Long-term health issues in ultraendurance runners: should we be concerned?
Cardiovascular implications UER may have negative effects on cardiovascular health such as acute alterations in biomarkers of cardiac damage (eg, cardiac troponin-I, ventricular natriuretic peptide)5 and potential long-term cardiac issues such as ventricular dysfunction, myocardial remodelling, atri...
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Published in | BMJ Open Sport & Exercise Medicine Vol. 7; no. 3; p. e001131 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
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20.07.2021
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Abstract | Cardiovascular implications UER may have negative effects on cardiovascular health such as acute alterations in biomarkers of cardiac damage (eg, cardiac troponin-I, ventricular natriuretic peptide)5 and potential long-term cardiac issues such as ventricular dysfunction, myocardial remodelling, atrial fibrillation, myocardial fibrosis or right ventricle exercise-induced cardiomyopathy later in life. UER represents 96.9% of the total AKI cases among endurance athletes; some of the risk factors for AKI development include prior ingestion of nonsteroidal anti-inflammatory drugs, dehydration, heat strain, competing at moderate altitude and high physical load.3 Occasionally, severe AKI is observed, combined with rhabdomyolysis and altered renal function, which may last for weeks or months. The effect of prolonged lifetime running on musculoskeletal health is not well understood, particularly when starting at a young age representing an increased lifetime risk of developing stress fractures with a lifetime prevalence of 14% compared with adults.8 Long-term studies are needed for evaluating risk factors leading to musculoskeletal injuries, and the role of training volume/intensity is essential on these potential chronic conditions. |
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AbstractList | Cardiovascular implications UER may have negative effects on cardiovascular health such as acute alterations in biomarkers of cardiac damage (eg, cardiac troponin-I, ventricular natriuretic peptide)5 and potential long-term cardiac issues such as ventricular dysfunction, myocardial remodelling, atrial fibrillation, myocardial fibrosis or right ventricle exercise-induced cardiomyopathy later in life. UER represents 96.9% of the total AKI cases among endurance athletes; some of the risk factors for AKI development include prior ingestion of nonsteroidal anti-inflammatory drugs, dehydration, heat strain, competing at moderate altitude and high physical load.3 Occasionally, severe AKI is observed, combined with rhabdomyolysis and altered renal function, which may last for weeks or months. The effect of prolonged lifetime running on musculoskeletal health is not well understood, particularly when starting at a young age representing an increased lifetime risk of developing stress fractures with a lifetime prevalence of 14% compared with adults.8 Long-term studies are needed for evaluating risk factors leading to musculoskeletal injuries, and the role of training volume/intensity is essential on these potential chronic conditions. |
Author | Scheer, Volker Rojas-Valverde, Daniel |
AuthorAffiliation | 3 Clínica de Lesiones Deportivas (Rehab&Readapt), Escuela Ciencias del Movimiento Humano y Calidad de Vida (CIEMHCAVI) , Universidad Nacional , Heredia , Costa Rica 2 Centro de investigación y Diagnóstico en Salud y Deporte, Escuela Ciencias del Movimiento Humano y Calidad de Vida , Universidad Nacional de Costa Rica , Heredia , Heredia , Costa Rica 1 Ultra Sports Science Foundation , Pierre-Benite , France |
AuthorAffiliation_xml | – name: 3 Clínica de Lesiones Deportivas (Rehab&Readapt), Escuela Ciencias del Movimiento Humano y Calidad de Vida (CIEMHCAVI) , Universidad Nacional , Heredia , Costa Rica – name: 2 Centro de investigación y Diagnóstico en Salud y Deporte, Escuela Ciencias del Movimiento Humano y Calidad de Vida , Universidad Nacional de Costa Rica , Heredia , Heredia , Costa Rica – name: 1 Ultra Sports Science Foundation , Pierre-Benite , France |
Author_xml | – sequence: 1 givenname: Volker surname: Scheer fullname: Scheer, Volker email: drojasv@hotmail.com, v.scheer@ultrasportscience.org organization: Ultra Sports Science Foundation, Pierre-Benite, France – sequence: 2 givenname: Daniel orcidid: 0000-0002-0717-8827 surname: Rojas-Valverde fullname: Rojas-Valverde, Daniel email: drojasv@hotmail.com, v.scheer@ultrasportscience.org organization: Clínica de Lesiones Deportivas (Rehab&Readapt), Escuela Ciencias del Movimiento Humano y Calidad de Vida (CIEMHCAVI), Universidad Nacional, Heredia, Costa Rica |
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Cites_doi | 10.1016/j.nephro.2016.02.005 10.1097/JSA.0000000000000198 10.1249/JSR.0000000000000738 10.1093/europace/eup197 10.3390/ijerph17051628 10.1080/17461391.2020.1746837 10.3389/fphys.2017.00779 10.1371/journal.pone.0083867 10.1007/s40279-019-01105-w |
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References | Scheer, Di Gangi, Villiger 2020; 17 Rojas-Valverde, Sánchez-Ureña, Crowe 2021; 21 Scheer 2019; 27 Tiller 2019; 49 Patil, O’Keefe, Lavie 2012; 109 Tiller, Stewart, Illidi 2020; 19 Hoffman, Krishnan 2014; 9 Abdulla, Nielsen 2009; 11 Ferenbach, Bonventre 2016; 12 Suppl 1 Barros, Nascimento, Prestes; 8 2024051512051268000_7.3.e001131.4 Ferenbach (2024051512051268000_7.3.e001131.7) 2016; 12 Suppl 1 Tiller (2024051512051268000_7.3.e001131.9) 2020; 19 Tiller (2024051512051268000_7.3.e001131.10) 2019; 49 Scheer (2024051512051268000_7.3.e001131.1) 2019; 27 Patil (2024051512051268000_7.3.e001131.5) 2012; 109 Scheer (2024051512051268000_7.3.e001131.2) 2020; 17 2024051512051268000_7.3.e001131.8 Rojas-Valverde (2024051512051268000_7.3.e001131.3) 2021; 21 2024051512051268000_7.3.e001131.6 |
References_xml | – volume: 109 start-page: 312 year: 2012 article-title: Cardiovascular damage resulting from chronic excessive endurance exercise publication-title: Mo Med contributor: fullname: Lavie – volume: 12 Suppl 1 start-page: S41 year: 2016 article-title: Acute kidney injury and chronic kidney disease: from the laboratory to the clinic publication-title: Nephrol Ther doi: 10.1016/j.nephro.2016.02.005 contributor: fullname: Bonventre – volume: 27 start-page: 3 year: 2019 article-title: Participation trends of ultra endurance events publication-title: Sports Med Arthrosc Rev doi: 10.1097/JSA.0000000000000198 contributor: fullname: Scheer – volume: 19 start-page: 290 year: 2020 article-title: Exercise is medicine? the cardiorespiratory implications of Ultra-marathon publication-title: Curr Sports Med Rep doi: 10.1249/JSR.0000000000000738 contributor: fullname: Illidi – volume: 11 start-page: 1156 year: 2009 article-title: Is the risk of atrial fibrillation higher in athletes than in the general population? A systematic review and meta-analysis publication-title: Europace doi: 10.1093/europace/eup197 contributor: fullname: Nielsen – volume: 17 year: 2020 article-title: Participation and performance analysis in children and adolescents competing in time-limited Ultra-Endurance running events publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph17051628 contributor: fullname: Villiger – volume: 21 start-page: 261 year: 2021 article-title: Exertional rhabdomyolysis and acute kidney injury in endurance sports: a systematic review publication-title: Eur J Sport Sci doi: 10.1080/17461391.2020.1746837 contributor: fullname: Crowe – volume: 8 article-title: Acute and chronic effects of endurance running on inflammatory markers: a systematic review publication-title: Front Physiol doi: 10.3389/fphys.2017.00779 contributor: fullname: Prestes – volume: 9 year: 2014 article-title: Health and exercise-related medical issues among 1,212 ultramarathon runners: baseline findings from the Ultrarunners longitudinal tracking (ultra) study publication-title: PLoS One doi: 10.1371/journal.pone.0083867 contributor: fullname: Krishnan – volume: 49 start-page: 1031 year: 2019 article-title: Pulmonary and respiratory muscle function in response to marathon and Ultra-Marathon running: a review publication-title: Sports Med doi: 10.1007/s40279-019-01105-w contributor: fullname: Tiller – volume: 49 start-page: 1031 year: 2019 ident: 2024051512051268000_7.3.e001131.10 article-title: Pulmonary and respiratory muscle function in response to marathon and Ultra-Marathon running: a review publication-title: Sports Med doi: 10.1007/s40279-019-01105-w contributor: fullname: Tiller – volume: 109 start-page: 312 year: 2012 ident: 2024051512051268000_7.3.e001131.5 article-title: Cardiovascular damage resulting from chronic excessive endurance exercise publication-title: Mo Med contributor: fullname: Patil – ident: 2024051512051268000_7.3.e001131.8 doi: 10.1371/journal.pone.0083867 – volume: 19 start-page: 290 year: 2020 ident: 2024051512051268000_7.3.e001131.9 article-title: Exercise is medicine? the cardiorespiratory implications of Ultra-marathon publication-title: Curr Sports Med Rep doi: 10.1249/JSR.0000000000000738 contributor: fullname: Tiller – volume: 27 start-page: 3 year: 2019 ident: 2024051512051268000_7.3.e001131.1 article-title: Participation trends of ultra endurance events publication-title: Sports Med Arthrosc Rev doi: 10.1097/JSA.0000000000000198 contributor: fullname: Scheer – volume: 12 Suppl 1 start-page: S41 year: 2016 ident: 2024051512051268000_7.3.e001131.7 article-title: Acute kidney injury and chronic kidney disease: from the laboratory to the clinic publication-title: Nephrol Ther doi: 10.1016/j.nephro.2016.02.005 contributor: fullname: Ferenbach – volume: 21 start-page: 261 year: 2021 ident: 2024051512051268000_7.3.e001131.3 article-title: Exertional rhabdomyolysis and acute kidney injury in endurance sports: a systematic review publication-title: Eur J Sport Sci doi: 10.1080/17461391.2020.1746837 contributor: fullname: Rojas-Valverde – volume: 17 year: 2020 ident: 2024051512051268000_7.3.e001131.2 article-title: Participation and performance analysis in children and adolescents competing in time-limited Ultra-Endurance running events publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph17051628 contributor: fullname: Scheer – ident: 2024051512051268000_7.3.e001131.4 doi: 10.3389/fphys.2017.00779 – ident: 2024051512051268000_7.3.e001131.6 doi: 10.1093/europace/eup197 |
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SubjectTerms | Asymptomatic Athletes Biomarkers Cardiac arrhythmia Chronic illnesses Exercise physiology Inflammation Kidney diseases Marathons Participation Rhabdomyolysis Running Sports injuries Systematic review Ultramarathon |
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Title | Long-term health issues in ultraendurance runners: should we be concerned? |
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