Key result
Exercise-induced hemodynamic and biomarker changes do not differ by coronary atherosclerosis status in male athletes.
Why the study?
Middle-aged and older male athletes have more coronary atherosclerosis than less active peers, but the underlying mechanisms remain unclear.
Does an exhaustive endurance cycling test induce different changes in hemodynamics, hormones, electrolytes, and inflammatory markers in male athletes with versus without coronary atherosclerosis?
Observational (n=59)
Does an exhaustive endurance cycling test induce different changes in hemodynamics, hormones, electrolytes, and inflammatory markers in male athletes with versus without coronary atherosclerosis?
Accelerated coronary atherosclerosis in endurance athletes is not explained by differences in acute hemodynamic, hormonal, or inflammatory responses to exhaustive exercise.
Answers are grounded in this paper and cite their sources.
Does not implicate acute exercise responses in athlete atherosclerosis; leaves open alternative mechanisms for prospective study.
Aims Middle-aged and older male athletes have more coronary atherosclerosis than less active peers. We aimed to explore mechanisms that can contribute to this accelerated coronary atherosclerosis by comparing exercise-induced changes in hemodynamic factors, circulating hormones, electrolytes, and inflammatory markers across athletes with and without coronary atherosclerosis. Methods Fifty-nine male athletes recruited from the MARC-2 study were stratified as controls (coronary artery calcium score [CACS] = 0, n = 20), high CACS (≥300 Agatston units or ≥75th Multi-Ethnic Study of Atherosclerosis percentile, n = 20), or significant stenosis (≥50% in any coronary artery, n = 19). At rest, during an exhaustive endurance cycling test and after 3 h of recovery, we measured blood pressure and blood concentrations of parathyroid hormone (PTH), calcium, magnesium, phosphate, C-reactive protein (CRP), IL-6, IL-1RA, IL-10, intercellular adhesion molecule 1 (ICAM-1), VCAM-1, and E-selectin. Results Fifty-eight participants completed the exercise test (76 ± 14 min). All biomarkers changed during exercise, except CRP, ICAM-1, and VCAM-1. Systolic blood pressure, PTH, calcium, phosphate, IL-6, IL-1RA, and E-selectin concentrations increased during exercise. By contrast, diastolic blood pressure and magnesium concentrations decreased during exercise. The magnitude of exercise-induced responses of hemodynamic factors, circulating hormones, electrolytes, cytokines, and adhesion molecule concentrations did not, however, differ across groups. Conclusions Blood pressure, hormone, electrolyte, and cytokine concentrations changed after an exhaustive endurance exercise test, but the magnitude of these responses did not differ between athletes with versus without coronary atherosclerosis. These findings suggest that accelerated coronary atherosclerosis in endurance athletes may not be explained by differences in responses to exercise but by differences in exercise exposure or other mechanisms not assessed in this study.
No takes yet. Share an insight, caveat, or question.
Janssen et al. (2025) conducted an observational in Coronary atherosclerosis (n=59). Exhaustive endurance cycling test vs. Athletes without coronary atherosclerosis (CACS = 0) was evaluated on Exercise-induced changes in hemodynamic factors, circulating hormones, electrolytes, and inflammatory markers. Exercise-induced changes in hemodynamics, hormones, electrolytes, and cytokines did not differ between male athletes with and without coronary atherosclerosis.
Synapse has enriched 10 related papers. Consider them for comparative context: