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Endurance athletes: physiologic changes and nonorthopedic problems.

S A Chillag

    Southern Medical Journal
    |October 1, 1986
    PubMed
    Summary
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    Physicians face new challenges differentiating exercise-induced adaptations from disease in endurance athletes. Understanding athlete-specific conditions like "runner

    Area of Science:

    • Sports Medicine
    • Exercise Physiology
    • Cardiology

    Background:

    • Increased participation in long-distance running and endurance events presents unique medical challenges.
    • Physicians must distinguish between physiological adaptations to exercise and pathological conditions.
    • Athletes often continue training despite pain, risking permanent damage.

    Purpose of the Study:

    • To highlight common and emerging exercise-related conditions in endurance athletes.
    • To emphasize the importance of understanding athlete-specific terminology and motivations.
    • To guide physicians in managing the unique health issues of dedicated athletes.

    Main Methods:

    • Review of clinical presentations and syndromes associated with endurance sports.
    • Discussion of physiological changes and potential pathologies in athletes.

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  • Analysis of athlete motivation and communication strategies.

    • Main Results:

    • Exercise-related conditions include left ventricular hypertrophy, Wenckebach rhythm, elevated creatine kinase (myocardial fraction), gastrointestinal bleeding, hematuria, hemoglobinuria, amenorrhea, and apparent anemia.
    • New syndromes such as "runner's high" and athletic amenorrhea are recognized.
    • Athletes may present with conditions less common in the general population.

    Conclusions:

    • Differentiating exercise-induced changes from disease is critical for the health of endurance athletes.
    • Effective management requires understanding athlete-specific language and motivations.
    • Physicians need to be aware of peculiar disorders unique to dedicated athletes.