Pro-MagIC is a prospective observational study and includes participants of the Be-MaGIC-Study 2009 (n=277/NCT00933218). We aim to detect exercise-induced physiological changes (inter alia of the cardiovascular system) induced by repetitive ultra-endurance strain over a period of 10 years.
Physical activity is associated with health benefits. Acute prolonged and strenuous exercise, i.e. Marathon running, leads to hemodynamic, endothelial and myocardial functional changes. Whether these myocardial, endothelial and hemodynamic changes can also develop and persist through repetitive extreme and prolonged physical activity is currently still a matter of controversy. In addition, it is not known whether adaptations and changes over time can develop into clinically relevant cardiovascular events with negative health consequences in healthy athletes. The aim of this study is to detect exercise-induced physiological changes (inter alia of the cardiovascular system) induced by repetitive ultra-endurance strain over a period of 10 years. For this purpose, 277 male participants from the Be-MaGIC study (Marathon 2009) are examined in this prospective observational study. A single examination with the following components will take place: Anthropometry, clinical examination, laboratory, resting / exercise electrocardiography cardiopulmonary stress test, echocardiography, and fundus camera. Further examinations will be conducted in participants with abnormal examination results in line with current clinical recommendations.
Study Type
OBSERVATIONAL
Enrollment
277
Department of Prevention, Rehabilitation and Sports Medicine, Munich, Germany
Munich, Bavaria, Germany
Changes of right ventricular systolic function (RV-EF)
Echocardiography
Time frame: 10 years
Changes in left ventricular ejection fraction (LV-EF)
Echocardiography
Time frame: 10 years
Changes in left ventricular diastolic function (E/e´)
Echocardiography
Time frame: 10 years
Change in cardiac markers (e.g. cardiac Troponin)
Clinical chemistry (blood samples)
Time frame: 10 years
Change in inflammation markers (e.g. C-reactive Protein)
Clinical chemistry (blood samples)
Time frame: 10 years
Change in microcirculation (e.g. arteriolar-to-venular ratio)
Static Retinal Vessel Analyzer
Time frame: 10 years
Change in macrocirculation (e.g. Intima media thickness)
Carotid sonography
Time frame: 10 years
Change of prevalence of cardiovascular diseases
Questionnaire
Time frame: 10 years
Association between changes of aforementioned parameters (see Topics 1-8) and potential underlying causes (e.g. sports history like number of ultraendurance competitions) in the examined cohort
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Time frame: 10 years