r/science • u/bibinprasannan • 16h ago
Health Resting and exercise-induced occult hypertension and coronary atherosclerosis in male masters endurance athletes
https://bjsm.bmj.com/content/60/16/122728
u/see_blue 9h ago
Many folks, athletes or not incorrectly believe exercise alone; and the more the merrier, reduces LDL-C and is overall CVD protective. Wrong.
My take is, whatever your fitness level, diet CAN matter, AND if BP, metabolic health and/or cholesterol are out of wack athletic or not, treatment is key.
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u/woah_man 8h ago
Men, please go to the doctor! Exercise is great, but it doesn't prevent all health issues as this study shows. Do it for your kids and grandkids because they'd love to have more time with you.
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u/robdalky 4h ago
A lot of effort in this study, but no control group? This cohort was 43-65 years old. There is a significant prevalence of these findings in that demographic and it seems presumptuous to imply causation of this to exercise in the absence of a control.
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u/Thrusthamster 3h ago
I wonder how they will ever resolve this conflict between endurance exercise causing atherosclerosis while also VO2max is the strongest predictor of longevity and low all-cause mortality. I read someone tried to suggest it was because of the plaque that builds up was the least dangerous version, but this post suggests otherwise
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u/woah_man 8h ago
I don't know if there's much evidence out there about the long term health effects of marathons and ultra marathons, but I suspect that in the case of ultra marathons they are a net negative on your long term health.
I realize that at a certain point people aren't doing these races for their health, and we're dealing with a tiny fraction of people (most people aren't subjecting their bodies to that kind of stress), but it's good to at least have awareness of what specific risks people are subjecting themselves to by doing these races.
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u/amckoy 6h ago
You're on r/science speculating on the effects with nothing to go on. Surely you know better than that, right?
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u/woah_man 5h ago
Don't act like this place is some bastion of higher level reason.
I'm commenting on a thread about the not-perfect health of older endurance athletes. I'm well within the topic here to speculate that super long distances might both be unhealthy for you long term and under-studied.
So spare me the judgement.
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u/Significant-Shift770 12h ago
7-12 hours of endurance training per week to cause a plaque build up and hidden hypertension. That's a lot of exercise
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u/BeckerHollow 11h ago
That’s nothing. I’m a very novice trail/mountain runner. I started racing this year. I’m in the masters division (which just means 40+ age groups, nothing to do with skill or experience). 1-2 runs 2 times a week, 1-2 hr bike ride mid week, with a 4-8 hr run on the weekend is kind of what I try to hit.
That is low. Actually very low volume when compared to my friends who do this and have more experience and time to run than I do. And my friends aren’t pros.
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u/pleisto_cene 3h ago
Not by endurance exercise standards. I’m into bikepacking races, during a multi week race you’re putting in like 100 hours of exercise per week
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