Bagatini¹,

Gebre²,

Kennedy³

et al. 2022

Front. Nutr.

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BackgroundAlthough a healthy diet and physical activity have been shown to prevent or delay cardiovascular disease (CVD) hospitalizations and deaths, most adults do not meet current guidelines. Provision of coronary artery calcification (CAC) and carotid ultrasound (CUS) imaging results may motivate beneficial lifestyle changes. We scoped the existing literature for studies providing non-invasive vascular imaging results and reporting diet, physical activity, and/or anthropometric measures to identify knowledge gaps and opportunities for further research.MethodsA systematic search was performed across three electronic databases, in line with PRISMA ScR guidelines and Arksey and O'Malley's scoping review framework.ResultsTwenty studies (thirteen observational and seven randomized controlled trials) examining the impact of provision of CAC/CUS imaging results on diet and/or physical activity behaviors were included. Nearly half the studies did not clearly state whether participants received dietary and physical activity advice along with vascular imaging results, and these were secondary outcomes in most studies, with data assessment and reporting being inconsistent.ConclusionWell-designed clinical trials with consistent and clear messaging based on detailed subjective and objective measures of diet and physical activity are needed to determine whether this approach may stimulate long-term dietary and physical activity change.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Qualitative and Quantitative Outcomesmentioning

confidence: 99%

“…Overall diet (23,(25)(26)(27)29) xx (31,34) Vegetable intake x (34) Intake of processed foods x (34) Fiber intake…”

Section: Outcomes Of Interest Observational Cac Observational Cus Rct...mentioning

confidence: 99%

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Provision of non-invasive coronary and carotid vascular imaging results on changes in diet and physical activity in asymptomatic adults: A scoping review

Radavelli-Bagatini¹,

Gebre²,

Kennedy³

et al. 2022

Front. Nutr.

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Coronary atherosclerosis in middle‐aged athletes: Current insights, burning questions, and future perspectives

Aengevaeren¹,

Eijsvogels²

2020

Clinical Cardiology

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Regular exercise training is considered healthy as it reduces the risk of cardiovascular events and mortality. Nevertheless, athletes are not immune to the development of cardiovascular diseases and recent studies reported a higher prevalence of coronary artery calcifications and atherosclerotic plaques in athletes compared to less active controls. These observations have raised many questions among sport scientists, sports cardiologists, amateur athletes, and the general population. For example, Are athletes (not) immune for coronary atherosclerosis? How to assess coronary atherosclerosis in athletes? What about chalk (calcified plaque) and cheese (mixed plaque)? Does exercise intensity play a role? Are there sport‐related differences? Are there sex differences? Can sports medical evaluation detect coronary atherosclerosis? Do athletes get worried? Should athletes get worried? How should athletes with coronary atherosclerosis be managed? The goal of this review is to discuss the latest scientific insights and to answer these important questions. Furthermore, we will explore potential clinical implications and point out directions for further research.

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The role of cardiac computed tomography in pre‐participation screening of mature athletes

Christou

Deligiannis

Kouidi

2021

European Journal of Sport Science

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The overwhelming majority of sports-related sudden cardiac deaths in mature athletes is attributed to coronary artery disease (CAD). Coronary plaques of mature athletes appear to be more calcified compared to sedentary individuals and thus may be more stable and less likely to be associated with an acute coronary event. Cardiac computed tomography (CT), including unenhanced CT for coronary artery calcium scoring (CACS) and contrast-enhanced coronary CT angiography, is characterized by very high negative predictive value to rule out CAD. Cardiac CT has been shown to have additional diagnostic value for detection of CAD in athletes over and above exercise electrocardiogram. Moreover, measurement of CACS possibly enables a more precise cardiovascular risk stratification of mature athletes. The main advantage of cardiac CT is its noninvasive nature. Although cardiac CT appears to increase the overall cost of cardiac examinations, this additional cost is much lower than the cost of unnecessary invasive coronary angiographies that would be performed in case of false positive results of exercise electrocardiograms. Radiation exposure may not be a major concern for the application of this modality to pre-participation screening of athletes, since recent technical advancements have resulted in low radiation dose of cardiac CT. Highlights. Coronary computed tomography angiography can be used in pre-participation screening of mature athletes to increase the negative predictive value for excluding coronary artery disease. . The identification of coronary artery calcium score = 0 in an athlete can improve risk stratification, since this athlete can be reasonably managed as an individual with low cardiovascular risk.

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No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study

Cited by 7 publications

References 29 publications

Provision of non-invasive coronary and carotid vascular imaging results on changes in diet and physical activity in asymptomatic adults: A scoping review

Provision of non-invasive coronary and carotid vascular imaging results on changes in diet and physical activity in asymptomatic adults: A scoping review

Coronary atherosclerosis in middle‐aged athletes: Current insights, burning questions, and future perspectives

The role of cardiac computed tomography in pre‐participation screening of mature athletes

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