MONDAY, Oct. 25 (HealthDay News) -- Running a marathon can
damage your heart, with more than half of the segments in the
heart's main pumping chamber typically functioning a little under
par during the race, a new study shows.
The good news? Other parts of the heart pick up the slack and
the changes reverse within three months or fewer after the run, the
researchers found. The more fit and trained a runner is, the less
effect the strain of a marathon was found to have on the heart.
The findings underscore the need for adequate training, but "we
aren't suggesting marathons are dangerous or that people shouldn't
run," said Dr. Eric Larose, a professor of medicine at the
University of Laval and a research-scholar at the Quebec Foundation
for Health Research, Quebec City, Canada.
Larose is slated to present his findings Monday at the Canadian
Cardiovascular Congress 2010.
For the study, Larose and his colleagues gathered 20 healthy
amateur runners, average age 45, who were planning to run a
marathon in about six to eight weeks.
The researchers evaluated the runners' fitness with a treadmill
test that computes their measure of aerobic endurance and the
body's oxygen consumption, a test called the VO2 max. They also did
blood tests and scanned their hearts using MRI before the race,
shortly after the race and then again three months later.
The investigators found changes immediately after the race in
the left ventricle -- the heart's main pumping chamber -- which is
divided into 17 segments.
"Out of these, 53 percent of the segments decreased in function during the marathon," Larose said. The decreased functioning may be due to inflammation due to exertion, he added.
But he also found that neighboring segments took up the slack,
compensating for the segments that weren't functioning up to
Despite the lowered functioning, Larose found that the heart's
pumping ability didn't change. "'As a whole, the heart is able to
pump out enough blood during the race," he said.
The fitter the runners, the less effect the running had on the
left ventricle, Larose found. "Only one subject had no segmental
dysfunction," he said, "and he had the best [aerobic endurance
measurements]." Runners who were less well-trained -- and who had
lower VO2 max scores -- were more likely to get dehydrated and
suffer greater irritation of the heart segments, the study
While the study was small, those who showed the best aerobic
endurance -- a VO2 max score above 50 -- did better, although
Larose said the study was too small to say this is a threshold or
Regardless of VO2 max scores, "when we repeated the scans, the
MRIs, everything came back normal." That was three months after the
marathon, he said, although "that does not mean it takes three
months" for the heart to recover.
The study was small but well done, said Dr. Ori Ben-Yehuda,
director of the coronary care unit and a professor of medicine at
the University of California San Diego, who has researched the
topic as well. "The study raises concerns but is also reassuring,"
he said. "Even those with 'more' damage did fine after three
The bottom line? "If you're in great shape, exercise has
benefits long-term, and short-term risks," Ben-Yehuda said. "It's
very difficult to say, 'You're safe,' 'You're not' to runners. The
one thing that is obvious is the more trained you are, the easier
it is going to be on you."
Take-home lessons from the new research are clear, Larose
agreed. Plan ahead and train regularly: You shouldn't go from couch
to marathon in a month. Rough guideline: "If you're already fit for
a half marathon, in three months you should be able to take it up
to a full, as long as you follow your [training] schedule" and do
the long and short runs, said Larose.
Find a training schedule -- they're widely available in books
and on the Internet -- and stick with it, Larose suggested.
To learn more about starting a running program, visit the
American Council on Exercise.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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