Over 50's club

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Canute Jun 2021 9:47pm, 13 Jun 2021 2,419 posts	0 Canute SteveNR your question about a comparison of the athletes in the St Georges study with sedentary people is a good question. Comparison with a matched sample is in principle a reasonable way to address the question of whether extensive strenuous exercise is related to the cause of the cardiac abnormalities. However, questions regarding the appropriate matching have led to extensive debate about the correct interpretation of previous studies. The study by the team at St Georges did not attempt a matched comparison. Atherosclerotic cardiovascular disease is fairly common in middle aged men in the Western societies. However one interprets the risk relative to the sedentary population, the levels of atherosclerotic cardiovascular disease observed in an appreciable number of these athletes is cause for some concern. The observation that 16% of this sample had a coronary artery calcification score higher than 100 Agatston units is noteworthy. CACS higher than100 is a marker of substantial cardiovascular risk. It is associated with an appreciably higher risk of premature mortality. A CAC score in the range 100-400 is associated with more than fourfold greater risk of major cardiovascular events in a given time period compared with cases with no evidence of calcification. It possible that in athletes the beneficial effects of exercise will help counteract the risk assorted with coronary artery calcification. Nonetheless, the important message from this study for people who do large amount of strenuous exercise is that it is worth monitoring blood pressure. If it is high, it is worth considering treatment.
Heinzster Jun 2021 9:56pm, 13 Jun 2021 1,815 posts	0 Heinzster Bizarre electrical changes is a very odd sentence for this type of article, seems more tabloid
LazyDaisy Jun 2021 9:57pm, 13 Jun 2021 33,581 posts	0 LazyDaisy All this chat made me get my home BP monitor out as it's been a little while since I checked it (I take Losartan daily.) According to the chart here bloodpressureuk.org it was in the 'pre-high' region. Pre-high??
Rosehip Jun 2021 10:01pm, 13 Jun 2021 21,425 posts	0 Rosehip The link given by Fenners is a "press" release prior to a conference rather than a paper I've tried searching for more recent papers, but it seems the main author went to work as Liverpool FC's cardiologist and sadly died a couple of years ago so even using google scholar I was getting obits as hits. My google-fu has deserted me these days and I really miss access to proper search systems and online journals (and I am very aware of how much physiology I've forgotten and I didn't know much to start with)
Diogenes Jun 2021 10:01pm, 13 Jun 2021 60,536 posts	0 Diogenes I’ve had similar in the last two weeks, HoD. I think I’ve been well-hydrated (although one was after a run). I must check my blood pressure and cut down on alcohol.
Rosehip Jun 2021 10:04pm, 13 Jun 2021 21,426 posts	0 Rosehip The last time I had my blood pressure checked it was high and I had to wait to be allowed home - that was after the camera-as-a-poo-stick-alternative procedure. They said they would write to my GP, but I never heard anything and forgot about it - that was 18 months ago. My BP always used to be on the low side rather than high. I should probably get it checked.
Dvorak Jun 2021 10:06pm, 13 Jun 2021 22,614 posts	0 Dvorak I wonder, Heinzster, if there may be additional data regarding endurance athletes and the prevalence of bizarre gardening accidents?
GimmeMedals Jun 2021 10:33pm, 13 Jun 2021 21,152 posts	0 GimmeMedals Mine was "pre-high" about 4 weeks ago, LD. It was a on-off and has been "ideal" each week since.
Hanneke Jun 2021 1:17am, 14 Jun 2021 75,189 posts	0 Hanneke Bizarre gardening accidents are doubtlessly prevalent in the over 50s
HappyG(rrr) Jun 2021 9:03am, 14 Jun 2021 38,965 posts	0 HappyG(rrr) Like Dvorak, and probably many in Fetch, I do 8-15 hours of elevated HR activity a week. But it includes gym, spin bike, canoeing and for others in Fetch it probably includes vigorous walking (so elevated HR). But I assumed that the headline of that article (didn't read the full medical version, of course) related to people doing 100 mile running per week, serious fell runner, ultra type training? I don't think I'll worry until they have a study of 000s of what I would call "Fetch-averagely" active people having serious heart scarring or other abnormalities leading to health risks. Until then, I'll assume that 8-15 hours of movement, rather than couch-sitting, is A Good Thing! G