{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:57:26Z","timestamp":1784735846021,"version":"3.55.0"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Ultra-endurance sports and exercise events are becoming increasingly popular for\n                    older age groups. We aimed to evaluate changes in cardiac function and physical\n                    fitness in males aged 50\u201360 years who completed a 50-day transoceanic rowing\n                    challenge. This case account of four self-selected males included electro- and\n                    echo-cardiography (ECG, echo), cardiorespiratory and muscular fitness measures\n                    recorded nine months prior to and three weeks after a transatlantic team-rowing\n                    challenge. No clinically significant changes to myocardial function were found\n                    over the course of the study. The training and race created expected functional\n                    changes to left ventricular and atrial function; the former associated with\n                    training, the latter likely due to dehydration, both resolving towards baseline\n                    within three weeks post-event. From race-start to finish all rowers lost\n                    8.4\u201315.6\u2009kg of body mass. Absolute cardiorespiratory power and muscular strength\n                    were lower three weeks post-race compared to pre-race, but cardiorespiratory\n                    exercise economy improved in this same period. A structured program of\n                    moderate-vigorous aerobic endurance and muscular training for&gt;6 months,\n                    followed by 50-days of transoceanic rowing in older males proved not to cause\n                    any observable acute or potential long-term risks to cardiovascular health.\n                    Pre-event screening, fitness testing, and appropriate training is recommended,\n                    especially in older participants where age itself is an increasingly significant\n                    risk factor.<\/jats:p>","DOI":"10.1055\/a-2205-1849","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:46:26Z","timestamp":1699317986000},"page":"349-358","source":"Crossref","is-referenced-by-count":2,"title":["Effects of a Transoceanic Rowing Challenge on Cardiorespiratory\n                    Function and Muscle Fitness"],"prefix":"10.1055","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2201-9517","authenticated-orcid":false,"given":"Chris","family":"Ellis","sequence":"additional","affiliation":[{"name":"Shrewsbury and Telford Hospital NHS Trust, Cardio Respiratory, Apley\n                    Castle Telford, TF16TF, UK"},{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas E.","family":"Ingram","sequence":"additional","affiliation":[{"name":"Shrewsbury and Telford Hospital NHS Trust, Cardio Respiratory, Apley\n                    Castle Telford, TF16TF, UK"},{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Kite","sequence":"additional","affiliation":[{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"},{"name":"School of Health and Society, Faculty of Education, Health and\n                    Wellbeing, University of Wolverhampton, Wolverhampton WV1 1LY, UK"},{"name":"Warwickshire Institute for the Study of Diabetes, Endocrinology and\n                    Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust,\n                    Coventry CV2 2DX, UK"},{"name":"Centre for Sport, Exercise and Life Sciences, Research Institute for\n                    Health & Wellbeing, Coventry University, Coventry CV1 5FB, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzan R.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Howard","sequence":"additional","affiliation":[{"name":"Spire Healthcare Ltd, Perform at St Georges Park, Burton upon Trent,\n                    Staffordshire, DE13 9PD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna L.","family":"Pike","sequence":"additional","affiliation":[{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eveline","family":"Lee","sequence":"additional","affiliation":[{"name":"Shrewsbury and Telford Hospital NHS Trust, Cardio Respiratory, Apley\n                    Castle Telford, TF16TF, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Buckley","sequence":"additional","affiliation":[{"name":"Chester Medical School, Faculty of Health, Medicine and Society, Health\n                    & Exercise Medicine, University Centre, Shrewsbury, The Guildhall,\n                    Frankwell, Shrewsbury, SY3 8HQ, UK"},{"name":"Keele University, School of Allied Health Professions, Keele,\n                    Staffordshire, ST5 5BG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,24]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/JSA.0000000000000198","article-title":"Participation Trends of Ultra Endurance Events","volume":"27","author":"V Scheer","year":"2019","journal-title":"Sports Med Arthrosc Rev"},{"key":"ref2","first-page":"312","article-title":"Cardiovascular damage resulting from chronic excessive endurance exercise","volume":"109","author":"H R Patil","year":"2012","journal-title":"Mo Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1038\/s41569-020-0354-3","article-title":"The effects of endurance exercise on the heart: Panacea or poison?","volume":"17","author":"G Parry-Williams","year":"2020","journal-title":"Nature reviews Cardiology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1093\/eurheartj\/ehv090","article-title":"Exercise and the heart: The good, the bad, and the ugly","volume":"36","author":"S Sharma","year":"2015","journal-title":"Eur Heart J"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s11556-011-0087-8","article-title":"Sport participation of the elderly: The role of gender, age, and social\n                    class","volume":"8","author":"U Tischer","year":"2011","journal-title":"Eur Rev Aging Phys Act"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.ijcard.2019.03.016","article-title":"The impact of a 21-day ultra-endurance ride on the heart in young, adult and\n                    older adult recreational cyclists","volume":"286","author":"D Wundersitz","year":"2019","journal-title":"Int J Cardiol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1007\/s40279-014-0189-3","article-title":"Medical services at ultra-endurance foot races in remote environments: Medical\n                    issues and consensus guidelines","volume":"44","author":"M D Hoffman","year":"2014","journal-title":"Sports Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"e001120","DOI":"10.1136\/bmjsem-2021-001120","article-title":"Common health issues and advised treatments reported in an ultraendurance ocean\n                    rowing race","volume":"8","author":"WJ H Galsworthy","year":"2022","journal-title":"BMJ Open Sport Exerc Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1055\/a-0802-9140","article-title":"A Repeated-measures Case Series of Physiological Responses to a Transoceanic\n                    Rowing Race","volume":"40","author":"D M Keohane","year":"2019","journal-title":"Int J Sports Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.clinbiochem.2017.11.018","article-title":"Impact of long distance rowing on biological health: A pilot study","volume":"52","author":"M A Frias","year":"2018","journal-title":"Clin Biochem"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2451","DOI":"10.1002\/jum.14596","article-title":"Monitoring Morphologic Changes in Male Rowers Using Limited Portable\n                    Echocardiography Performed by a Frontline Physician","volume":"37","author":"D L Kerkhof","year":"2018","journal-title":"J Ultrasound Med"},{"key":"ref12","first-page":"1368","article-title":"Acute inflammatory response to prolonged sculling in competitive male\n                    rowers","volume":"56","author":"J Jurimae","year":"2016","journal-title":"J Sports Med Phys Fitness"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1139\/apnm-2015-0055","article-title":"Individual variability in cardiac biomarker release after 30 min of\n                    high-intensity rowing in elite and amateur athletes","volume":"40","author":"A Legaz-Arrese","year":"2015","journal-title":"Appl Physiol Nutr Metab"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.mayocp.2016.10.003","article-title":"Reference Standards for Cardiorespiratory Fitness Measured With Cardiopulmonary\n                    Exercise Testing Using Cycle Ergometry: Data From the Fitness Registry and the\n                    Importance of Exercise National Database (FRIEND) Registry","volume":"92","author":"L A Kaminsky","year":"2017","journal-title":"Mayo Clin Proc"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"G59","DOI":"10.1530\/ERP-20-0026","article-title":"A practical guideline for performing a comprehensive transthoracic\n                    echocardiogram in adults: the British Society of Echocardiography minimum\n                    dataset","volume":"7","author":"S Robinson","year":"2020","journal-title":"Echo Res Pract"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s12574-020-00508-3","article-title":"Efficacy of echocardiography for differential diagnosis of left ventricular\n                    hypertrophy: Special focus on speckle-tracking longitudinal strain","volume":"19","author":"H Tanaka","year":"2021","journal-title":"J Echocardiogr"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1016\/S0735-1097(01)01651-5","article-title":"Noninvasive single-beat determination of left ventricular end-systolic elastance\n                    in humans","volume":"38","author":"C H Chen","year":"2001","journal-title":"J Am Coll Cardiol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1152\/japplphysiol.01063.2016","article-title":"Measurement of the maximum oxygen uptake V\u0307O(2max):V\u0307O(2peak) is no longer\n                    acceptable","volume":"122","author":"D C Poole","year":"2017","journal-title":"J Appl Physiol (1985)"},{"key":"ref20","first-page":"2","article-title":"The Use of an Indoor Rowing Ergometer Test for the Prediction of Maximal Oxygen\n                    Uptake","volume":"2","author":"A J Metcalfe","year":"2014","journal-title":"J Athl Enhanc"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1123\/ijsnem.13.2.227","article-title":"Food for trans-Atlantic rowers: A menu planning model and case study","volume":"13","author":"N Clark","year":"2003","journal-title":"Int J Sport Nutr Exerc Metab"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1152\/jappl.2001.90.5.1770","article-title":"Age, sex, race, initial fitness, and response to training: The HERITAGE Family\n                    Study","volume":"90","author":"J S Skinner","year":"2001","journal-title":"J Appl Physiol (1985)"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"G1","DOI":"10.1530\/ERP-19-0050","article-title":"Normal reference intervals for cardiac dimensions and function for use in\n                    echocardiographic practice: a guideline from the British Society of\n                    Echocardiography","volume":"7","author":"A Harkness","year":"2020","journal-title":"Echo Res Pract"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"8979407","DOI":"10.1155\/2018\/8979407","article-title":"Ten Years of 2D Longitudinal Strain for Early Myocardial Dysfunction Detection:\n                    A Clinical Overview","volume":"2018","author":"C Zito","year":"2018","journal-title":"Biomed Res Int"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"e005521","DOI":"10.1161\/CIRCIMAGING.116.005521","article-title":"Global Longitudinal Strain by Echocardiography Predicts Long-Term Risk of\n                    Cardiovascular Morbidity and Mortality in a Low-Risk General Population: The\n                    Copenhagen City Heart Study","volume":"10","author":"T Biering-Sorensen","year":"2017","journal-title":"Circ Cardiovasc Imaging"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"14300","DOI":"10.1038\/s41598-018-32542-8","article-title":"Speckle tracking-derived bi-atrial strain before and after eleven weeks of\n                    training in elite rowers","volume":"8","author":"M Sareban","year":"2018","journal-title":"Sci Rep"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1152\/japplphysiol.00528.2011","article-title":"Dehydration reduces left ventricular filling at rest and during exercise\n                    independent of twist mechanics","volume":"111","author":"E J Stohr","year":"2011","journal-title":"J Appl Physiol (1985)"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"e14433","DOI":"10.14814\/phy2.14433","article-title":"Dehydration reduces stroke volume and cardiac output during exercise because of\n                    impaired cardiac filling and venous return, not left ventricular function","volume":"8","author":"K Watanabe","year":"2020","journal-title":"Physiol Rep"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1038\/jhh.2013.7","article-title":"Resting and post exercise arterial-ventricular coupling in endurance-trained men\n                    and women","volume":"27","author":"C A Fahs","year":"2013","journal-title":"J Hum Hypertens"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.echo.2021.08.008","article-title":"Normal Values of Left Atrial Size and Function and the Impact of Age: Results of\n                    the World Alliance Societies of Echocardiography Study","volume":"35","author":"A Singh","year":"2022","journal-title":"J Am Soc Echocardiogr"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1007\/s40279-019-01142-5","article-title":"Left Ventricular Function and Cardiac Biomarker Release-The Influence of\n                    Exercise Intensity, Duration and Mode: A Systematic Review and\n                    Meta-Analysis","volume":"49","author":"J A Donaldson","year":"2019","journal-title":"Sports Med"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/00005768-200001000-00012","article-title":"Limiting factors for maximum oxygen uptake and determinants of endurance\n                    performance","volume":"32","author":"D R Bassett","year":"2000","journal-title":"Med Sci Sports Exerc"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"1744","DOI":"10.1152\/jappl.2000.89.5.1744","article-title":"Effect of endurance training on oxygen uptake kinetics during treadmill\n                    running","volume":"89","author":"H Carter","year":"2000","journal-title":"J Appl Physiol (1985)"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"83","DOI":"10.2165\/00007256-198502020-00002","article-title":"Applied physiology of marathon running","volume":"2","author":"B Sjodin","year":"1985","journal-title":"Sports Med"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1080\/02640419308729989","article-title":"Estimation of maximum oxygen uptake from submaximal exercise on a Concept II\n                    rowing ergometer","volume":"11","author":"H K Lakomy","year":"1993","journal-title":"J Sports Sci"}],"container-title":["International Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2205-1849.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:57:24Z","timestamp":1730815044000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2205-1849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,6]]},"references-count":34,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,5,2]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2205-1849","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4622","1439-3964"],"issn-type":[{"value":"0172-4622","type":"print"},{"value":"1439-3964","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,11,6]]},"published":{"date-parts":[[2023,11,6]]}}}