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Cited by 15Atrial Fibrillation Management and OutcomesCardiovascular Effects of ExercisePhysical Activity and Health

Long-Term Sports Practice and Atrial Fibrillation: An Updated Review of a Complex Relationship

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Petrungaro, Mattia, Fusco, Liuba, Cavarretta, Elena, Scarà, Antonio, Borrelli, Alessio, Romano, Silvio, Petroni, Renata, D’Ascenzi, Flavio +1 more·2023·Journal of Cardiovascular Development and Disease
DOI 10.3390/jcdd10050218PMC PMC10219362
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Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice, and it is an enormous burden worldwide because of its high morbidity, disability and mortality. It is generally acknowledged that physical activity (PA) is strongly associated with a significant reduction in the risk of cardiovascular (CV) disease and all-cause mortality. Moreover, it has been observed that moderate and regular physical activity has the potential to reduce the risk of AF, in addition to improving overall well-being. Nevertheless, some studies have associated intense physical activity with an increased risk of AF. This paper aims to review the main related literature to investigate the association between PA and AF incidence and draw pathophysiological and epidemiological conclusions.

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  • A U-shaped relationship exists between male elite athletes and AF, suggesting both type (endurance) and dose (hours of training) of physical activity relate to AF development.

    “A U-shaped relationship between male elite athletes and AF is demonstrated through this finding, suggesting that both the type (endurance) and the dose (hours of training) of physical activity seem to relate to AF development [14,18,19,20,21].”

    From Atrial Fibrillation in Elite Athletes: A Comprehensive Review of the Literature (2024) · cites this paper as [18]

    The Discussion (§5; page not supplied) describes a possible U-shaped relationship between physical activity and AF and says sport type, intensity, and duration may matter. Section 3 reports increased AF risk in men practicing endurance sports. The review does not demonstrate a U-shaped relationship specifically in male elite athletes; it presents that relationship as a possibility reported by other studies. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Regular exercise of low or moderate intensity serves as a preventive strategy for cardiovascular disease and AF, while higher-intensity endurance exercise may lead to AF.

    “Regular exercise of either low or moderate intensity seems serve as a preventive strategy for cardiovascular disease and AF, while higher-intensity endurance exercise may lead to AF [6,7,8,12,13,14,15,16,17,18,19,20,21].”

    From Atrial Fibrillation in Elite Athletes: A Comprehensive Review of the Literature (2024) · cites this paper as [18]

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References 94 · Cited by 15

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Authors
Petrungaro, M., Fusco, L., Cavarretta, E., Scarà, A., Borrelli, A., Romano, S., Petroni, R., D’Ascenzi, F., & Sciarra, L.
Affiliations
  • Ospedale di Belcolle (IT)
  • Cardiology Unit, University Hospital of Northamptonshire, Northampton NN1 5BD, UK
  • Clinica Mediterranea (IT)
  • Unit of Cardiology and Electrophysiology, San Carlo di Nancy Hospital, 00100 Rome, Italy
  • University of L'Aquila (IT)
  • University of Siena (IT)
Corresponding author
Petrungaro, Mattia
ORCID
Venue
Journal of Cardiovascular Development and Disease
Publisher
MDPI AG
Published
2023-05-16
Volume
10
Issue
5
Pages
218
ISSN
2308-3425 (ISSN-L)
DOI
10.3390/jcdd10050218
PMC
PMC10219362
OpenAlex
W4377042648
Cited by
15
References
94
Citations by year
2026: 1 · 2025: 6 · 2024: 5 · 2023: 3
FWCI
0.79
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Cardiovascular Development and Disease (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion, cc-by)
  • Use Siena air (University of Siena) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
atrial fibrillation, physical activity, sports participation, arrhythmia risk, intense physical activity, cardiovascular disease, all-cause mortality, pathophysiology

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