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Cardiac rhythm disturbance in athletes with cardiac connective tissue dysplasia syndrome
Shahrjerdi Sh, Smolenski A.v,
Volume 65, Issue 2 (3-2008)
Abstract
Background: Cardiac connective tissue dysplasia syndrome consists of mitral valve prolapse (MVP), anomalously located chordae tendinae of the left ventricle, or a combination of the two. MVP is marked by the displacement of an abnormally thickened mitral valve leaflet into the left atrium during systole. The nonclassic form of MVP carries a low risk of complications. Patients with severe classic MVP can suffer from mitral regurgitation (MR), infective endocarditis, and, infrequently, sudden death from cardiac arrest. Anomalously located left ventricular chordae tendinae are fibrous or fibromuscular bands that stretch across the left ventricle from the septum to the free wall. They have been associated with murmurs and arrhythmias. The purpose of this study is to assess the performance, as measured by the physical working capacity (PWC170) and maximal oxygen consumption (VO2 max), in athletes with cardiac connective tissue dysplasia syndrome.
Methods: Of the 183 male athletes studied, 158 had cardiac connective tissue dysplasia syndrome and 25 were normal, healthy controls. Their mean age was 16.23 (± 5.48) years and mean training time was 5.2 (±- 4.6) years. Athletes with cardiac connective tissue dysplasia syndrome were divided to four groups. Group 1 consisted of those with MVP Group 2 had patients with an additional cord in left ventricle Group 3 was made up of athletes with a combination of MVP and additional cord Group 4 contained athletes with a combination of MVP and MR. All sportsmen were studied by echocardiograph, veloergometer, and those with arrhythmias were studied and recorded using a Holter monitor.
Results: The most common form of this syndrome in our study groups was MVP. The PWC170and VO2 max among the athletes with the combination of MVP+MR (Group 4) was lower than that of athletes in other groups (P<0.05). The most common arrhythmia among the athletes with anomalously located left ventricular chordae, Group 2, was Wolf-Parkinson-White (WPW) syndrome and early repolarization syndrome. The PWC170 and VO2 max in athletes with WPW syndrome, was lower than the other athletes who did not have WPW syndrome (P<0.05).
Conclusion: The lowest PWC170 and VO2 max were in those athletes with a progressive abnormality. However, the PWC170 and VO2 max among athletes with anomalously located left ventricular chordae was normal. Therefore, among athletes with a combination of anomalously located left ventricular chordae and disruption of rhythm, the PWC170 and VO2 max are lower than normal.
The effect of sesamine and aerobic exercise on plasma levels of total antioxidant capacity and glutathione peroxidase in athlete men
Yousef Saberi , Bahloul Ghorbanian , Parviz Ansari ,
Volume 75, Issue 7 (10-2017)
Abstract
Background: One the ways to deal with the adverse effects of oxidative stress caused by exercise activities is to use oral antioxidant supplements or to apply natural remedies. Sesamin is the most prominent lignan compound found in sesame seeds, one of the two highest sources of lignans in the human diet (the other being flax). Sesamin is catered to be a nutritional supplement that confers antioxidant and anti-inflammatory effects or possibly being an estrogen receptor modulator and fat burner. For this purpose, the present study was conducted to evaluate the effect of 10 weeks supplementation of sesamin and aerobic exercise on plasma levels of total antioxidant capacity and glutathione peroxidase in athletic men.
Methods: In this quasi-experimental study, in Azarbayjan Shahid Madani University of Tabriz City from January to March of 2016 ,40 male subjects aged between 25 and 20 were randomly selected from placebo (10 subjects) and aerobic exercise (10 students), aerobic training+sesamin (10 people) and sesamin (10 people). The aerobic exercise protocol is (ten weeks / three days / 30-35 minutes). Blood samples were collected from subjects in six stages to evaluate the considered variables. Measurement of levels of antioxidant capacity and glutathione peroxidase measurements were conducted by the Antioxidant capacity and GPX assay kit (ZellBio, German). For data analysis, repeated measures of variance analysis at a significant level of 5 hundredths were used by employing SPSS software, version 20 (SPSS Inc., Chicago, IL, USA).
Results: Subjects who took sesamin supplementation and performed aerobic exercise showed a significant difference in the levels of total antioxidant and glutathione peroxidase capacity in the groups (P<0.05). Also, the changes in total antioxidant and peroxide levels after interference (steps 4, 5, 6) and before interference (steps 1, 2, 3) had meaningful differences in obtained results (P=0.001). Also, the interactive effects of group and time on total antioxidant capacity and glutathione peroxidase were also significant (P=0.001).
Conclusion: Aerobic exercise and supplementation of sesamin is an effective method to improve the health of mens athlete's immune system. In addition, combining supplementation with aerobic exercise can increase some of the beneficial effects of exercise during a 10-week period.

Translation, cultural adaptation, and reliability of Persian "Copenhagen hip and groin outcome score" in athletes with hip pain: brief report
Saeed Valian, Soofia Naghdi , Noureddin Nakhostin Ansari , Shohreh Jalaie , Nasser Salsabili,
Volume 76, Issue 11 (2-2019)
Abstract
Background: Copenhagen hip and groin outcome score (HAGOS) is the only valid and reliable self-reported questionnaire for assessing symptoms and activity limitations of subjects with hip and groin problems. The aim of this study was to translate and culturally adapt the English version of the HAGOS to Persian and to evaluate its reliability in young athletes with hip and groin pain.
Methods: This cross-sectional study was performed in Tehran University of Medical Sciences, School of Rehabilitation, Iran, from June 2014 to May 2015. In order to develop the Persian HAGOS, the English HAGOS was translated and culturally adapted into Persian language based on the standard forward-backward translation and expert committee review. Then, for the test-retest reliability investigation, young male athletes suffering from hip and groin pain, recruited from sport physical therapy clinics, completed the Persian HAGOS two times with 1-2 weeks interval. Independent samples t‐test and Intraclass correlation coefficient (ICC) was used to determine the test-retest reliability of the six subscales and the total score of Persian HAGOS. The SPSS statistical software (IBM SPSS, Armonk, NY, USA) was used for all analyses.
Results: Fifty young male athletes, mean age 26.12±3.37 years (range: 18-33), participated in this study. ICC value for test retest reliability of total score was 0.74 (95% CI: 0.59-0.84). ICC values for subscales scores ranged from 0.6 for participation in physical activities subscale to 0.79 (P<0.0001) for pain subscale (P<0.0001). There were no significant differences between the test and retest scores obtained for subscales and total scores (t-test, P>0.05).
Conclusion: The HAGOS was successfully translated and cross-culturally adapted from English into Persian language. The Persian version of HAGOS is a reliable questionnaire for the evaluation of young athletes with hip and groin pain in clinics and research.

Hygiene protocols during the coronavirus pandemic for athletes: biref report
Amir Hossein Ahmadi Hekmatikar, Sadegh Amani Shalamzari , Mahdieh Molanouri Shamsi ,
Volume 79, Issue 4 (7-2021)
Abstract
Background: Long-term and intensive physical exercise can change the function of different cells in the immune system in athletes, predisposing them to viral infections such as coronavirus disease (COVID-19). The purpose of this brief report was to provide protocols related to the immune system in athletes to prevent infectious diseases.
Methods: To examine immune system responses to sports activities, articles were collected from all databases: Science Direct, PubMed, Scopus, Web of Science, Springer, Google Scholar, SID, and the most recent articles were selected.
Results: High-intensity and long-term physical exercise can be effective in suppressing immune responses. Therefore, moderate-intensity exercise can be an effective strategy. Maintaining the function of the immune system in athletes was dependent on nutritional strategies, sleep control, stress management, and strict adherence to proper exercise principles and health protocols. Athletes are more prone to viral infections in the early hours after strenuous, prolonged physical exercise; and they should be limited in contact with people who may increase their risk of infectious diseases. We should mention that moderate-intensity physical exercise can improve the function of immunoglobulins, anti-inflammatory cytokines, neutrophils, natural killer cells, cytotoxic T cells, and immature B cells. Maintaining social distance, especially immediately after strenuous exercise, is also recommended for athletes due to the increased risk of infectious diseases. The immune system has been considered an effective part of sports activities in athletes in recent years. The prevalence of viral diseases such as COVID-19 has not been and will not be for the first and last time in life. Therefore, using questionnaires and initial monitoring (adherence to diets, corona testing, adherence to health protocols) can be the first step.
Conclusion: Finally Due to the pandemic of coronary heart disease and its unknowingness, providing some health and nutrition guidelines for starting exercises and sports competitions to prevent the transmission of this disease is on the agenda of this article.

A systematic review of effects of colostrum supplementation on the immune system of athletes
Mahshad Mohtadi, Mohammad Javad Pasand , Ghazaleh Eslamian,
Volume 82, Issue 3 (6-2024)
Abstract
Background: Athletes are seeking ways to enhance sports performance and protect themselves from the long-term effects of exercise. One potentially effective solution is the administration of colostrum supplements. Evidence suggests that it can support immune system function by maintaining the integrity of the intestinal barrier. The aim of this study is to evaluate the impact of colostrum supplementation on athletes' immune system performance.
Methods: This systematic review searched English and Farsi databases including Medline, Scopus, Embase, ScienceDirect, Scientific Information Database, Islamic World Science Citation, Cochrane, and Google Scholar website without a time limit until November 2023. Eighteen randomized clinical trials, following the Cochrane protocol, were analyzed to assess the effects of colostrum supplementation on athletes' immune systems. The studies measured various factors, such as the amount of cytokines, concentration of serum immunoglobulins, salivary immunoglobulin, white blood cell count, neutrophil oxidative reactions, and the rate of respiratory system-related diseases in athletes during the consumption of colostrum supplements or its derivatives. The potential risks of bias in the studies were evaluated using the Cochrane Risk of Bias 2.0 tool for randomized controlled trials.
Results: The findings of these studies indicate that daily consumption of 3.2 grams of colostrum for 24 weeks can decrease the production of inflammatory cytokines caused by exercise and increase anti-inflammatory cytokines. Additionally, a daily intake of 20 grams of colostrum supplement can protect against the reduction of neutrophil function and immune responses resulting from long-term exercise. The group receiving colostrum experienced fewer upper respiratory tract diseases compared to the placebo group in studies that investigated this indicator. No significant effects on leukocyte count were observed with any dosage of supplementation, and the results of studies on other immune indicators were inconsistent.
Conclusion: Bovine colostrum can improve athletes' immune system performance by regulating immune parameters and mitigating the negative effects of intense exercise. However, the contradictory results of existing studies call for further research that examines different doses of colostrum in various sports.

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