Ultra-endurance sports have no negative impact on indices of arterial stiffness

Radtke, Thomas ; Schmidt-Trucksäss, Arno ; Brugger, Nicolas ; Schäfer, Daniela ; Saner, Hugo ; Wilhelm, Matthias

In: European Journal of Applied Physiology, 2014, vol. 114, no. 1, p. 49-57

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    Summary
    Purpose: Marathon running has been linked with higher arterial stiffness. Blood pressure is a major contributor to pulse wave velocity (PWV). We examined indices of arterial stiffness with a blood pressure-independent method in marathon runners and ultra-endurance athletes. Methods: Male normotensive amateur runners were allocated to three groups according to former participation in competitions: group I (recreational athletes), group II (marathon runners) and group III (ultra-endurance athletes). Indices of arterial stiffness were measured with a non-invasive device (VaSera VS-1500N, Fukuda Denshi, Japan) to determine the cardio-ankle vascular index (CAVI, primary endpoint) and brachial-ankle PWV (baPWV). Lifetime training hours were calculated. Cumulative competitions were expressed as marathon equivalents. Linear regression analysis was performed to determine predictors for CAVI and baPWV. Results: Measurements of arterial stiffness were performed in 51 subjects (mean age 44.6±1.2years): group I (n=16), group II (n=19) and group III (n=16). No between-group differences existed in age, anthropometric characteristics and resting BP. CAVI and baPWV were comparable between all groups (P=0.604 and P=0.947, respectively). In linear regression analysis, age was the only independent predictor for CAVI (R 2=0.239, β=0.455, P=0.001). Systolic BP was significantly associated with baPWV (R 2=0.225, β=0.403, P=0.004). Conclusions: In middle-aged normotensive athletes marathon running and ultra-endurance sports had no negative impact on arterial stiffness.