{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:27:56Z","timestamp":1786483676961,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002809","name":"Generalitat de Catalunya","doi-asserted-by":"publisher","award":["021 SGR 01619"],"award-info":[{"award-number":["021 SGR 01619"]}],"id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004895","name":"European Social Fund Plus","doi-asserted-by":"publisher","award":["2024 FISDU 00122"],"award-info":[{"award-number":["2024 FISDU 00122"]}],"id":[{"id":"10.13039\/501100004895","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This study aimed to assess the effect of exercise on high\u2010sensitivity cardiac troponin T (hs\u2010cTnT) concentrations in children and adolescents and to examine whether sex, maturational status, anthropometric characteristics, cardiorespiratory fitness, and physical activity influence the hs\u2010cTnT response. In this trial 733 participants completed the 20\u2010m shuttle run test. Venous blood samples were collected at rest and 3\u2009h postexercise to determine hs\u2010cTnT concentrations. We included 296 girls and 437 boys (12.2\u2009\u00b1\u20091.7\u2009years; 40% girls). At baseline, 61% of participants had hs\u2010cTnT values below the limit of detection (LoD), and 2.5% exceeded the upper reference limit (URL). Postexercise, 36% remained below LoD, while 7.5% exceeded the URL. Overall, hs\u2010cTnT increased from baseline to 3\u2009h postexercise in 56.2% of participants. Linear mixed\u2010effects models showed a significant main effect of time (\u03b2\u2009=\u2009\u22120.42, 95% CI 0.35\u20130.49;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01) and no main effect of sex (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.85), although a small but significant time\u2009\u00d7\u2009sex interaction was observed (\u03b2\u2009=\u2009\u22120.11, 95% CI \u22120.20 to \u22120.02;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.021), indicating a slightly greater exercise\u2010induced increase in girls. Additional significant time\u2009\u00d7\u2009covariate interactions were identified for maturational, anthropometric, and fitness\u2010related variables. However, these factors together explained only a small proportion of the overall variability in hs\u2010cTnT response. Consequently, the 20\u2010m shuttle run test induces a significant increase in hs\u2010cTnT concentrations in children and adolescents. Exercise\u2010induced hs\u2010cTnT release is common but highly heterogeneous, and is only partly explained by sex, maturational, anthropometric, and fitness\u2010related factors, suggesting an important contribution of individual\u2010specific determinants not captured by conventional variables.\n                  <\/jats:p>","DOI":"10.1111\/sms.70253","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:28:39Z","timestamp":1772972919000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["High\u2010Sensitivity Cardiac Troponin T Release After the 20\u2010m Shuttle Run Test in 733 Healthy Children and Adolescents"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1435-1598","authenticated-orcid":false,"given":"Enric","family":"Conesa\u2010Milian","sequence":"first","affiliation":[{"name":"Department of Education Science, Faculty of Education, Psychology and Social Work University of Lleida  Lleida Spain"},{"name":"Consolidated Research Group Human Movement Generalitat de Catalunya University of Lleida  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4337-8890","authenticated-orcid":false,"given":"Abraham","family":"Batalla\u2010Gavald\u00e0","sequence":"additional","affiliation":[{"name":"University School of Health and Sport (EUSES) Universitat Rovira i Virgili  Amposta Spain"},{"name":"Department of Education and Specific Didactics, Faculty of Humanities and Social Sciences Universitat Jaume I  Castell\u00f3n de la Plana Castell\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicen\u00e7","family":"Hern\u00e1ndez\u2010Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Education Science, Faculty of Education, Psychology and Social Work University of Lleida  Lleida Spain"},{"name":"Consolidated Research Group Human Movement Generalitat de Catalunya University of Lleida  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"L\u00f3pez\u2010Laval","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Science, Department of Physiatry and Nursing University of Zaragoza  Huesca Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesc","family":"Corbi","sequence":"additional","affiliation":[{"name":"National Institute of Sport and Physical Education (INEFC) University of Lleida  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafel","family":"Cirer\u2010Sastre","sequence":"additional","affiliation":[{"name":"Consolidated Research Group Human Movement Generalitat de Catalunya University of Lleida  Lleida Spain"},{"name":"National Institute of Sport and Physical Education (INEFC) University of Lleida  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Legaz\u2010Arrese","sequence":"additional","affiliation":[{"name":"Consolidated Research Group Human Movement Generalitat de Catalunya University of Lleida  Lleida Spain"},{"name":"Section of Physical Education and Sports, Faculty of Health and Sports Sciences University of Zaragoza  Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Reverter\u2010Masia","sequence":"additional","affiliation":[{"name":"Department of Education Science, Faculty of Education, Psychology and Social Work University of Lleida  Lleida Spain"},{"name":"Section of Physical Education and Sports, Faculty of Health and Sports Sciences University of Zaragoza  Zaragoza 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