Heart failure & cardiomyopathies

Effects of detraining on left ventricular mass in endurance-trained individuals: a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis of prospective detraining studies

Pooled result · Change in LVM with detrainingResult — go to the resultStandardized mean difference −0.586 95% CI −0.817 to −0.355

Authors' conclusion

In summary, LVM is reduced following detraining of one week or more.

Study context

Population
Endurance-trained healthy adults without known chronic disease (ages 18–55 years, 15% female), detraining >1 week19 analyses
Participants
196 adults15 studies
Comparison
Post-detraining vs pre-detraining left ventricular mass (LVM)
Outcome
Change in LVM with detraining
Follow-up
Detraining 1.4 to 15 weeks
Methodological detailsrandom effects, meta-regression
  • Random effects
  • Meta-regression

Pooled result

As reported in the abstract

Standardized mean difference

−0.586

95% CI −0.817 to −0.355

P < 0.001

Post-detrainingvs pre-detraining LVM
standardized mean difference −0.586 (95% CI −0.817 to −0.355); P < 0.001

Further pooled results

Length of detraining and change in LVM

Meta-regression: length of detraining, accounting for training status, associated with LVM reduction
Q = 15.20, df = 3, P = 0.0017
Length of detraining alone not correlated with change in LVM

LVM reduction by training status

Greater LVM reduction in highly trained/elite athletes vs recreational and newly trained individuals
P < 0.01

Original publication

Effects of detraining on left ventricular mass in endurance-trained individuals: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 11 October 2023. doi:10.1093/eurjpc/zwad327

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