Is it possible to age safely by practicing ultra-endurance exercises?
DOI:
https://doi.org/10.5965/19847246242023e0102Keywords:
aging, health, physical exercise, sudden death, physical activityAbstract
The healthy aging process undoubtedly includes having a lifestyle with positive choices and habits. In this context, the practice of physical exercise. It is well established that moderate-intensity physical exercise collaborates to reduce morbidities and loss of functionality of different physiological systems, as well as decreases the risk of orthopedic and cardiovascular disorders associated with aging. However, the performance of physical exercises of high intensity and volume, such aerobic ultra-resistance (IronMan triathlon, marathon, road cycling, etc.) in the presence of congenital and/or acquired cardiovascular diseases can predispose practitioners to an increased risk of sudden death. In addition, there is disagreement in the scientific literature as to whether the practice of ultra-resistance exercises during the aging process is safe for health and can increase or decrease longevity. Thus, the aim of this opinion article is to discuss the current literature on the subject from the perspective of the question “Is it possible to age safely by practicing ultra-endurance exercises?” as well as the possible association of this type of physical exercise with cases of sudden death. Our research shows that despite the benefits of physical exercise, high-intensity exercise combined with pre-existing health conditions can be the trigger for sudden death events.
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AAUBERT, G., & LANSDORP, P. M. Telomeres and aging. Physiological Reviews, Rockville, v. 88, n. 2, p. 557–579, 2008. Disponível em: https://Doi.Org/10.1152/Physrev.00026.2007. Acesso em: 07 jul. 2022.
BORGHINI, A.; GIARDINI, G.; TONACCI, A.; MASTORCI, F.; MERCURI, A.; SPOSTA, S. M.; MORETTI, S.; ANDREASSI, M. G.; & PRATALI, L. Chronic and acute effects of endurance training on telomere length. Mutagenesis, Oxford, v. 30, n. 5, p. 711–716, 2015. Disponível em: https://Doi.Org/10.1093/Mutage/Gev038. Acesso em: 08 jul. 2022.
CHODZKO-ZAJKO, W. J.; PROCTOR, D. N.; FIATARONE SINGH, M. A.; MINSON, C. T.; NIGG, C. R.; SALEM, G. J.; SKINNER, J. S. Exercise and physical activity for older adults. Medicine & Science In Sports & Exercise, Indianapolis, v. 41, n. 7, p. 1510-1530, 2009. Disponível em: https://Doi.Org/10.1249/Mss.0b013e3181a0c95c. Acesso em: 08 jul. 2022.
CHUGH, S. S.; WEISS, J. B. Sudden cardiac death in the older athlete. Journal Of The American College Of Cardiology, Washington, v. 65, n. 5, p. 493-502, 2015. Disponível em: https://Doi.Org/10.1016/J.Jacc.2014.10.064. Acesso em: 15 jul. 2022.
CUNNINGHAM, T. C.; MAGHRABI, K.; SANATANI, S. Morbidities in the ultra-athlete and marathoner. Cardiology In The Young, Cambridge, v. 27, n. S1, p. S94-S100, 2017. Disponível em: https://Doi.Org/10.1017/S1047951116002304. Acesso em: 09 jul. 2022.
DENHAM, J.; NELSON, C. P.; O’BRIEN, B. J.; NANKERVIS, S. A.; DENNIFF, M.; HARVEY, J. T.; MARQUES, F. Z.; CODD, V.; ZUKOWSKA-SZCZECHOWSKA, E.; SAMANI, N. J.; TOMASZEWSKI, M.; CHARCHAR, F. J. Longer leukocyte telomeres are associated with ultra-endurance exercise independent of cardiovascular risk factors. Plos One, San Francisco, v. 8, n. 7, e69377, 2013. Disponível em: https://Doi.Org/10.1371/Journal.Pone.0069377. Acesso em: 07 jul. 2022.
DISTEFANO, G.; GOODPASTER, B. H. Effects of exercise and aging on skeletal muscle. Cold Spring Harbor Perspectives In Medicine, Woodbury, v. 8, n. 3, a029785, 2018. Disponível em: https://Doi.Org/10.1101/Cshperspect.A029785. Acesso em: 20 jul. 2022.
DOGRA, S.; DUNSTAN, D. W.; SUGIYAMA, T.; STATHI, A.; GARDINER, P. A.; OWEN, N. Active aging and public health: evidence, implications, and opportunities. Annual Review Of Public Health, Lafayette, v. 43, n. 1, p. 439-459, 2022. Disponível em: https://Doi.Org/10.1146/Annurev-Publhealth-052620-091107. Acesso em: 01 jul. 2022.
DZIECHCIAŻ, M.; FILIP, R. Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Annals Of Agricultural And Environmental Medicine, Lublin, v. 21, n. 4, p. 835-838, 2014. Disponível em: https://Doi.Org/10.5604/12321966.1129943. Acesso em: 06 jul. 2022.
MORTE SÚBITA aos 58 anos em triatleta: infarto de Diniz pode ter elo com doença congênita; veja cuidados. G1, São Paulo, 2022. Disponível em: https://G1.Globo.Com/Saude/Noticia/2022/08/01/Morte-Subita-Aos-58-Anos-Em-Triatleta-Infarto-De-Diniz-Pode-Ter-Elo-Com-Doenca-Congenita-Veja-Cuidados.Ghtml. Acesso em: 07 jul. 2022.
HERNANDO, B.; GIL-BARRACHINA, M.; TOMÁS-BORT, E.; MARTINEZ-NAVARRO, I.; COLLADO-BOIRA, E.; HERNANDO, C. The effect of long-term ultra-endurance exercise and sod2 genotype on telomere shortening with age. Journal Of Applied Physiology, Rockville, v. 129, n. 4, p. 873-879, 2020. Disponível em: https://Doi.Org/10.1152/Japplphysiol.00570.2020. Acesso em: 07 jul. 2022.
LA GERCHE, A.; CONNELLY, K. A.; MOONEY, D. J.; MACISAAC, A. I.; PRIOR, D. L. Biochemical and functional abnormalities of left and right ventricular function after ultra-endurance exercise. Heart, London, v. 94, n. 7, p. 860-866, 2008. Disponível em: https://Doi.Org/10.1136/Hrt.2006.101063. Acesso em: 07 jul. 2022.
LEMEZ, S.; BAKER, J. Do elite athletes live longer? a systematic review of mortality and longevity in elite athletes. Sports Medicine - Open, London, v. 1, n. 1, p. 16, 2015. Disponível em: https://Doi.Org/10.1186/S40798-015-0024-X. Acesso em: 07 jul. 2022.
LEPERS, R.; STAPLEY, P. J. Master athletes are extending the limits of human endurance. Frontiers In Physiology, Lausanne, n. 7, a613, 2016. Disponível em: https://Doi.Org/10.3389/Fphys.2016.00613. Acesso em: 07 jul. 2022.
LIPPI, G.; FAVALORO, E.; & SANCHIS-GOMAR, F. Sudden cardiac and noncardiac death in sports: epidemiology, causes, pathogenesis, and prevention. Seminars In Thrombosis And Hemostasis, Uttar Pradesh, v. 44, n. 08, p. 780-786, 2018. Disponível em: https://Doi.Org/10.1055/S-0038-1661334. Acesso em: 07 jul. 2022.
MENDONÇA, G. V.; PEZARAT-CORREIA, P.; VAZ, J. R.; SILVA, L.; HEFFERNAN, K. S. Impact of aging on endurance and neuromuscular physical performance: the role of vascular senescence. Sports Medicine, London, v. 47, n. 4, p. 583–598, 2017. Disponível em: https://Doi.Org/10.1007/S40279-016-0596-8. Acesso em: 07 jul. 2022.
MITTENDORFER, B.; KLEIN, S. Effect of aging on glucose and lipid metabolism during endurance exercise. International Journal of Sport Nutrition and Exercise Metabolism, Champaign, v. 11, n. S1, p. S86-S91, 2001. Disponível em: https://Doi.Org/10.1123/Ijsnem.11.S1.S86. Acesso em: 07 jul. 2022.
NIKOLAIDIS, P.; KNECHTLE, B. Age of peak performance in 50-km ultramarathoners - is it older than in marathoners? Open Access Journal Of Sports Medicine, London, v. 9, p. 37-45, 2018. Disponível em: https://Doi.Org/10.2147/Oajsm.S154816. Acesso em: 07 jul. 2022.
NIKOLAIDIS, P.; ROSEMANN, T.; KNECHTLE, B. A brief review of personality in marathon runners: the role of sex, age and performance level. Sports, Basel, v. 6, n. 3, p. 99, 2018. Disponível em: https://Doi.Org/10.3390/Sports6030099. Acesso em: 07 jul. 2022.
O’KEEFE, E. L.; TORRES-ACOSTA, N.; O’KEEFE, J. H.; & LAVIE, C. J. Training for longevity: the reverse j-curve for exercise. Missouri Medicine, Missouri, v. 117, n. 4, p. 355–361, 2020. Disponível em: http://www.Ncbi.Nlm.Nih.Gov/Pubmed/32848273. Acesso em: 07 jul. 2022.
PATIL, H. R.; O’KEEFE, J. H.; LAVIE, C. J.; MAGALSKI, A.; VOGEL, R. A.; MCCULLOUGH, P. A. Cardiovascular damage resulting from chronic excessive endurance exercise. Missouri Medicine, Missouri, v. 109, n. 4, p. 312–321, 2012. Disponível em: http://www.Ncbi.Nlm.Nih.Gov/Pubmed/22953596. Acesso em: 07 jul. 2022.
PEDERSEN, B. K. Which type of exercise keeps you young? Current Opinion In Clinical Nutrition & Metabolic Care, Sidney, v. 22, n. 2, p. 167-173, 2019. Disponível em: https://Doi.Org/10.1097/Mco.0000000000000546. Acesso em: 07 jul. 2022.
POSSATI, C. Morte de João Paulo Diniz: qual é o motivo de enfartes em pessoas aparentemente saudáveis? Portal Terra, São Paulo, 2022. Disponível em: https://Www.Terra.Com.Br/Noticias/Coronavirus/Morte-De-Joao-Paulo-Diniz-Qual-E-O-Motivo-De-Enfartes-Em-Pessoas-Aparentemente-Saudaveis,4be2a53a9599bc90acc4d955a23dd6f0scf4gfpb.Html. Acesso em: 07 jul. 2022.
TAVEIRA, H. V.; DE LIRA, C. A. B.; ANDRADE, M. S.; VIANA, R. B.; TANAKA, H.; HILL, L.; NIKOLAIDIS, P. T.; KNECHTLE, B.; ROSEMANN, T.; VANCINI, R. L. Isokinetic muscle strength and postural sway of recreationally active older adults vs. master road runners. Frontiers In Physiology, Lausanne, v. 12, a632150, 2021. Disponível em: https://Doi.Org/10.3389/Fphys.2021.623150. Acesso em: 07 jul. 2022.
TERAMOTO, M.; BUNGUM, T. J. Mortality And Longevity Of Elite Athletes. Journal Of Science And Medicine In Sport, Amsterdam, v. 13, n. 4, p. 410-416, 2010. Disponível em: https://Doi.Org/10.1016/J.Jsams.2009.04.010. Acesso em: 07 jul. 2022.
ZARYSKI, C.; SMITH, D. J. Training principles and issues for ultra-endurance athletes. Current Sports Medicine Reports, Indianapolis, v. 4, n. 3, p. 165-170, 2005. Disponível em: https://Doi.Org/10.1097/01.Csmr.0000306201.49315.73. Acesso em: 07 jul. 2022.
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