American College of Sports M, Riebe D, Ehrman JK, Liguori G, Magal M. ACSM's guidelines for exercise testing and prescription; 2018.
Burkule N. Marathon running for amateurs: benefits and risks. J Clin Prev Cardiol. 2016;5(4):113–24.
Article
Google Scholar
Malm C, Jakobsson J, Isaksson A. Physical activity and sports-real health benefits: a review with insight into the public health of Sweden. Sports (Basel). 2019;7(5):127.
Wasfy MM, Baggish AL. Exercise dose in clinical practice. Circulation. 2016;133(23):2297–313. https://doi.org/10.1161/CIRCULATIONAHA.116.018093.
Article
PubMed
PubMed Central
Google Scholar
McKelvie R. Athlete's Heart. MSD manual 2019 [cited 14 July 2020]; Available from: https://www.msdmanuals.com/professional/cardiovascular-disorders/sports-and-the-heart/athlete’s-heart
Baldesberger S, Bauersfeld U, Candinas R, Seifert B, Zuber M, Ritter M, et al. Sinus node disease and arrhythmias in the long-term follow-up of former professional cyclists. Eur Heart J. 2008;29(1):71–8. https://doi.org/10.1093/eurheartj/ehm555.
Article
PubMed
Google Scholar
Kapa S, Asirvatham SJ. A MET a day keeps arrhythmia at bay: the association between exercise or cardiorespiratory fitness and atrial fibrillation. Mayo Clin Proc. 2016;91(5):545–50. https://doi.org/10.1016/j.mayocp.2016.03.003.
Article
PubMed
Google Scholar
O'Keefe JH, Franklin B, Lavie CJ. Exercising for health and longevity vs peak performance: different regimens for different goals. Mayo Clin Proc. 2014;89(9):1171–5. https://doi.org/10.1016/j.mayocp.2014.07.007.
Article
PubMed
Google Scholar
Andersen K, Farahmand B, Ahlbom A, Held C, Ljunghall S, Michaelsson K, et al. Risk of arrhythmias in 52 755 long-distance cross-country skiers: a cohort study. Eur Heart J. 2013;34(47):3624–31. https://doi.org/10.1093/eurheartj/eht188.
Article
PubMed
Google Scholar
Baggish AL, Levine BD. Coronary artery calcification among endurance athletes. Circulation. 2017;136(2):149–51. https://doi.org/10.1161/CIRCULATIONAHA.117.028750.
Article
PubMed
Google Scholar
Merghani A, Cox AT, Dhutia H, Bastiaenan R, Narain R, Malhotra A, et al. Prevalence of subclinical coronary artery disease in masters endurance athletes with a low atherosclerotic risk profile. Circulation. 2017;136(2):126–37.
Lechner K, Halle M, Scherr J, Drezner JA. Exercise recommendations in athletes with coronary artery calcification. Eur J Prev Cardiol. 2020;27(8):882–4. https://doi.org/10.1177/2047487319881700.
Article
PubMed
Google Scholar
Lechner K, Spanier B, Lechner B, Scherr J. Your athlete-patient has a high coronary artery calcification score-'Heart of Stone'. What should you advise? Is exercise safe? Br J Sports Med. 2020;5:1–2.
Tahir E, Starekova J, Muellerleile K, von Stritzky A, Munch J, Avanesov M, et al. Myocardial fibrosis in competitive triathletes detected by contrast-enhanced CMR correlates with exercise-induced hypertension and competition history. JACC Cardiovasc Imaging. 2018;11(9):1260–70. https://doi.org/10.1016/j.jcmg.2017.09.016.
Article
PubMed
Google Scholar
Baggish AL. Focal fibrosis in the endurance athlete's heart: running scarred or running scared? JACC Cardiovasc Imaging. 2018;11(9):1271–3. https://doi.org/10.1016/j.jcmg.2017.09.015.
Article
PubMed
Google Scholar
Wasfy MM, Hutter AM, Weiner RB. Sudden cardiac death in athletes. Methodist Debakey Cardiovasc J. 2016;12(2):76–80.
Article
Google Scholar
Haukilahti MAE, Holmström L, Vähätalo J, Kenttä T, Tikkanen J, Pakanen L, et al. Sudden cardiac death in women. Circulation. 2019;139(8):1012–21. https://doi.org/10.1161/CIRCULATIONAHA.118.037702.
Article
PubMed
Google Scholar
International Olympics Committee. Women in sports statistics - female athletes participation. Available from: https://www.olympic.org/women-in-sport/background/statistics. [cited 2020 15 July]
Maas AH, Appelman YE. Gender differences in coronary heart disease. Neth Heart J. 2010;18(12):598–602. https://doi.org/10.1007/s12471-010-0841-y.
Article
CAS
PubMed
PubMed Central
Google Scholar
Colombo CSSS, Finocchiaro G. The female athlete's heart: facts and fallacies. Curr Treat Options Cardiovasc Med. 2018;20(12):101. https://doi.org/10.1007/s11936-018-0699-7.
Article
PubMed
PubMed Central
Google Scholar
Zemva A, Rogel P. Gender differences in athlete's heart: association with 24-h blood pressure. A study of pairs in sport dancing. Int J Cardiol. 2001;77(1):49–54. https://doi.org/10.1016/S0167-5273(00)00417-4.
Article
CAS
PubMed
Google Scholar
Finocchiaro G, Sharma S. Do endurance sports affect female hearts differently to male hearts? Future Cardiol. 2016;12(2):105–8. https://doi.org/10.2217/fca.15.85.
Article
CAS
PubMed
Google Scholar
Westerman S, Wenger N. Gender differences in atrial fibrillation: a review of epidemiology, management, and outcomes. Curr Cardiol Rev. 2019;15(2):136–44. https://doi.org/10.2174/1573403X15666181205110624.
Article
PubMed
PubMed Central
Google Scholar
Kettunen JA, Kujala UM, Kaprio J, Backmand H, Peltonen M, Eriksson JG, et al. All-cause and disease-specific mortality among male, former elite athletes: an average 50-year follow-up. Br J Sports Med. 2015;49(13):893–7. https://doi.org/10.1136/bjsports-2013-093347.
Article
PubMed
Google Scholar
Grimsmo J, Grundvold I, Maehlum S, Arnesen H. High prevalence of atrial fibrillation in long-term endurance cross-country skiers: echocardiographic findings and possible predictors--a 28-30 years follow-up study. Eur J Cardiovasc Prev Rehabil. 2010;17(1):100–5. https://doi.org/10.1097/HJR.0b013e32833226be.
Article
PubMed
Google Scholar
Scherr J, Schuster T, Pressler A, Roeh A, Christle J, Wolfarth B, et al. Repolarization perturbation and hypomagnesemia after extreme exercise. Med Sci Sports Exerc. 2012;44(9):1637–43. https://doi.org/10.1249/MSS.0b013e318258aaf4.
Article
CAS
PubMed
Google Scholar
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.
Article
Google Scholar
Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32. https://doi.org/10.1080/1364557032000119616.
Article
Google Scholar
World Health Organization. Definition of regional groupings. Available from: https://www.who.int/healthinfo/global_burden_disease/definition_regions/en/. [cited 2020 15 July]
Kim JH, Malhotra R, Chiampas G, d'Hemecourt P, Troyanos C, Cianca J, et al. Cardiac arrest during long-distance running races. N Engl J Med. 2012;366(2):130–40. https://doi.org/10.1056/NEJMoa1106468.
Article
CAS
PubMed
Google Scholar
Mathews SC, Narotsky DL, Bernholt DL, Vogt M, Hsieh Y-H, Pronovost PJ, et al. Mortality among marathon runners in the United States, 2000-2009. Am J Sports Med. 2012;40(7):1495–500. https://doi.org/10.1177/0363546512444555.
Article
PubMed
Google Scholar
Svedberg N, Sundstrom J, James S, Hallmarker U, Hambraeus K, Andersen K. Long-term incidence of atrial fbrillation and stroke among cross-country skiers. Circulation. 2019;140(11):910–20.
Arem H, Moore SC, Patel A, Hartge P. Berrington de Gonzalez A, Visvanathan K, et al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. JAMA Intern Med. 2015;175(6):959–67. https://doi.org/10.1001/jamainternmed.2015.0533.
Article
PubMed
PubMed Central
Google Scholar
Roberts WO, Roberts DM, Lunos S. Marathon related cardiac arrest risk differences in men and women. Br J Sports Med. 2013;47(3):168–71. https://doi.org/10.1136/bjsports-2012-091119.
Article
PubMed
Google Scholar
Jin M-N, Yang P-S, Song C, Yu HT, Kim T-H, Uhm J-S, et al. Physical activity and risk of atrial fibrillation: a nationwide cohort study in general population. Sci Rep. 2019;9(1):13270. https://doi.org/10.1038/s41598-019-49686-w.
Article
CAS
PubMed
PubMed Central
Google Scholar
Hallmarker U, Michaelsson K, Arnlov J, Hellberg D, Lagerqvist B, Lindback J, et al. Risk of recurrent ischaemic events after myocardial infarction in long-distance ski race participants. Eur J Prev Cardiol. 2016;23(3):282–90. https://doi.org/10.1177/2047487315578664.
Article
PubMed
Google Scholar
Belonje A, Nangrahary M, de Swart H, Umans V. Major adverse cardiac events during endurance sports. Am J Cardiol. 2007;99(6):849–51. https://doi.org/10.1016/j.amjcard.2006.10.056.
Article
PubMed
Google Scholar
Williams PT, Franklin BA. Reduced incidence of cardiac arrhythmias in walkers and runners. PloS One. 2013;8(6):e65302. https://doi.org/10.1371/journal.pone.0065302.
Article
CAS
PubMed
PubMed Central
Google Scholar
Thibault V, Guillaume M, Berthelot G, Helou NE, Schaal K, Quinquis L, et al. Women and men in sport performance: the gender gap has not evolved since 1983. J Sports Sci Med. 2010;9(2):214–23.
PubMed
PubMed Central
Google Scholar
England S. Active lives adult survey November 2018/19 Report. In: England S, editor.; 2020.
Rugby E. World rugby launch women's campaign. 2019 [cited 2020 15 July]; Available from: https://www.englandrugby.com/news/article/world-rugby-launch-womens-campaign
Association F. England's World Cup success inspires growth in women's football participation. 2019 [cited 2020 15 July]; Available from: http://www.thefa.com/news/2019/nov/05/womens-participation-growth-world-cup-051119
Cycling B. British cycling launches its first women and girls' club toolkit. 2020 [cited 2020 15 July]; Available from: https://www.britishcycling.org.uk/go-ride/article/20200217-club-news-British-Cycling-launches-its-first-Women-and-Girls’-Club-Toolkit-0
Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593–601. https://doi.org/10.1001/jama.296.13.1593.
Article
CAS
PubMed
Google Scholar
Harmon KG, Zigman M, Drezner JA. The effectiveness of screening history, physical exam, and ECG to detect potentially lethal cardiac disorders in athletes: a systematic review/meta-analysis. J Electrocardiol. 2015;48(3):329–38.
Article
Google Scholar
Pfister GC, Puffer JC, Maron BJ. Preparticipation cardiovascular screening for US collegiate student-athletes. JAMA. 2000;283(12):1597–9.
Article
CAS
Google Scholar
Stergiou D, Duncan E. Atrial fibrillation (AF) in endurance athletes: a complicated affair. Curr Treat Options Cardiovasc Med. 2018;20(12):98. https://doi.org/10.1007/s11936-018-0697-9.
Article
PubMed
PubMed Central
Google Scholar
Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S, et al. Guidelines for the management of atrial fibrillation: the task force for the management of atrial fibrillation of the european society of cardiology (ESC). Eur Heart J. 2010;31(19):2369–429. https://doi.org/10.1093/eurheartj/ehq278.
Article
PubMed
Google Scholar
Turagam MK, Flaker GC, Velagapudi P, Vadali S, Alpert MA. Atrial fibrillation in athletes: pathophysiology, clinical presentation, evaluation and management. J Atr Fibrillation. 2015;8(4):1309. https://doi.org/10.4022/jafib.1309.
Article
PubMed
PubMed Central
Google Scholar
Garcia M, Mulvagh SL, Merz CN, Buring JE, Manson JE. Cardiovascular disease in women: clinical perspectives. Circ Res. 2016;118(8):1273–93. https://doi.org/10.1161/CIRCRESAHA.116.307547.
Article
CAS
PubMed
PubMed Central
Google Scholar
Dougherty AH. Gender balance in cardiovascular research: importance to women's health. Tex Heart Inst J. 2011;38(2):148–50.
PubMed
PubMed Central
Google Scholar
Jin X, Chandramouli C, Allocco B, Gong E, Lam CSP, Yan LL. Women's participation in cardiovascular clinical trials from 2010 to 2017. Circulation. 2020;141(7):540–8. https://doi.org/10.1161/CIRCULATIONAHA.119.043594.
Article
PubMed
Google Scholar
Melloni C, Berger JS, Wang TY, Gunes F, Stebbins A, Pieper KS, et al. Representation of women in randomized clinical trials of cardiovascular disease prevention. Circ Cardiovasc Qual Outcomes. 2010;3(2):135–42. https://doi.org/10.1161/CIRCOUTCOMES.110.868307.
Article
PubMed
Google Scholar
Myrstad M, Lochen ML, Graff-Iversen S, Gulsvik AK, Thelle DS, Stigum H, et al. Increased risk of atrial fibrillation among elderly Norwegian men with a history of long-term endurance sport practice. Scand J Med Sci Sports. 2014;24(4):e238–44. https://doi.org/10.1111/sms.12150.
Article
CAS
PubMed
Google Scholar
Simsek Z, Hakan Tas M, Degirmenci H, Gokhan Yazici A, Ipek E, Duman H, et al. Speckle tracking echocardiographic analysis of left ventricular systolic and diastolic functions of young elite athletes with eccentric and concentric type of cardiac remodeling. Echocardiography. 2013;30(10):1202–8.
Article
Google Scholar
Yilmaz DC, Buyukakilli B, Gurgul S, Rencuzogullari I. Adaptation of heart to training: a comparative study using echocardiography & impedance cardiography in male & female athletes. Indian J Med Res. 2013;137(6):1111–20.
PubMed
PubMed Central
Google Scholar
Fischbacher CM, Hunt S, Alexander L. How physically active are South Asians in the United Kingdom? A literature review. J Public Health (Oxf). 2004;26(3):250–8. https://doi.org/10.1093/pubmed/fdh158.
Article
CAS
Google Scholar
Eurostat. Statistics on sport participation. 2018 [cited 2020 15 July]; Available from: https://ec.europa.eu/eurostat/statistics-explained/pdfscache/68718.pdf
Sports G. Hidden gender: women's sport in developing nations. 2016 [cited 2020 15 July]; Available from: https://intelligence.globalsportsjobs.com/hidden-gender-women-s-sport-in-developing-nations
Birchwood D, Roberts K, Pollock G. Explaining differences in sport participation rates among young adults: evidence from the South Caucasus. Eur Phys Educ Rev. 2008;14(3):283–98. https://doi.org/10.1177/1356336X08095667.
Article
Google Scholar
Gupta M, Singh N, Verma S. South Asians and cardiovascular risk. Circulation. 2006;113(25):e924–e9 2020/08/19.
Article
Google Scholar
Aggarwal NR, Patel HN, Mehta LS, Sanghani RM, Lundberg GP, Lewis SJ, et al. Sex differences in ischemic heart disease: advances, obstacles, and next steps. Circ Cardiovasc Qual Outcomes. 2018;11(2):e004437. https://doi.org/10.1161/CIRCOUTCOMES.117.004437.
Article
PubMed
Google Scholar
D'Silva A, Captur G, Bhuva AN, Jones S, Bastiaenen R, Abdel-Gadir A, et al. Recreational marathon running does not cause exercise-induced left ventricular hypertrabeculation. Int J Cardiol. 2020.
Wilhelm M, Nuoffer J-M, Schmid J-P, Wilhelm I, Saner H. Comparison of pro-atrial natriuretic peptide and atrial remodeling in marathon versus non-marathon runners. Am J Cardiol. 2012;109(7):1060–5. https://doi.org/10.1016/j.amjcard.2011.11.039.
Article
CAS
PubMed
Google Scholar
Nakamoto K. Electrocardiograms of 25 marathon runners before and after 100 meter dash. Jpn Circ J. 1969;33(2):105–28. https://doi.org/10.1253/jcj.33.105.
Article
CAS
PubMed
Google Scholar
Her AY, Kim J-Y, Choi E-Y, Kim S-A, Jae RS, Shim CY, et al. Value of ventricular stiffness index and ventriculoarterial interaction in patients with nonischemic dilated cardiomyopathy. Circ J. 2009;73(9):1683–90. https://doi.org/10.1253/circj.CJ-09-0046.
Article
PubMed
Google Scholar
Murayama M, Kuroda Y. Cardiovascular future of athletes. 1980;29(2):117–23.