Evidence map›Paper›PMID 23450998›Full record

SynthesisDeutsches Arzteblatt international2013

Competitive sports and the heart: benefit or risk?

Jürgen Scharhag, Herbert Löllgen, Wilfried Kindermann

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Deutsches Arzteblatt international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Exercise Hypertension in Athletes.Journal of clinical medicine · 2022
    Article
  5. Review
  6. Article
  7. Endurance Exercise and the Heart: Friend or Foe?Sports medicine (Auckland, N.Z.) · 2016
    Article
  8. Review
  9. Risk of athletes with Chiari malformations suffering catastrophic injuries during sports participation is low.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2015
    Article
  10. Endurance sport and "cardiac injury": a prospective study of recreational ironman athletes.International journal of environmental research and public health · 2014
    Article
  11. Article
  12. Contradictory statements.Deutsches Arzteblatt international · 2013
    Article
  13. In reply.Deutsches Arzteblatt international · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jürgen ScharhagDepartment of Internal Medicine III: Cardiology, Angiology and Pneumology, Heidelberg University Hospital, Heidelberg, Germany. juergen.scharhag@med.uni-heidelberg.de
Herbert Löllgen
Wilfried Kindermann
Heidelberg University · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversy surrounds the cardiac effects of competitive sports and the athlete's heart. In this review, we present and discuss the main cardiological findings in competitive athletes.

methodSelective review of pertinent literature retrieved by a search with the keywords "athlete's heart," "ECG," "echocardiography," "endurance exercise," "longevity," and others.

resultsRegular exercise leads to functional and structural adaptations that improve cardiac function. Athlete's heart, which develops rarely, is a typical finding in endurance athletes. This condition is characterized by physiological, harmonically eccentric hypertrophy of all cardiac chambers. The athlete's ECG can be used to distinguish physiological, training-related changes from pathological training-unrelated changes. The athlete's heart function is normal at rest and increases appropriately during exercise. The cardiac markers troponin and B-type natriuretic peptide are within the normal range in healthy athletes at rest, but can temporarily be mildly elevated after exhausting endurance-exercise, without evidence of myocardial damage. The epidemiological data suggest that participation in competitive sports increases life expectancy.

conclusionCompetitive exercise does not induce cardiac damage in individuals with healthy hearts, but does induce physiological functional and structural cardiac adaptations which have positive effects on life expectancy.

Indexed as

Heart DiseasesHumansIncidenceRisk AssessmentSports

Identifiers

PMID23450998
PMCPMC3561756
OpenAlexW2114676879

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.