Key result
Ultradistance triathlon is linked to greater creatine kinase than standard-distance races, without elevating troponin T.
Why the study?
The duration of exercise required to elicit cardiac dysfunction and the mechanisms underlying this phenomenon have not been fully elucidated, with limited data on exercise-induced changes of cardiac and muscle damage biomarkers in triathletes of different distances.
Does ultradistance triathlon compared to standard-distance triathlon increase cardiac and muscle damage biomarkers in male triathletes?
Observational (n=8)
No
Does ultradistance triathlon compared to standard-distance triathlon increase cardiac and muscle damage biomarkers in male triathletes?
Absolute Event Rate: 1128.07% vs 466.53%
p-value: p=<0.001
Ultradistance triathlon induces greater skeletal muscle damage than standard-distance events, but does not appear to cause greater myocardial injury as measured by troponin T.
Reassures against excess cardiac injury after ultradistance triathlon; hypothesis-generating and requires prospective validation before clinical application.
Triathlon is becoming more popular sport due to recognition of the positive effects of triathlon. Generally, participants in these strenuous activities are well considered as healthy individuals pursuing a healthy lifestyle. However, there is still controversy on the beneficial effects of prolonged exercise training and endurance sport events. The duration of exercise required to elicit cardiac dysfunction and the mechanisms underlying this phenomenon have not been fully elucidated. There are only limited data in literature for exercise-induced changes of cardiac and muscle damage biomarkers in athletes participating in different triathlon distances. Monitoring cardiac and muscle damage biomarkers in triathletes participating in different triathlon distances will help researchers, coaches, and athletes better understand how to design training cycles minimizing overtraining and injury risk. Therefore, the purpose of the present study was to examine for evidence of blood biomarkers during triathlon events of two different distances such as standard- and ultradistance triathlon in male triathletes. The results of the present study showed that ultradistance showed greater muscle damage markers such as creatine kinase, myoglobin and lactate dehydrogenase than standard-distance. We also found that the distance of triathlon did not lead to an increase of troponin T in male triathletes.
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Park et al. (2019) conducted an observational in Healthy amateur triathletes (n=8). Ultradistance triathlon vs. Standard-distance triathlon was evaluated on Post-race creatine kinase (CK) levels (mg/dL) (p=<0.001). Ultradistance triathlon resulted in significantly greater elevations of muscle damage markers such as creatine kinase compared to standard-distance triathlon, without increasing cardiac troponin T levels.
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