■男性业余马拉松运动员代表了人群中的一个独特子集,由于其潜在的危险因素以及参与马拉松等剧烈运动,他们可能会增加患心血管疾病(CVD)的风险。
■评估有经验的男性业余马拉松运动员心血管疾病的可改变危险因素(MRF),以及对心血管疾病危险因素的健康干预。
■CINAHL,科克伦图书馆,Embase,Medline,和SPORTDiscus。
■根据纳入标准选择的研究。
■系统评价。
■3级。
■包含的出版日期为2008年6月1日至2020年2月29日。发表的主要流行病学,观察,本综述纳入了随机对照试验(RCT)和/或非RCT研究,这些研究评估了年龄≥18岁,用英语书写的男性业余马拉松运动员的CVDMRF和健康干预措施对CVD危险因素的影响.
■五项研究符合纳入分析标准。其中包括男性业余马拉松运动员(n=862),42至77岁。高血压,高脂血症,吸烟,和饮酒MRF与部分男性马拉松运动员冠状动脉粥样硬化风险增加呈正相关.在任何纳入的研究中,没有研究检查对CVD危险因素的健康干预。所有5项研究都来自国家心脏,肺,和血液研究所使用的质量评估工具。偏倚的风险为低至中等。
■评估CVDMRF的观察性研究很少。尽管他们通过马拉松参加体育锻炼,但该人群中仍存在负面的生活方式行为。马拉松跑步并不能消除过去负面生活方式行为造成的长期影响。这项系统评价确定,该人群可能没有意识到他们可能患动脉粥样硬化的风险,因此,CVD。
UNASSIGNED: Male amateur marathon runners represent a unique subset of the population who may be at increased risk of cardiovascular disease (CVD) due to their underlying risk factors and their involvement in vigorous exercise such as marathon running.
UNASSIGNED: To assess the modifiable risk factors (MRFs) of CVD in experienced male amateur marathon runners and health interventions on CVD risk factors.
UNASSIGNED: CINAHL, Cochrane Library, Embase, Medline, and SPORTDiscus.
UNASSIGNED: Studies selected according to the inclusion criteria.
UNASSIGNED: Systematic review.
UNASSIGNED: Level 3.
UNASSIGNED: The publication dates included were from June 1, 2008 to February 29, 2020.Published primary epidemiological, observational, randomized controlled trial (RCT) and/or non-RCT studies assessing the MRFs of CVD and health interventions on CVD risk factors in male amateur marathon runners aged ≥18 years and written in the English language were included in the review.
UNASSIGNED: Five studies met the inclusion criteria for analysis. These included male amateur marathon runners (n = 862), aged 42 to 77 years. Hypertension, hyperlipidemia, smoking, and alcohol use were MRFs positively associated with an increased risk of coronary atherosclerosis found in a subset of male marathon runners. No studies examined health interventions on CVD risk factors in any of the included studies. All 5 studies were of good quality from the National Heart, Lung, and Blood Institute quality assessment tools used. The risk of bias was low to moderate.
UNASSIGNED: There is a paucity of observational studies evaluating the CVD MRFs. Negative lifestyle behaviors exist within this population despite their engagement in physical exercise through marathon running. Marathon running does not negate the long-term effects caused by past negative lifestyle behaviors. This systematic review identifies that this population may not be aware of their possible risk of atherosclerosis and, consequently, CVD.