Evidence map›Paper›PMID 32881035›Full record

ArticleClinical cardiology2020

Cardiac and renal biomarkers in recreational runners following a 21 km treadmill run.

Tee Joo Yeo, Lieng H Ling, Carolyn Su Ping Lam, Jenny Pek Ching Chong, Oi Wah Liew, Zhen Long Teo, Lingli Gong, Arthur Mark Richards, Mark Y Chan

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. The relationship between cardiac damage biomarkers and heart rate variability following 60 min of running.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Tee Joo YeoCardiac Department, National University Heart Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-2462-6257
Lieng H LingCardiac Department, National University Heart Centre Singapore, Singapore, Singapore.
Carolyn Su Ping LamYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1903-0018
Jenny Pek Ching ChongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Oi Wah LiewYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zhen Long TeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Lingli GongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Arthur Mark RichardsCardiac Department, National University Heart Centre Singapore, Singapore, Singapore.
Mark Y ChanCardiac Department, National University Heart Centre Singapore, Singapore, Singapore.
National University of Singapore · SGNational University Heart Centre Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHighly trained athletes running 42 km or more demonstrate elevated cardiac biomarkers, ventricular dysfunction, and decreased glomerular filtration rate (GFR). Whether similar changes occur in the much larger population of recreational runners following half-marathon distance running is unclear. HYPOTHESIS: Recreational runners exhibit changes in myocardial and renal biomarkers, including ventricular strain, after a half-marathon treadmill run.

methods10 recreational subjects (mean age 36.5 ± 6.5 years) ran 21 km on a treadmill (mean completion time 121.6 ± 16.1 minutes). Serum high-sensitivity troponin T (hsTnT), amino-terminal pro-brain natriuretic peptide (NT-proBNP), creatinine, and neutrophil gelatinase-associated lipocalin (NGAL) were measured prior to, 1 hour post-, and 24 hours post-exercise. Pre- and post-exercise echocardiograms were performed.

resultsAll biomarkers increased 1 hour post-exercise: hsTnT by 8.5 ± 8.5 pg/ml (P < .05), NT-ProBNP by 26.2 ± 22.8 pg/ml (P < .05) and NGAL by 29.5 ± 37.7 ng/ml (P=NS). By 24 hours post-run, these biomarkers declined toward baseline levels. Right ventricle (RV) free wall and left ventricle global longitudinal strain decreased by 5.5% and 1.8%, respectively (P < .001). Changes in NGAL correlated well with changes in serum creatinine (R = 0.79, P < .01) and GFR (R = -0.73, P < .05). Faster 21 km completion times, and a larger reduction in post-exercise RV strain, were associated with higher NGAL levels: (R = -0.75, P = .01) and (R = 0.66, P < .05), respectively.

conclusionA 21 km run in recreational runners is associated with transient ventricular stunning and reversible changes in myocardial and renal biomarkers. Whether repeated bouts of similar activity contributes to chronic cardiac or kidney dysfunction deserves further evaluation.

Indexed as

AdultBiomarkersCreatinineEchocardiographyExercise TestFemaleGlomerular Filtration RateHeart VentriclesHumansKidneyLipocalin-2MaleNatriuretic Peptide, BrainPeptide FragmentsRunningTroponin TBiomarkersCreatinineLCN2 protein, humanLipocalin-2Natriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Troponin Tamino-terminal pro-brain natriuretic peptidebiomarkerhalf-marathonhigh-sensitivity troponin Tneutrophil gelatinase-associated lipocalinventricular strain

Identifiers

PMID32881035
PMCPMC7724216
OpenAlexW3082433327

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.