Faculty of Sport, Catholic University of San Antonio (UCAM), Murcia 30107, Spain; LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Madrid 28040, Spain.
International Chair of Sports Medicine, Catholic University of San Antonio (UCAM), Murcia 30107, Spain.
J Sport Health Sci. 2021 Mar;10(2):192-200. doi: 10.1016/j.jshs.2019.10.003. Epub 2019 Dec 27.
To finish an endurance race, athletes perform a vigorous effort that induces the release of cardiac damage markers. There are several factors that can affect the total number of these markers, so the aim of this review was to analyze the effect of endurance running races on cardiac damage markers and to identify the factors that modify the levels of segregation of these cardiac damage markers.
A systematic search of PubMed, Web of Science, and the Cochrane Library databases was performed. This analysis included studies where the acute effects of running races on cardiac damage markers (troponin I and troponin T) were analyzed, assessing the levels of these markers before and after the races.
The effects of running races on troponin I (mean difference = 0.0381 ng/mL) and troponin T (mean difference = 0.0256 ng/mL) levels were significant. The ages (R = 14.4%, p = 0.033) and body mass indexes (R = 14.5%, p = 0.045) of the athletes had a significant interaction with troponin I. In addition, gender, mean speed, time to finish the race, and type of race can affect the level of cardiac damage markers.
Endurance running races induce the release of cardiac-damage markers that remain elevated for at least 24 h after the races. In addition, young male athletes with high body mass indexes who perform races combining long duration and moderate intensity (i.e., marathons) release the highest levels of cardiac damage markers. Physicians should take into consideration these results in the diagnosis and treatment of patients admitted to the hospital days after finishing endurance running races.
为了完成耐力赛，运动员需要进行剧烈的运动，这会导致心脏损伤标志物的释放。有几个因素会影响这些标志物的总数，因此，本综述的目的是分析耐力跑比赛对心脏损伤标志物的影响，并确定影响这些心脏损伤标志物分离水平的因素。
系统地检索了 PubMed、Web of Science 和 Cochrane 图书馆数据库。本分析包括研究了跑步比赛对心脏损伤标志物（肌钙蛋白 I 和肌钙蛋白 T）的急性影响，评估了比赛前后这些标志物的水平。
跑步比赛对肌钙蛋白 I（平均差异=0.0381ng/ml）和肌钙蛋白 T（平均差异=0.0256ng/ml）水平的影响具有统计学意义。运动员的年龄（R=14.4%，p=0.033）和体重指数（R=14.5%，p=0.045）与肌钙蛋白 I 有显著的交互作用。此外，性别、平均速度、完成比赛的时间和比赛类型也会影响心脏损伤标志物的水平。
耐力跑比赛会引起心脏损伤标志物的释放，这些标志物在比赛后至少 24 小时内仍保持升高。此外，年轻的男性运动员，体重指数较高，进行长时间和中等强度相结合的比赛（即马拉松），会释放出最高水平的心脏损伤标志物。医生在诊断和治疗在完成耐力跑比赛后数天内住院的患者时应考虑到这些结果。
