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Theses

Limites des adaptations cardiovasculaires des sportifs endurants

Abstract : This PhD Thesis aimed to answer three limits related to cardiovascular adaptations in endurance athletes. Are bradycardic endurance athletes more at risk of reflex syncope and of ECG abnormalities than their non-bradycardic counterparts? Is 40 years old too late to start endurance training in order to improve cardiovascular health in later life? Cardiac fatigue has been shown after long-term intense running events, but do canoeing or military training induce the same alteration? First, BRADY study showed that endurance-trained bradycardic athletes are not more prone to reflex syncope or ECG abnormalities than their non-bradycardic peers. Our results suggest that cardiac hypertrophy may be, at least in part, responsible for the developement of training-induced bradycardia. Second, COSS study showed that commencing structured endurance training after 40 years of age is powerful enough to induce beneficial alterations in VO2max, resting HR, and autonomic status that match those observed in individuals who commenced training prior to 30 years of age. However, only endurance training commenced before 30 years old provides enhancement of certain vascular adaptations during exercise. Last, preliminary results of FACEFI study showed that a 4-day military selection camp does not lead to cardiac fatigue. The relative short duration of the last exercise (< 2h45), the high level of training of the subjects, and the important strenght- related part of the exercices may explain the lack of cardiac fatigue. Data from 4 weeks of canoeing training and 24h of military training in other groups of athletes are in process.
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https://tel.archives-ouvertes.fr/tel-01308522
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David Matelot. Limites des adaptations cardiovasculaires des sportifs endurants. Médecine humaine et pathologie. Université Rennes 1, 2015. Français. ⟨NNT : 2015REN1B028⟩. ⟨tel-01308522⟩

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