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Marathon-Induced Cardiac Fatigue: A Review over the Last Decade for the Preservation of the Athletes’ Health

Author

Listed:
  • Damien Vitiello

    (URP3625—Institut des Sciences du Sport-Santé de Paris (I3SP), School of Sport Sciences, Université de Paris, 75015 Paris, France)

  • Florent Palacin

    (Unité de Biologie Intégrative des Adaptations à l’Exercice, Université Paris-Saclay, Univ Evry, 91000 Evry-Courcouronnes, France)

  • Luc Poinsard

    (URP3625—Institut des Sciences du Sport-Santé de Paris (I3SP), School of Sport Sciences, Université de Paris, 75015 Paris, France)

  • Marine Kirsch

    (URP3625—Institut des Sciences du Sport-Santé de Paris (I3SP), School of Sport Sciences, Université de Paris, 75015 Paris, France)

  • Steeve Jouini

    (URP3625—Institut des Sciences du Sport-Santé de Paris (I3SP), School of Sport Sciences, Université de Paris, 75015 Paris, France)

  • Véronique Billat

    (Unité de Biologie Intégrative des Adaptations à l’Exercice, Université Paris-Saclay, Univ Evry, 91000 Evry-Courcouronnes, France)

Abstract

Aim: To provide a state-of-the-art review of the last 10 years focusing on cardiac fatigue following a marathon. Methods: The PubMed, Bookshelf and Medline databases were queried during a time span of 10 years to identify studies that met the inclusion criteria. Twenty-four studies focusing only on the impact of marathons on the cardiac function and factors involved in cardiac fatigue were included in this review. Results: Sixteen studies focused on the impact of marathons on several biomarkers (e.g., C-reactive protein, cardiac troponin T). Seven studies focused on the left (LV) or right (RV) ventricular function following a marathon and employed cardiac magnetic resonance, echocardiography, myocardial speckle tracking and heart rate variability to analyze global and regional LV or RV mechanics and the impact of the autonomic nervous system on cardiac function. One study focused on serum profiling and its association with cardiac changes after a marathon. Conclusions: This review reported a negligible impact of marathons on LV and RV systolic and contractile function but a negative impact on LV diastolic function in recreational runners. These impairments are often associated with acute damage to the myocardium. Thus, the advice of the present review to athletes is to adapt their training and have a regular medical monitoring to continue to run marathons while preserving their cardiac health.

Suggested Citation

  • Damien Vitiello & Florent Palacin & Luc Poinsard & Marine Kirsch & Steeve Jouini & Véronique Billat, 2021. "Marathon-Induced Cardiac Fatigue: A Review over the Last Decade for the Preservation of the Athletes’ Health," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8676-:d:615832
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    References listed on IDEAS

    as
    1. Anna Maria Kaleta-Duss & Zuzanna Lewicka-Potocka & Alicja Dąbrowska-Kugacka & Grzegorz Raczak & Ewa Lewicka, 2020. "Myocardial Injury and Overload among Amateur Marathoners as Indicated by Changes in Concentrations of Cardiovascular Biomarkers," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    2. Zuzanna Lewicka-Potocka & Alicja Dąbrowska-Kugacka & Ewa Lewicka & Rafał Gałąska & Ludmiła Daniłowicz-Szymanowicz & Anna Faran & Izabela Nabiałek-Trojanowska & Marcin Kubik & Anna Maria Kaleta-Duss & , 2020. "Right Ventricular Diastolic Dysfunction after Marathon Run," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
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    1. Jacek Borkowski & Tadeusz Stefaniak & Piotr Cych, 2023. "Changes in Skeletal Muscle Troponin T and Vitamin D Binding Protein (DBP) Concentrations in the Blood of Male Amateur Athletes Participating in a Marathon and 100 km Adventure Race," IJERPH, MDPI, vol. 20(9), pages 1-10, May.

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