The risk of atrial fibrillation in athletes: A systematic review and meta-analysis
Newman, W, Parry-Williams, G, Wiles, J., Edwards, J, Hulbert, S., Kipourou, K, Papadakis, M, Sharma, R and O'Driscoll, J. 2021. The risk of atrial fibrillation in athletes: A systematic review and meta-analysis. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2021-103994
|Authors||Newman, W, Parry-Williams, G, Wiles, J., Edwards, J, Hulbert, S., Kipourou, K, Papadakis, M, Sharma, R and O'Driscoll, J.|
Objective: A systematic review, meta-analysis and meta-regression were performed on selected studies to investigate the incidence of atrial fibrillation (AF) amongst athletes compared to non-athlete controls.
Design: Meta-analysis with heterogeneity analysis and subsequent meta-regression to model covariates were performed. The mode of exercise (endurance and mixed sports) and age were the a priori determined covariates.
Data sources: PubMed, MEDLINE, Science Direct, SPORTDiscus and the Cochrane library were searched.
Eligibility criteria: Research articles published after 1990 and before 2nd December 2020 were included if they reported the number of AF cases in athletes with non-athlete (physically active or inactive) control groups, were case-control or cohort studies and if data allowed calculation of odds ratios (OR).
Conclusion: Athletes have a significantly greater likelihood of developing AF compared to non-athlete controls; with those participating in mixed sport and younger athletes at the greatest risk. Future studies of AF prevalence in athletes according to specific exercise dose parameters, including training and competition history, may aid further in delineating those at risk.
|Keywords||Athletes; Atrial Fibrillation; Exercise; Sport|
|Journal||British Journal of Sports Medicine|
|Publisher||BMJ Publishing Group|
|Digital Object Identifier (DOI)||https://doi.org/10.1136/bjsports-2021-103994|
|12 Jul 2021|
|Publication process dates|
|Accepted||11 Jun 2021|
|Deposited||14 Jul 2021|
|Accepted author manuscript|
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