سازگاری شریان کاروتید مشترک در زنان نخبه والیبالیست و بسکتبالیست بر اساس پردازش تصاویر اولتراسوند

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه بیومکانیک و آسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

2 گروه فیزیک پزشکی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران

3 گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

چکیده
هدف پژوهش حاضر بررسی اثر ورزش مزمن بر ساختار و عملکرد شریان کاروتید در زنان نخبه بسکتبالیست و والیبالیست به عنوان گروه پرخطر و کم خطر (به ترتیب) بر اساس میزان شیوع مرگ ناگهانی بین رشته های ورزشی مختلف با روشی نوین بود.20 بازیکن نخبه زن والیبالیست،20 بسکتبالیست، و20 غیر ورزشکار با میانگین و انحراف استاندارد سن 4±26 سال، قد 3.5±174 سانتیمتر، وزن 4±68 کیلوگرم و حداقل هشت سال سابقه بازی برای گروه ورزشکار به عنوان آزمودنی در این پژوهش شرکت کردند. قطر شریان کاروتید، ضخامت دیواره، تنش کششی و برشی، سرعت جریان خون، کرنش و اتساع‌پذیری با استفاده از دستگاه اولتراسوند با وضوح بالا و با کمک نرم افزار متلب مورد ارزیابی و تحلیل قرار گرفتند. نتایج نشان داد میانگین قطر شریان کاروتید، ضخامت اینتیما- مدیا، حداکثر سرعت جریان خون در فاز سیستول و حداکثر تنش برشی در گروه بسکتبالیست به‌طور معنی‌داری بیشتر از گروه کنترل بود، اما تفاوت معنی‌داری بین بسکتبالیست‌ها و والیبالیست‌ها و بین گروه والیبالیست و کنترل مشاهده نشد. قد، وزن، فشار خون سیستولیک و دیاستولیک، حداقل تنش برشی، قطر کاروتید در فاز دیاستولیک و سرعت در انتهای فاز دیاستول بین سه گروه تفاوتی نداشت. به نظر می‌رسد افزایش ضخامت دیواره شریان در بسکتبالیست‌ها یک پاسخ سیستمیک به ورزش به منظور کنترل تنش کششی و افزایش قطر شریان برای کنترل تنش برشی یک تاثیر موضعی می‌باشد. سختی شریان کاروتید در گروه بسکتبال کمتر از دو گروه دیگر بود.

کلیدواژه‌ها

موضوعات

عنوان مقاله English

The adaptability of the common carotid artery in elite female volleyball and basketball players based on the processing of ultrasonic images

نویسندگان English

Sima Mohamad Amoli 1
Heydar Sadeghi 1
Manijeh Mokhtari Dizaji 2
Hamid Rajabi 3
1 Department of Sport Biomechanics and Injuries,, Faculty of Physical Education & Sport Sciences, Kharazmi University, Tehran, Iran,
2 Department of Medical Physics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Department of Sports Physiology, Faculty of Physical Education & Sport Sciences, Kharazmi University, Tehran, Iran
چکیده English

The purpose of this study was to investigate the effects of chronic exercise on structure and function of carotid artery in elite female basketball and volleyball players as high-risk and low-risk groups (respectively) based on the prevalence of sudden death between different sports using a novel method. We recruited elite volleyball players (n=20), basketball players (n=20), and non-athlete females as control group (n = 20) with (mean age of 26±4 years, height of 174±3.5 cm, weight of 68±4 Kg and at least eight years of playing experience for the athlete group). Carotid artery diameter, wall thickness, tensile and shear stress, blood flow velocity, strain, and compliance were assessed using high-resolution ultrasound. The results showed that mean carotid artery diameter, intima-media thickness in systolic and diastolic stages, peak systole velocity, and maximum shear stress in basketball group were significantly higher than in control group, but no significant difference was observed between basketball and volleyball player groups and between volleyball and control groups. There were no significant difference in height, weight, systolic and diastolic blood pressure, minimum shear stress, carotid diameter in diastolic phase, and end diastole velocity between the three groups. It seems that the thickness change of the arterial wall in basketball group happens systemically in response to exercise and to control tensile stress. Conversely, in basketball group, localized effects are obvious with respect to the effect of exercise on arterial diameter in response to shear stress control.

کلیدواژه‌ها English

Exercise
Carotid artery
Ultrasound
Biomechanics
Athletes
1.       Green DJ, Spence A, Rowley N, Thijssen DH, Naylor LH. Vascular adaptation in athletes: is there an ‘athlete's artery’? Experimental physiology. 2012;97(3):295-304. https://doi.org/10.1113/expphysiol.2011.058826.
2.       Greenwald S. Ageing of the conduit arteries. The Journal of Pathology: A Journal of the Pathological Society of Great Britain and Ireland. 2007;211(2):157-72. https://doi.org/10.1002/path.2101
3.       Mohammadkarim A, Mokhtari-Dizaji M, Kazemian A, Saberi H. Hemodynamic analysis of radiation-induced damage in common carotid arteries by using color Doppler ultrasonography. Ultrasonography. 2018;37(1):43. https://doi.org/10.14366/usg.17016
4.       Kohn JC, Lampi MC, Reinhart-King CA. Age-related vascular stiffening: causes and consequences. Frontiers in Genetics. 2015;6:112. https://doi.org/10.3389/fgene.2015.00112.
5.       Chien S, Li S, Shyy JY. Effects of mechanical forces on signal transduction and gene expression in endothelial cells. Hypertension. 1998;31(1):162-9. https://doi.org/10.1161/01.hyp.31.1.162
6.       Davies PF. Flow-mediated endothelial mechanotransduction. Physiological Reviews. 1995;75(3):519-60  DOI: 10.1152/physrev.1995.75.3.519
7.       Sardeli AV, Gáspari AF, Chacon-Mikahil MP. Acute, short-, and long-term effects of different types of exercise in central arterial stiffness: a systematic review and meta-analysis. The Journal of Sports Medicine and Physical Fitness. 2018;58(6):923-32. https://doi.org/10.23736/s0022-4707.17.07486-2 
8.       Shibata S, Fujimoto N, Hastings JL, Carrick‐Ranson G, Bhella PS, Hearon Jr CM, et al. The effect of lifelong exercise frequency on arterial stiffness. The Journal of Physiology. 2018;596(14):2783-95. https://doi.org/10.1113/jp275301 
9.       Tozzi P, Corno A, Hayoz D. Definition of arterial compliance. American Journal of Physiology-Heart and Circulatory Physiology. 2000;278(4):H1-H407. https://doi.org/10.1152/ajpheart.2000.278.4.h1407.
10.    Godia EC, Madhok R, Pittman J, Trocio S, Ramas R, Cabral D, et al. Carotid artery distensibility: a reliability study. Journal of Ultrasound in Medicine. 2007;26(9):1157-65. https://doi.org/10.7863/jum.2007.26.9.1157
11.    Selzer RH, Mack WJ, Lee PL, Kwong-Fu H, Hodis HN. Improved common carotid elasticity and intima-media thickness measurements from computer analysis of sequential ultrasound frames. Atherosclerosis. 2001;154(1):185-93. https://doi.org/10.1016/s0021-9150(00)00461-5
12.    Haluska BA, Jeffriess L, Mottram PM, Carlier SG, Marwick TH. A new technique for assessing arterial pressure wave forms and central pressure with tissue Doppler. Cardiovascular Ultrasound. 2007;5(1):1-11. https://doi.org/10.1186/1476-7120-5-6
13.    Ballyns JJ, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Objective sonographic measures for characterizing myofascial trigger points associated with cervical pain. Journal of Ultrasound in Medicine. 2011;30(10):1331-40. https://doi.org/10.7863/jum.2011.30.10.1331
14.    Leineweber M, Gao Y. Examining the feasibility of applying principal component analysis to detecting localized changes in mechanical properties. Journal of Biomechanics. 2015;48(2):262-8.  https://doi.org/10.1016/j.jbiomech.2014.11.037
15.    Langille BL, O'Donnell F. Reductions in arterial diameter produced by chronic decreases in blood flow are endothelium-dependent. Science. 1986;231(4736):405-7. https://doi.org/10.1126/science.3941904.
16.    Sesso HD, Paffenbarger Jr RS, Lee I-M. Physical activity and coronary heart disease in men: The Harvard Alumni Health Study. Circulation. 2000;102(9):975-80. https://doi.org/10.1161/01.cir.102.9.975.
17.    Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. New England Journal of Medicine. 2002;346(11):793-801. https://doi.org/10.1056/nejmoa011858.
18.    Thijssen DH, Black MA, Pyke KE, Padilla J, Atkinson G, Harris RA, et al. Assessment of flow-mediated dilation in humans: a methodological and physiological guideline. American Journal of Physiology-Heart and Circulatory Physiology. 2011;300(1):H2-H12. https://doi.org/10.1152/ajpheart.00471.2010.
19.    Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? Journal of the American College of Cardiology. 2003;42(11):1959-63. https://doi.org/10.1016/j.jacc.2003.03.002.
 
20.    Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Annals of Internal Medicine. 2004;141(11):829-34. https://doi.org/10.7326/0003-4819-141-11-200412070-00005.
 
21.    Bille K, Figueiras D, Schamasch P, Kappenberger L, Brenner JI, Meijboom FJ, et al. Sudden cardiac death in athletes: the Lausanne Recommendations. European Journal of Cardiovascular Prevention & Rehabilitation. 2006;13(6):859-75. https://doi.org/10.1097/01.hjr.0000238397.50341.4a.
 
22.    Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden deaths in young competitive athletes. Circulation. 2009;119(8):1085-92. https://doi.org/10.1161/circulationaha.108.804617.
 
23.    Risgaard B, Winkel BG, Jabbari R, Glinge C, Ingemann-Hansen O, Thomsen JL, et al. Sports-related sudden cardiac death in a competitive and a noncompetitive athlete population aged 12 to 49 years: data from an unselected nationwide study in Denmark. Heart rhythm. 2014;11(10):1673-81. https://doi.org/10.1016/j.hrthm.2014.05.026.
 
24.    Gujral DM, Shah BN, Chahal NS, Bhattacharyya S, Senior R, Harrington KJ, et al. Arterial stiffness as a biomarker of radiation-induced carotid atherosclerosis. Angiology. 2016;67(3):266-71. https://doi.org/10.1177/0003319715589520.
 
25.    Soleimani E, Mokhtari-Dizaji M, Saberi H, Sharif-Kashani S. A mathematical model for estimating the axial stress of the common carotid artery wall from ultrasound images. Medical & Biological Engineering & Computing. 2016;54(8):1205-15. https://doi.org/10.1007/s11517-015-1409-126.
 
26.    Rahmani-Cherati T, Mokhtari-Dizaji M, Vajhi A, Rostami A. Evaluation of statin therapy on endothelial function in hypercholesterolemic rabbits by automatic measurement of arterial wall movement using ultrasound images. Ultrasound in Medicine & Biology. 2014;40(10):2415-24. https://doi.org/10.1016/j.ultrasmedbio.2014.03.032.
27.    London GM, Pannier B, Guerin AP, Marchais SJ, Safar ME, Cuche J-L. Cardiac hypertrophy, aortic compliance, peripheral resistance, and wave reflection in end-stage renal disease. Comparative effects of ACE inhibition and calcium channel blockade. Circulation. 1994;90(6):2786-96. https://doi.org/10.1161/01.cir.90.6.2786.
28.    Rajkumar C, Cameron JD, Christophidis N, Jennings GL, Dart AM. Reduced systemic arterial compliance is associated with left ventricular hypertrophy and diastolic dysfunction in older people. Journal of the American Geriatrics Society. 1997;45(7):803-8. https://doi.org/10.1111/j.1532-5415.1997.tb01505.x
29.    Rowley NJ, Dawson EA, Hopman M, George KP, Whyte GP, Thijssen D, et al. Conduit diameter and wall remodeling in elite athletes and spinal cord injury. Med Sci Sports Exerc.2012;44(5):844-9. https://doi.org/10.1249/mss.0b013e31823f6887
30.    Rafati R, Mokhtari-Dizaji M, Saberi H, Chegini H. The effect of reactive artery hyperaemia on the radial strain of the brachial artery: Definition of optimum cuff position. Physiol Pharmacol 2008; 12 (1) :52-59. http://ppj.phypha.ir/article-1-111-en.html
31.    Thijssen D, De Groot P, Smits P, Hopman M. Vascular adaptations to 8‐week cycling training in older men. Acta Physiologica. 2007;190(3):221-8. https://doi.org/10.1111/j.1748-1716.2007.01685.x.
32.    Otsuki T, Maeda S, Iemitsu M, Saito Y, Tanimura Y, Ajisaka R, et al. Relationship between arterial stiffness and athletic training programs in young adult men. American Journal of Hypertension. 2007;20(9):967-73. https://doi.org/10.1016/j.amjhyper.2007.05.001.
33.    Sell DR, Monnier VM. Molecular basis of arterial stiffening: role of glycation–a mini-review. Gerontology. 2012;58(3):227-37. https://doi.org/10.1159/000334668.
34.    Seals DR, DeSouza CA, Donato AJ, Tanaka H. Habitual exercise and arterial aging. Journal of Applied Physiology. 2008;105(4):1323-32. https://doi.org/10.1152/japplphysiol.90553.2008.
35.    Kakiyama T, Sugawara J, Murakami H, Maeda S, Kuno S, Matsuda M. Effects of short-term endurance training on aortic distensibility in young males. Medicine and Science in Sports and Exercise. 2005;37(2):267-71. https://doi.org/10.1249/01.mss.0000152733.12578.5a.
36.    Tordi N, Colin E, Mourot L, Bouhaddi M, Regnard J, Laurant P. Effects of resuming endurance training on arterial stiffness and nitric oxide production during exercise in elite cyclists. Applied Physiology, Nutrition, and Metabolism. 2006;31(3):244-9. https://doi.org/10.1139/h05-033.
37.    Rowley NJ, Dawson EA, Hopman MT, George KP, Whyte GP, Thijssen DH, et al. Conduit diameter and wall remodeling in elite athletes and spinal cord injury. Medicine & Science in Sports & Exercise. 2012;44(5):844-9. https://doi.org/10.1249/mss.0b013e31823f6887.
38.    Otsuki T, Maeda S, Iemitsu M, Saito Y, Tanimura Y, Ajisaka R, et al. Effects of athletic strength and endurance exercise training in young humans on plasma endothelin-1 concentration and arterial distensibility. Experimental Biology and Medicine. 2006;231(6):789-93. https://doi.org/10.1016/j.amjhyper.2007.05.001.
39.    Kawano H, Tanaka H, Miyachi M. Resistance training and arterial compliance: keeping the benefits while minimizing the stiffening. Journal of Hypertension. 2006;24(9):1753-9. https://doi.org/10.1097/01.hjh.0000242399.60838.14.
40.    Maeda S, Tanabe T, Miyauchi T, Otsuki T, Sugawara J, Iemitsu M, et al. Aerobic exercise training reduces plasma endothelin-1 concentration in older women. Journal of Applied Physiology. 2003;95(1):336-41. https://doi.org/10.1152/japplphysiol.01016.2002.
41.    Cook JN, DeVan AE, Schleifer JL, Anton MM, Cortez-Cooper MY, Tanaka H. Arterial compliance of rowers: implications for combined aerobic and strength training on arterial elasticity. American Journal of Physiology-Heart and Circulatory Physiology. 2006;290(4):H1596-H600. https://doi.org/10.1152/ajpheart.01054.2005.
42.    Liu H-B, Yuan W-X, Qin K-R, Hou J. Acute effect of cycling intervention on carotid arterial hemodynamics: basketball athletes versus sedentary controls. Biomedical Engineering Online. 2015;14(1):1-13. https://doi.org/10.1186/1475-925x-14-s1-s17.
43.    Mackenzie I, Wilkinson I, Cockcroft J. Assessment of arterial stiffness in clinical practice. Qjm. 2002;95(2):67-74.
44.    Mayet J, Stanton AV, Chapman N, Foale RA, Hughes AD, Thom SAM. Is carotid artery intima-media thickening a reliable marker of early atherosclerosis? Journal of Cardiovascular Risk. 2002;9(2):77-81. https://doi.org/10.1177/174182670200900202.
45.    Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension. Arterial Hypertension. 2013;17(2):69-168. https://doi.org/10.1097/hjh.0b013e3282f0580f.
دوره 18، شماره 47
بهار 1405
صفحه 57-40

  • تاریخ دریافت 06 اردیبهشت 1401
  • تاریخ بازنگری 08 مرداد 1402
  • تاریخ پذیرش 05 شهریور 1402