Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study

Introduction: The increase in sudden death cases among Moroccan amateur athletes highlights the importance of thorough medical examinations including electrocardiograms. Objective: This cross-sectional study aimed to identify the frequency of ECG findings in Moroccan amateur athletes, examine sex...

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Main Authors: Younes Brouki, Youssef El Machrouh, Chaimae Khali, Mohamed Barkaoui, Aziz Eloirdi, Boujemaa Zahi, Aziz Chokri
Format: Article
Language:English
Published: FEADEF 2025-08-01
Series:Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación
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Online Access:https://revistaretos.org/index.php/retos/article/view/117255
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author Younes Brouki
Youssef El Machrouh
Chaimae Khali
Mohamed Barkaoui
Aziz Eloirdi
Boujemaa Zahi
Aziz Chokri
author_facet Younes Brouki
Youssef El Machrouh
Chaimae Khali
Mohamed Barkaoui
Aziz Eloirdi
Boujemaa Zahi
Aziz Chokri
author_sort Younes Brouki
collection DOAJ
description Introduction: The increase in sudden death cases among Moroccan amateur athletes highlights the importance of thorough medical examinations including electrocardiograms. Objective: This cross-sectional study aimed to identify the frequency of ECG findings in Moroccan amateur athletes, examine sex disparities, and assess how physical activity levels affect cardiac electrical patterns. Methodology: The study included 149 amateur athletes (70 men, 79 women) from the University Hassan 1st in Settat. Participants underwent 12-lead ECG, anthropometric measurements, and physical activity assessment using the International Physical Activity Questionnaire - Short Form. Results: Male athletes showed significantly higher rates of sinus bradycardia (41.4% vs 12.7%) and ST-segment elevation (41.4% vs 0%) than female athletes (p<.0001). High levels of physical activity were significantly associated with training-related ECG changes (p=.010) and ST-segment elevation (p=.027). Discussion: These findings emphasize the importance of considering physical activity levels when interpreting ECG patterns in amateur athletes and highlight significant sex differences in cardiac adaptations. Conclusions: Sex-specific ECG interpretation guidelines are needed for amateur athletes, with particular attention to training-related adaptations in males and the relationship between physical activity intensity and cardiac electrical patterns.
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1988-2041
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series Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación
spelling doaj-art-e2a4576909a1491d88ddeaa23715fddd2025-08-23T01:37:20ZengFEADEFRetos: Nuevas Tendencias en Educación Física, Deportes y Recreación1579-17261988-20412025-08-017110.47197/retos.v71.117255Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional studyYounes Brouki0https://orcid.org/0000-0002-7906-989XYoussef El Machrouh1Chaimae Khali2Mohamed Barkaoui3Aziz Eloirdi4https://orcid.org/0000-0003-1061-7787Boujemaa Zahi5Aziz Chokri6Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco)Sports Science Research Team, Institute of Sports Sciences, Hassan I University of Settat (Morocco) Introduction: The increase in sudden death cases among Moroccan amateur athletes highlights the importance of thorough medical examinations including electrocardiograms. Objective: This cross-sectional study aimed to identify the frequency of ECG findings in Moroccan amateur athletes, examine sex disparities, and assess how physical activity levels affect cardiac electrical patterns. Methodology: The study included 149 amateur athletes (70 men, 79 women) from the University Hassan 1st in Settat. Participants underwent 12-lead ECG, anthropometric measurements, and physical activity assessment using the International Physical Activity Questionnaire - Short Form. Results: Male athletes showed significantly higher rates of sinus bradycardia (41.4% vs 12.7%) and ST-segment elevation (41.4% vs 0%) than female athletes (p<.0001). High levels of physical activity were significantly associated with training-related ECG changes (p=.010) and ST-segment elevation (p=.027). Discussion: These findings emphasize the importance of considering physical activity levels when interpreting ECG patterns in amateur athletes and highlight significant sex differences in cardiac adaptations. Conclusions: Sex-specific ECG interpretation guidelines are needed for amateur athletes, with particular attention to training-related adaptations in males and the relationship between physical activity intensity and cardiac electrical patterns. https://revistaretos.org/index.php/retos/article/view/117255amateur athleteselectrocardiogramgender differencesphysical activitysports cardiology
spellingShingle Younes Brouki
Youssef El Machrouh
Chaimae Khali
Mohamed Barkaoui
Aziz Eloirdi
Boujemaa Zahi
Aziz Chokri
Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación
amateur athletes
electrocardiogram
gender differences
physical activity
sports cardiology
title Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
title_full Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
title_fullStr Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
title_full_unstemmed Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
title_short Sex differences and physical activity associations with electrocardiographic patterns in amateur athletes: a cross-sectional study
title_sort sex differences and physical activity associations with electrocardiographic patterns in amateur athletes a cross sectional study
topic amateur athletes
electrocardiogram
gender differences
physical activity
sports cardiology
url https://revistaretos.org/index.php/retos/article/view/117255
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