Investigation Effect of Exercise and Physical Activity on Cardiac Troponins: A Systematic Review

Document Type : Review Article I Open Access I Released under (CC BY-NC 4.0) license

Authors

1 Assistant Professor , Department of Exercise Physiology,Kermanshah Branch, Islamic Azad University, Kermanshah, Iran

2 Ph.D Student Department of Exercise Physiology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran.

3 Interventional cardiologist, assistant professor of Cardiology Kermanshah University of Medical Sciences, Cardiovascular Reserch Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

Aim:  Acute myocardial infarction is one of the most common heart diseases. Troponin I and troponin T are biomarkers for the diagnosis of cardiac cell necrosis in patients with acute coronary syndrome.In addition to myocardial infarction, exercise and strenuous physical activity can cause acute increases in troponin I and troponin T. The purpose of this study was to provide a systematic review of studies on the effects of physical activity and exercise on cardiac troponins. Methods: Search for studies on troponin I and troponin T in exercise and physical activity in the reputable databases Springer, Hindawi, PubMed, Google Scholar, Scopus, SID and ISC using the keyword Exercise induced troponin, Exercise-induced cardiac injury, Troponin release, Exercise and troponin, and Myocardial infarction and troponin were performed. Results: In a review of marathon studies showing 11 studies were reviewed, the number of athletes was 881, in 593 (67%), increase in troponin was observed, In the endurance Running competitions with the mentioned conditions, 4 articles were reviewed, The number of athletes was 118, with a 65% increase in troponin. In 5 studies related to the effect of walking on troponin, 194 athletes were studied, which in 8% of cases showed increase in troponin. In a review of three studies in the Ironman Triathlon, 58 athletes were studied, with a 69% increase in troponin. Also, in 5 studies on the effect of cycling exercise on troponin, 94 athletes were studied, As a result, increase in troponin was seen in 27% of athletes. Conclusion: Troponin I and troponin T in prolonged or strenuous exercise should be monitored carefully. The more intense and time the exercise, The increase in troponin is also greater. In such cases, there is a risk of Myocardial infarction. Knowing the difference between the approximate time of increase and decrease of troponin after myocardial infarction and exercise can be helpful in diagnosing whether the increase in troponin is pathological or physiological.

Keywords

References

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Journal of Applied Health Studies in Sport Physiology
Volume 8, Issue 1
April 2021
Pages 12-20

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History

  • Receive Date: 26 February 2021
  • Revise Date: 17 April 2021
  • Accept Date: 04 May 2021

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