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本文引用的文献

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Coronary Artery Plaque and Cardiotoxicity as a Result of Extreme Endurance Exercise.极限耐力运动导致的冠状动脉斑块与心脏毒性
Mo Med. 2014 Mar-Apr;111(2):95-98.
2
Increased Coronary Artery Plaque Volume Among Male Marathon Runners.男性马拉松运动员冠状动脉斑块体积增加。
Mo Med. 2014 Mar-Apr;111(2):89-94.
3
Effects of Running on Chronic Diseases and Cardiovascular and All-Cause Mortality.跑步对慢性病、心血管疾病及全因死亡率的影响
Mayo Clin Proc. 2015 Nov;90(11):1541-52. doi: 10.1016/j.mayocp.2015.08.001. Epub 2015 Sep 8.
4
Emerging risk factors and the dose-response relationship between physical activity and lone atrial fibrillation: a prospective case-control study.新出现的危险因素以及体力活动与孤立性心房颤动之间的剂量反应关系：一项前瞻性病例对照研究。
Europace. 2016 Jan;18(1):57-63. doi: 10.1093/europace/euv216. Epub 2015 Sep 1.
5
Exercise and the cardiovascular system: clinical science and cardiovascular outcomes.运动与心血管系统：临床科学与心血管结局
Circ Res. 2015 Jul 3;117(2):207-19. doi: 10.1161/CIRCRESAHA.117.305205.
6
Exercise and the heart--the harm of too little and too much.运动与心脏——过少和过多运动的危害
Curr Sports Med Rep. 2015 Mar-Apr;14(2):104-9. doi: 10.1249/JSR.0000000000000134.
7
Sudden cardiac death in the older athlete.老年人运动员心源性猝死。
J Am Coll Cardiol. 2015 Feb 10;65(5):493-502. doi: 10.1016/j.jacc.2014.10.064.
8
Optimal dose of running for longevity: is more better or worse?长寿的最佳跑步剂量：越多越好还是越糟？
J Am Coll Cardiol. 2015 Feb 10;65(5):420-2. doi: 10.1016/j.jacc.2014.11.022.
9
Dose of jogging and long-term mortality: the Copenhagen City Heart Study.慢跑的剂量与长期死亡率：哥本哈根城市心脏研究。
J Am Coll Cardiol. 2015 Feb 10;65(5):411-9. doi: 10.1016/j.jacc.2014.11.023.
10
Part 1: potential dangers of extreme endurance exercise: how much is too much? Part 2: screening of school-age athletes.第一部分：极端耐力运动的潜在危险：运动多少才算过量？ 第二部分：学龄期运动员的筛查。
Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):396-405. doi: 10.1016/j.pcad.2014.11.004. Epub 2014 Nov 15.

运动康复的悖论：少即是多？

The Exercise Rehabilitation Paradox: Less May Be More?

作者信息

Parto Parham, O'Keefe James H, Lavie Carl J

机构信息

Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA.

Department of Cardiology, St. Luke's Mid America Heart Institute, Kansas City, MO.

出版信息

Ochsner J. 2016 Fall;16(3):297-303.

PMID:27660580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5024813/
Abstract

BACKGROUND

Debatably, the most commonly prescribed lifestyle modification for cardiovascular health involves daily exercise training (ET) and physical activity. Exercise has numerous known health benefits on blood pressure, lipid profile, weight loss, and glucose metabolism. However, controversy exists regarding the link between excessive endurance ET and harmful cardiac effects.

METHODS

We review the current literature and discuss the numerous known adverse effects of endurance ET on cardiac function.

RESULTS

Excessive endurance ET may negatively affect cardiac anatomy, play a role in osteoarthritis and coronary artery disease development, and increase the risks of cardiac arrhythmia and sudden cardiac death.

CONCLUSION

More ET may not always be better when it comes to endurance ET, and optimal ET dosing regimens are clearly needed.

摘要

背景

可以说，为促进心血管健康而最常规定的生活方式改变包括每日运动训练（ET）和体育活动。运动对血压、血脂、体重减轻和葡萄糖代谢具有众多已知的健康益处。然而，关于过度耐力运动训练与有害心脏效应之间的联系存在争议。

方法

我们回顾了当前的文献，并讨论了耐力运动训练对心脏功能的众多已知不良影响。

结果

过度的耐力运动训练可能对心脏解剖结构产生负面影响，在骨关节炎和冠状动脉疾病的发展中起作用，并增加心律失常和心源性猝死的风险。

结论

就耐力运动训练而言，更多的运动训练不一定总是更好，显然需要最佳的运动训练剂量方案。