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Ms-represented: strategies to increase female representation in sports cardiology research
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Ms-represented: strategies to increase female representation in sports cardiology research
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Journal Article
Ms-represented: strategies to increase female representation in sports cardiology research
2024
Overview
Correspondence to Dr Jessica J Orchard, Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia; jessica.orchard@sydney.edu.au Female athletes are unduly under-represented in sports cardiology research, resulting in an inferior knowledge base to inform clinical management.1 Accurate and timely diagnosis of pathology in female athletes using electrocardiography or cardiac imaging is currently limited by our poor understanding of the ranges of normality in the female athlete’s heart.2 This editorial seeks to identify factors contributing to inequitable sex representation in sports cardiology research and proposes strategies to promote greater female athlete engagement (box 1).Box 1 The six principles for sex parity in sports cardiology research 1. To date, a complete understanding of the impact of female sex hormonal changes and reproductive status on cardiovascular physiology, cardiac outcomes and exercise-induced cardiac remodelling in athletes remains elusive.3 The challenge of researching this complexity may dissuade researchers from designing studies specific for female athletes or result in strict female-specific inclusion criteria that limit the number of eligible participants. [...]there has been a tendency to restrict investigations to male athletes, thereby perpetuating the paucity of knowledge regarding cardiac events in females.6 7 Moreover, publication and funding biases, whereby negative studies are less likely to be published and lower disease burdens are less likely to receive funding, further diminish the impetus among researchers to pursue adequate female representation. [...]we recommend journals encourage data to be disaggregated by sex, even if only for a sub-analysis.
