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Cardiovascular Remodeling Experienced by Real-World, Unsupervised, Young Novice Marathon Runners

Overview of attention for article published in Frontiers in Physiology, March 2020
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (73rd percentile)
  • High Attention Score compared to outputs of the same age and source (85th percentile)

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Title
Cardiovascular Remodeling Experienced by Real-World, Unsupervised, Young Novice Marathon Runners
Published in
Frontiers in Physiology, March 2020
DOI 10.3389/fphys.2020.00232
Pubmed ID
Authors

Andrew D’Silva, Anish N. Bhuva, Jet van Zalen, Rachel Bastiaenen, Amna Abdel-Gadir, Siana Jones, Niromila Nadarajan, Katia D. Menacho Medina, Yang Ye, Joao Augusto, Thomas A. Treibel, Stefania Rosmini, Manish Ramlall, Paul R. Scully, Camilla Torlasco, James Willis, Gherardo Finocchiaro, Efstathios Papatheodorou, Harshil Dhutia, Della Cole, Irina Chis Ster, Alun D. Hughes, Rajan Sharma, Charlotte Manisty, Guy Lloyd, James C. Moon, Sanjay Sharma

Abstract

Marathon running is a popular ambition in modern societies inclusive of non-athletes. Previous studies have highlighted concerning transient myocardial dysfunction and biomarker release immediately after the race. Whether this method of increasing physical activity is beneficial or harmful remains a matter of debate. We examine in detail the real-world cardiovascular remodeling response following competition in a first marathon. Sixty-eight novice marathon runners (36 men and 32 women) aged 30 ± 3 years were investigated 6 months before and 2 weeks after the 2016 London Marathon race in a prospective observational study. Evaluation included electrocardiography, cardiopulmonary exercise testing, echocardiography, and cardiovascular magnetic resonance imaging. After 17 weeks unsupervised marathon training, runners revealed a symmetrical, eccentric remodeling response with 3-5% increases in left and right ventricular cavity sizes, respectively. Blood pressure (BP) fell by 4/2 mmHg (P < 0.01) with reduction in arterial stiffness, despite only 11% demonstrating a clinically meaningful improvement in peak oxygen consumption with an overall non-significant 0.4 ml/min/kg increase in peak oxygen consumption (P = 0.14). In the absence of supervised training, exercise-induced cardiovascular remodeling in real-world novice marathon runners is more modest than previously described and occurs even without improvement in cardiorespiratory fitness. The responses are similar in men and women, who experience a beneficial BP reduction and no evidence of myocardial fibrosis or persistent edema, when achieving average finishing times.

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The data shown below were collected from the profiles of 11 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 10 14%
Researcher 9 13%
Unspecified 5 7%
Student > Master 5 7%
Student > Bachelor 3 4%
Other 11 16%
Unknown 27 39%
Readers by discipline Count As %
Medicine and Dentistry 15 21%
Sports and Recreations 7 10%
Unspecified 5 7%
Immunology and Microbiology 2 3%
Nursing and Health Professions 2 3%
Other 6 9%
Unknown 33 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 October 2020.
All research outputs
#4,632,209
of 23,305,591 outputs
Outputs from Frontiers in Physiology
#2,322
of 14,039 outputs
Outputs of similar age
#98,890
of 368,040 outputs
Outputs of similar age from Frontiers in Physiology
#54
of 355 outputs
Altmetric has tracked 23,305,591 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 14,039 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has done well, scoring higher than 83% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 368,040 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 73% of its contemporaries.
We're also able to compare this research output to 355 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 85% of its contemporaries.