标题： 基于生物医学数据的心率变异性在长期过度耐力运动中运动员风险评估分析 显示英文标题

标题： Analysis of Biomedical Data to Assess the Risk of Heart Rate Variability in Athletes Participating in Long-Term Excessive Endurance Exercise

摘要： 经常过度锻炼的业余马拉松跑者在心脏和主动脉中出现病理性结构变化。 本文讨论了业余马拉松跑者的心血管系统适应性和危险。 完成耐力比赛后，业余运动员会出现一系列心脏变化，包括与冠状动脉粥样硬化、心律失常和突然心脏死亡风险增加相关的的心脏损伤生物标志物的暂时升高和变化。 由于运动员中“假阳性”生物标志物的高发生率，有氧运动的健康益处受到质疑，治疗也变得复杂。 关于长期有氧运动的报道与动脉粥样硬化风险相矛盾。 差异可能会影响参与者的日常生活特征结果。 通过将跑者与其非跑步的妻子进行比较，我们发现定期的高强度跑步训练可以改善心血管概况的许多成分，但不会减少动脉粥样硬化。 尽管已经开发出代谢组学方法来评估马拉松跑者的生理反应，但关于由长期高强度耐力训练引起的心血管系统改变的生物标志物仍存在争议。 习惯性耐力运动改善了心血管风险概况。 动脉粥样硬化由年龄和心血管风险引起；然而，影响很小。 显示英文摘要

摘要： Amateur marathon runners who exercise excessively over time have pathological structural changes in their hearts and aortas. Amateur marathon runners' cardiovascular system adaptations and dangers are discussed in this article. After completing endurance races, amateur athletes experience a series of cardiac modifications, including temporary elevation and changes in biomarkers of cardiac damage associated with an increased risk of coronary atherosclerosis, arrhythmias, and sudden cardiac death. As a result of the high prevalence of "false positive" biomarkers in athletes, the health benefits of aerobic activity are questioned, and treatment is complicated. Reports on long-term aerobic exercise contradict atherosclerosis risk. Differences may influence the results in lifestyle characteristics among participants. By comparing runners with their non-runner wives, we find that regular, high intensity run training improves many components of the cardiovascular profile but does not reduce atherosclerosis. Although metabolomic approaches have been developed to evaluate the physiological response of marathon runners, there is still controversy concerning the biomarkers of cardiovascular system alterations caused by long-term high-intensity endurance training. The cardiovascular risk profile is improved by habitual endurance exercise. Atherosclerosis is caused by age and cardiovascular risks; however, is little affected by it.