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. 2025 Apr 3;11(2):e002379. doi: 10.1136/bmjsem-2024-002379

Table 2. All outcome measures collected after ≈10 years adjusted for sex and age (in years).

Follow-up Change from baseline
Training hours per week, hours 6.1 (4.6 to 7.6) −13 (−15 to −12)*
VO2max, mL/min 3804 (3576 to 4031) −864 (−1091 to −637)*
BSA, m2 1.98 (1.96 to 2.01) 0.05 (0.02 to 0.07)*
SBP, mm Hg 126 (123 to 130) 3 (−1 to 6)
DBP, mm Hg 77 (74 to 80) 6 (3 to 10)*
Heart rate, beats/min 57 (54 to 59) 3 (−0 to −5)
Primary outcome measure
 maxLAVi, mL/m2 33.2 (31.1 to 35.2) 1.4 (−0.7 to 3.5)
Secondary outcome measures
 minLAVi, mL/m2 17.0 (15.8 to 18.2) 0.33 (−0.9 to 1.6)
 LAre strain, % 38 (35.6 to 39.4) −1.6 (−3.5 to 0.3)
 LAct strain, % 12 (10.6 to 12.8) 1.4 (0.4 to 2.5)*
Other secondary outcome measures
 LA Stiffness Index, ratio 0.13 (0.12 to 0.14) 0.01 (0.01 to 0.02)*
 LAct/minLAVi, ratio 0.72 (0.64 to 0.81) 0.07 (−0.01 to 0.16)
 LVEDVi, mL/m2 74 (71 to 77) −8 (−11 to −5)*
 LVESVi, mL/m2 33 (31 to 34) −2 (−4 to −1)*
 Peak E, cm/s 77.8 (74.3 to 81.4) −6.3 (−9.8 to −2.7)*
 Peak A, cm/s 41.8 (39.1 to 44.4) 1.1 (−1.5 to 3.8)
 Average e’, cm/s 16.5 (15.6 to 17.4) −2.9 (−3.8 to −2.0)*
 E/A, ratio 2.0 (1.8 to 2.1) −0.2 (−0.3 to 0.0)
 E/e’, ratio 4.8 (4.6 to 5.1) 0.4 (0.1 to 0.7)*
 LVEF, % 55.6 (54.3 to 57.0) −2 (−3 to −1)*
 LV GLS, % 18.5 (17.8 to 19.2) 0.6 (−0.1 to 1.3)
 RWT, % 0.34 (0.32 to 0.37) −0.01 (−0.03 to 0.01)
 LV mass, g/m2 86 (81 to 91) −19 (−24 to −14)*

Age-adjusted and sex-adjusted ANCOVA models values for all variables assessed at follow-up. All echocardiographic measures are reported as least squares means with 95% confidence intervalCI.* Denotes significant change since baseline. Left atrial stiffness calculated as E/e/LAre.

*

Denotes significant change since baseline. Left atrial stiffness calculated as E/e’/LAre.

ANCOVAanalysis of covarianceBSAbody surface areaDBP, diastolic blood pressure; LAct, left atrial contraction strain; LAre strainleft atrial reservoir strainLVEDVi, left ventricular end systolic volume indexed to BSA; LVEDVi, Left ventricular end-diastolic volume indexed to BSA; LVEF, left atrial ejection fraction; LVESVileft ventricular end-systolic volume indexLV GLSLeft ventricular global longitudinal strainMaxLAVi, left atrial maximum volume indexed to BSA; MinLAVi, left atrial minimum volume indexed to BSA; RWT, relative wall thickness; SBP, systolic blood pressure; VO2max, maximum oxygen uptake