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Foulkes S, Hewitt D, Skow R, Dover D, Kaul P, La Gerche A, Haykowsky M. Outrunning the grim reaper: longevity of the first 200 sub-4 min mile male runners. Br J Sports Med 2024; 58:717-721. [PMID: 38729629 DOI: 10.1136/bjsports-2024-108386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2024] [Indexed: 05/12/2024]
Abstract
OBJECTIVES To determine the impact of running a sub-4 min mile on longevity. It was hypothesised that there would be an increase in longevity for runners who successfully completed a sub-4 min mile compared with the general population. METHODS As part of this retrospective cohort study, the Sub-4 Alphabetic Register was used to extract the first 200 athletes to run a sub-4 min mile. Each runner's date of birth, date of their first successful mile attempt, current age (if alive) or age at death was compared with the United Nations Life Tables to determine the difference in each runner's current age or age at death with their country of origin-specific life expectancy. RESULTS Of the first 200 sub-4 min mile runners (100% male), 60 were dead (30%) and 140 were still alive. Sub-4 min mile runners lived an average of 4.7 years beyond their predicted life expectancy (95% CI 4.7 to 4.8). When accounting for the decade of completion (1950s, 1960s or 1970s), the longevity benefits were 9.2 years (n=22; 95% CI 8.3 to 10.1), 5.5 years (n=88; 95% CI 5.3 to 5.7) and 2.9 years (n=90; 95% CI 2.7 to 3.1), respectively. CONCLUSION Sub-4 min mile runners have increased longevity compared with the general population, thereby challenging the notion that extreme endurance exercise may be detrimental to longevity.
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Affiliation(s)
- Stephen Foulkes
- Integrated Cardiovascular Exercise Physiology and Rehabilitation Laboratory, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
- Heart, Exercise and Research Trials Laboratory, St Vincent's Institute of Medical Research, Melbourne, Victoria, Australia
| | - Dean Hewitt
- Integrated Cardiovascular Exercise Physiology and Rehabilitation Laboratory, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | - Rachel Skow
- Integrated Cardiovascular Exercise Physiology and Rehabilitation Laboratory, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | - Douglas Dover
- Canadian VIGOUR Centre, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Padma Kaul
- Canadian VIGOUR Centre, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - André La Gerche
- Heart, Exercise and Research Trials Laboratory, St Vincent's Institute of Medical Research, Melbourne, Victoria, Australia
- Cardiology Department, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia
| | - Mark Haykowsky
- Integrated Cardiovascular Exercise Physiology and Rehabilitation Laboratory, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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Burtscher J, Vanderriele PE, Legrand M, Predel HG, Niebauer J, O’Keefe JH, Millet GP, Burtscher M. Could Repeated Cardio-Renal Injury Trigger Late Cardiovascular Sequelae in Extreme Endurance Athletes? Sports Med 2022; 52:2821-2836. [DOI: 10.1007/s40279-022-01734-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2022] [Indexed: 12/17/2022]
Abstract
AbstractRegular exercise confers multifaceted and well-established health benefits. Yet, transient and asymptomatic increases in markers of cardio-renal injury are commonly observed in ultra-endurance athletes during and after competition. This has raised concerns that chronic recurring insults could cause long-term cardiac and/or renal damage. Indeed, extreme endurance exercise (EEE) over decades has sometimes been linked with untoward cardiac effects, but a causal relation with acute injury markers has not yet been established. Here, we summarize the current knowledge on markers of cardiac and/or renal injury in EEE athletes, outline the possible interplay between cardiac and kidney damage, and explore the roles of various factors in the development of potential exercise-related cardiac damage, including underlying diseases, medication, sex, training, competition, regeneration, mitochondrial dysfunction, oxidative stress, and inflammation. In conclusion, despite the undisputed health benefits of regular exercise, we speculate, based on the intimate link between heart and kidney diseases, that in rare cases excessive endurance sport may induce adverse cardio-renal interactions that under specific, hitherto undefined conditions could result in persistent cardiac damage. We highlight future research priorities and provide decision support for athletes and clinical consultants who are seeking safe strategies for participation in EEE training and competition.
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Alternative Metabolic Strategies are Employed by Endurance Runners of Different Body Sizes; Implications for Human Evolution. ADAPTIVE HUMAN BEHAVIOR AND PHYSIOLOGY 2022. [DOI: 10.1007/s40750-021-00183-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Abstract
Objective
A suite of adaptations facilitating endurance running (ER) evolved within the hominin lineage. This may have improved our ability to reach scavenging sites before competitors, or to hunt prey over long distances. Running economy (RE) is a key determinant of endurance running performance, and depends largely on the magnitude of force required to support body mass. However, numerous environmental factors influence body mass, thereby significantly affecting RE. This study tested the hypothesis that alternative metabolic strategies may have emerged to enable ER in individuals with larger body mass and poor RE.
Methods
A cohort of male (n = 25) and female (n = 19) ultra-endurance runners completed submaximal and exhaustive treadmill protocols to determine RE, and V̇O2Max.
Results
Body mass was positively associated with sub-maximal oxygen consumption at both LT1 (male r=0.66, p<0.001; female LT1 r=0.23, p=0.177) and LT2 (male r=0.59, p=0.001; female r=0.23, p=0.183) and also with V̇O2Max (male r=0.60, p=0.001; female r=0.41, p=0.046). Additionally, sub-maximal oxygen consumption varied positively with V̇O2Max in both male (LT1 r=0.54, p=0.003; LT2 r=0.77, p<0.001) and female athletes (LT1 r=0.88, p<0.001; LT2 r=0.92, p<0.001).
Conclusions
The results suggest that, while individuals with low mass and good RE can glide economically as they run, larger individuals can compensate for the negative effects their mass has on RE by increasing their capacity to consume oxygen. The elevated energy expenditure of this low-economy high-energy turnover approach to ER may bring costs associated with energy diversion away from other physiological processes, however.
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Yildiz C, Öngel ME, Yilmaz B, Özilgen M. Diet-dependent entropic assessment of athletes' lifespan. J Nutr Sci 2021; 10:e83. [PMID: 34733495 PMCID: PMC8532055 DOI: 10.1017/jns.2021.78] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 08/26/2021] [Accepted: 08/26/2021] [Indexed: 01/10/2023] Open
Abstract
Life expectancies of the athletes depend on the sports they are doing. The entropic age concept, which was found successful in the previous nutrition studies, will be employed to assess the relation between the athletes' longevity and nutrition. Depending on their caloric needs, diets are designed for each group of athletes based on the most recent guidelines while they are pursuing their careers and for the post-retirement period, and then the metabolic entropy generation was worked out for each group. Their expected lifespans, based on attaining the lifespan entropy limit, were calculated. Thermodynamic assessment appeared to be in agreement with the observations. There may be a significant improvement in the athletes' longevity if they shift to a retirement diet after the age of 50. The expected average longevity for male athletes was 56 years for cyclists, 66 years for weightlifters, 75 years for rugby players and 92 years for golfers. If they should start consuming the retirement diet after 50 years of age, the longevity of the cyclists may increase for 7 years, and those of weightlifters, rugby players and golfers may increase for 22, 30 and 8 years, respectively.
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Affiliation(s)
- Cennet Yildiz
- Department of Food Engineering, Yeditepe University, Kayısdagi, Atasehir, Istanbul34755, Turkey
| | - Melek Ece Öngel
- Nutrition and Dietetics Department, Yeditepe University, Kayısdagi, Atasehir, Istanbul34755, Turkey
| | - Bayram Yilmaz
- Faculty of Medicine, Department of Physiology, Yeditepe University, Istanbul, Turkey
| | - Mustafa Özilgen
- Department of Food Engineering, Yeditepe University, Kayısdagi, Atasehir, Istanbul34755, Turkey
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Runacres A, Mackintosh KA, McNarry MA. Health Consequences of an Elite Sporting Career: Long-Term Detriment or Long-Term Gain? A Meta-Analysis of 165,000 Former Athletes. Sports Med 2021; 51:289-301. [PMID: 33368029 PMCID: PMC7846545 DOI: 10.1007/s40279-020-01379-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2020] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Exercise is widely accepted to improve health, reducing the risk of premature mortality, cardiovascular disease (CVD) and cancer. However, several epidemiological studies suggest that the exercise-longevity relationship may be 'J' shaped; with elite athlete's likely training above these intensity and volume thresholds. Therefore, the aim of this meta-analysis was to examine this relationship in former elite athletes. METHODS 38,047 English language articles were retrieved from Web of Science, PubMed and SportDiscus databases published after 1970, of which 44 and 24 were included in the systematic review and meta-analysis, respectively. Athletes were split into three groups depending on primary sport: Endurance (END), Mixed/Team, or power (POW). Standard mortality ratio's (SMR) and standard proportionate mortality ratio (SPMR) were obtained, or calculated, and combined for the meta-analysis. RESULTS Athletes lived significantly longer than the general population (male SMR 0.69 [95% CI 0.61-0.78]; female SMR 0.51 [95% CI 0.40-0.65]; both p < 0.01). There was no survival benefit for male POW athletes compared to the general population (SMR 1.04 [95% CI 0.91-1.12]). Although male athlete's CVD (SMR 0.73 [95% CI 0.62-0.85]) and cancer mortality (SMR 0.75 [95% CI 0.63-0.89]), were significantly reduced compared to the general population, there was no risk-reduction for POW athletes CVD mortality (SMR 1.10 [0.86-1.40]) or END athletes cancer mortality (SMR 0.73 [0.50-1.07]). There was insufficient data to calculate female sport-specific SMR's. DISCUSSION Overall, athletes live longer and have a reduced incidence of both CVD and cancer mortality compared to the general population, refuting the 'J' shape hypothesis. However, different health risks may be apparent according to sports classification, and between sexes, warranting further investigation. Trial registration PROSPERO (registration number: CRD42019130688).
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Affiliation(s)
- Adam Runacres
- Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea, UK
| | - Kelly A Mackintosh
- Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea, UK.
| | - Melitta A McNarry
- Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea, UK
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Thieme L, Fröhlich M. Do Former Elite Athletes Live Longer? New Evidence From German Olympic Athletes and a First Model Description. Front Sports Act Living 2020; 2:588204. [PMID: 33345158 PMCID: PMC7739809 DOI: 10.3389/fspor.2020.588204] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/05/2020] [Indexed: 12/17/2022] Open
Abstract
The positive effects of physical activity and recreational sports on health have been well-examined and are well-proven. In contrast, the consequences of extensive elite sports on life expectancy and mortality rates have been described in significantly less unique and comprehensive terms. There is a lack of models that systematically summarize the factors influencing the life span of elite athletes. Therefore, this study identifies the difference between all 6,066 German participants in Olympic Games between 1956 and 2016 and the total population, as well as between participants from the Federal Republic of Germany (FRG) and the German Democratic Republic (GDR), and between the genders. Currently, the survival rate of German Olympians is lower compared to the general population. On the contrary, it was found that Olympic success represents a linear risk for survival probability. While different types of sports do not exhibit any differences, gender and origin (FRG vs. GDR) do represent a significant risk factor. These results are combined with the current state of research to create an impact model of factors influencing the life span of elite athletes.
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Affiliation(s)
- Lutz Thieme
- University of Applied Science Koblenz, Koblenz, Germany
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Abstract
ZusammenfassungWährend moderate sportliche Bewegung die Überlebenswahrscheinlichkeit einer Risikogruppe positiv beeinflusst, sind die Befunde im Leistungssport international gemischt. Für Deutschland liegt dazu nur eine Studie zu Fußball-Nationalspielern vor. Daher wurden mit Hilfe der Daten der Mitglieder der deutschen Olympiamannschaften 1956 bis 2016 (n = 6066) Hypothesen zu Effekten im Vergleich zur Gesamtbevölkerung, zum metabolischen Stoffwechsel, zu Einzel‑, Mix- und Mannschaftssportarten, zu Doping, zum olympischen Erfolg und zum Geschlecht getestet und dabei auch die Mitgliedschaft in den Olympiamannschaften der Bundesrepublik, der DDR sowie dem wiedervereinigten Deutschland berücksichtigt. Es zeigt sich, dass die Mitglieder der deutschen Olympiamannschaften bislang eine im Vergleich mit der Gesamtbevölkerung höhere Mortalitätsrate aufweisen, es keine höheren Überlebensraten für die Mitglieder der Olympiamannschaften der alten Bundesrepublik gibt, sich keine Differenzen zwischen Sportarten finden lassen, aber steigende olympische Erfolge zu höheren Mortalitätsraten führen.
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