The Impact of Running on Cardiovascular Health: A Comprehensive Review of Benefits and Risks
DOI:
https://doi.org/10.12775/QS.2024.35.56445Keywords
running, Cardiovasular diseases (CVD), Excercise-induced hypertension (EIH), Arrhythmias, Ultra-endurance running (UER), Sudden cardiac death (SCD)Abstract
In recent years, running has become a very prevalent form of physical activity. Numerous studies indicate that it can have a beneficial effect on reducing the occurrence of cardiovascular disease (CVD). In this review, we look at the benefits and possible risks to the heart associated with running. Regular running can reduce the risk of all-cause death and improve heart and vascular function. The benefits from running are obtained by optimizing the dose of running to moderate levels. Running at high intensity or for long periods can cause problems such as heart tissue damage, arrhythmias, and exercise-induced hypertension (EIH), especially in middle-aged and older people. Marathons and ultra-endurance running (UER) are also associated with the risk of sudden cardiac death (SCD). This review discusses the latest information on the benefits and risks of running and examines the research on recreational running, marathons and, UER. This article aims to help people understand how running affects heart health and discusses the best amount of running to get the most health benefits while avoiding the negative effects. Information was collected from PubMed and Google Scholar.
References
Di Cesare M, Perel P, Taylor S, Kabudula C, Bixby H, Gaziano TA, et al. The heart of the world. Glob Heart [Internet]. 2024;19(1):11. Available from: http://dx.doi.org/10.5334/gh.1288
Lee D-C, Pate RR, Lavie CJ, Sui X, Church TS, Blair SN. Leisure-time running reduces all-cause and cardiovascular mortality risk. J Am Coll Cardiol [Internet]. 2014;64(5):472–81. Available from: http://dx.doi.org/10.1016/j.jacc.2014.04.058
Lavie CJ, Lee D-C, Sui X, Arena R, O’Keefe JH, Church TS, et al. Effects of running on chronic diseases and cardiovascular and all-cause mortality. Mayo Clin Proc [Internet]. 2015;90(11):1541–52. Available from: http://dx.doi.org/10.1016/j.mayocp.2015.08.001
Tao C. Benefits of running on cardiac protection and the culture of exercise health awareness. Rev Brasil Med Esporte [Internet]. 2023;29. Available from: http://dx.doi.org/10.1590/1517-8692202329012022_0168
Mehta A, Kondamudi N, Laukkanen JA, Wisloff U, Franklin BA, Arena R, et al. Running away from cardiovascular disease at the right speed: The impact of aerobic physical activity and cardiorespiratory fitness on cardiovascular disease risk and associated subclinical phenotypes. Prog Cardiovasc Dis [Internet]. 2020;63(6):762–74. Available from: http://dx.doi.org/10.1016/j.pcad.2020.11.004
Scheer V, Tiller NB, Doutreleau S, Khodaee M, Knechtle B, Pasternak A, et al. Potential long-term health problems associated with ultra-endurance running: A narrative review. Sports Med [Internet]. 2022;52(4):725–40. Available from: http://dx.doi.org/10.1007/s40279-021-01561-3
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med [Internet]. 2020;54(24):1451–62. Available from: http://dx.doi.org/10.1136/bjsports-2020-102955
McMullen CW, Harrast MA, Baggish AL. Optimal running dose and cardiovascular risk. Curr Sports Med Rep [Internet]. 2018;17(6):192–8. Available from: http://dx.doi.org/10.1249/JSR.0000000000000491
Xue T, Chen Z. Using the paired sample t test to analyze the effect of jogging on the cardiovascular function of college students. Altern Ther Health Med. 2024;30(9):262–7.
Giallauria F, Strisciuglio T, Cuomo G, Di Lorenzo A, D’Angelo A, Volpicelli M, et al. Exercise training: The holistic approach in cardiovascular prevention. High Blood Press Cardiovasc Prev [Internet]. 2021;28(6):561–77. Available from: http://dx.doi.org/10.1007/s40292-021-00482-6
Stockman JA III. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Year B Pediatr [Internet]. 2013;2013:233–5. Available from: http://dx.doi.org/10.1016/j.yped.2011.12.019
Schnohr P, O’Keefe JH, Marott JL, Lange P, Jensen GB. Dose of jogging and long-term mortality: the Copenhagen City Heart Study. J Am Coll Cardiol [Internet]. 2015;65(5):411–9. Available from: http://dx.doi.org/10.1016/j.jacc.2014.11.023
Seals DR, Nagy EE, Moreau KL. Aerobic exercise training and vascular function with ageing in healthy men and women. J Physiol [Internet]. 2019;597(19):4901–14. Available from: http://dx.doi.org/10.1113/JP277764
Williams PT, Thompson PD. Walking versus running for hypertension, cholesterol, and diabetes mellitus risk reduction. Arterioscler Thromb Vasc Biol [Internet]. 2013;33(5):1085–91. Available from: http://dx.doi.org/10.1161/ATVBAHA.112.300878
Jung S-J, Park J-H, Lee S. Arterial stiffness is inversely associated with a better running record in a full course marathon race. J Exerc Nutrition Biochem [Internet]. 2014;18(4):355–9. Available from: http://dx.doi.org/10.5717/jenb.2014.18.4.355
Predel H-G. Marathon run: cardiovascular adaptation and cardiovascular risk. Eur Heart J [Internet]. 2014;35(44):3091–8. Available from: http://dx.doi.org/10.1093/eurheartj/eht502
Day SM, Thompson PD. Cardiac risks associated with marathon running. Sports Health [Internet]. 2010;2(4):301–6. Available from: http://dx.doi.org/10.1177/1941738110373066
Vitiello D, Palacin F, Poinsard L, Kirsch M, Jouini S, Billat V. Marathon-induced cardiac fatigue: A review over the last decade for the preservation of the athletes’ health. Int J Environ Res Public Health [Internet]. 2021;18(16):8676. Available from: http://dx.doi.org/10.3390/ijerph18168676
O’Riordan C, Savage E, Newell M, Flaherty G, Hartigan MSc I. Cardiovascular disease risk factor profile of experienced male amateur marathon runners: A systematic review. Sports Health [Internet]. 2023;15(5):661–72. Available from: http://dx.doi.org/10.1177/19417381231176534
Herm J, Töpper A, Wutzler A, Kunze C, Krüll M, Brechtel L, et al. Frequency of exercise-induced ST-T-segment deviations and cardiac arrhythmias in recreational endurance athletes during a marathon race: results of the prospective observational Berlin Beat of Running study. BMJ Open [Internet]. 2017;7(8):e015798. Available from: http://dx.doi.org/10.1136/bmjopen-2016-015798
Kim C-H, Park Y, Chun MY, Kim Y-J. Exercise-induced hypertension is associated with angiotensin II activity and total nitric oxide. Medicine (Baltimore) [Internet]. 2020;99(27):e20943. Available from: http://dx.doi.org/10.1097/MD.0000000000020943
Kim Y-J, Park K-M. Possible mechanisms for adverse cardiac events caused by exercise-induced hypertension in long-distance middle-aged runners: A review. J Clin Med [Internet]. 2024;13(8):2184. Available from: http://dx.doi.org/10.3390/jcm13082184
Kim Y-J, Kim C-H, Park K-M. Excessive exercise habits of runners as new signs of hypertension and arrhythmia. Int J Cardiol [Internet]. 2016;217:80–4. Available from: http://dx.doi.org/10.1016/j.ijcard.2016.05.001
Vlachopoulos C, Kardara D, Anastasakis A, Baou K, Terentes-Printzios D, Tousoulis D, et al. Arterial stiffness and wave reflections in marathon runners. Am J Hypertens [Internet]. 2010;23(9):974–9. Available from: http://dx.doi.org/10.1038/ajh.2010.99
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Copyright (c) 2024 Emilia Bachoń, Michalina Doligalska, Aleksandra Stremel, Wiktoria Wesołowska, Agnieszka Leszyńska, Martyna Iwańska, Zuzanna Bałoniak
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