Wearable-Derived Training Load and Coronary Atherosclerosis in Middle-Aged and Older Athletes and Physically Active Controls: A New Perspective From the Master@Heart Study

High training duration <i>(hours/week)</i>, particularly when combined with cumulative high-intensity TL <i>(eTRIMP)</i>, was independently associated with increased prevalence of subclinical CAD in middle-aged and older athletes and physically active controls. Exercise intensity alone, in the absence of high duration, was not clearly linked to CAD. These findings underscore the potential of objectively measured TL for understanding associations with subclinical CAD in endurance athletes.

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Publication Details

Journal
Circulation
Published
2026-01-29
DOI
https://doi.org/10.1161/circulationaha.125.077117
Primary Topic
Cardiovascular Effects of Exercise
Type
article
Field-Weighted Citation Impact
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article

Wearable-Derived Training Load and Coronary Atherosclerosis in Middle-Aged and Older Athletes and Physically Active Controls: A New Perspective From the Master@Heart Study

Jarne De Paepe, Ruben De Bosscher, Youri Bekhuis, Boris Delpire et al.
Circulation
Cardiovascular Effects of Exercise
article

Wearable-Derived Training Load and Coronary Atherosclerosis in Middle-Aged and Older Athletes and Physically Active Controls: A New Perspective From the Master@Heart Study

Jarne De Paepe, Ruben De Bosscher, Youri Bekhuis, Boris Delpire, Thijs M.H. Eijsvogels, Liesbeth M. Bruckers, Paul L. Van Herck, Christophe Dausin, Guido Claessen, Rik Pauwels, André La Gerche, Olivier Ghekiere, Sergio Ruiz-Carmona, Rik Willems, Tomas Robyns, Caroline M. Van De Heyning, Tatiana Kuznetsova, Lieven Herbots, Hein Heidbuchel
article en

Abstract

High training duration <i>(hours/week)</i>, particularly when combined with cumulative high-intensity TL <i>(eTRIMP)</i>, was independently associated with increased prevalence of subclinical CAD in middle-aged and older athletes and physically active controls. Exercise intensity alone, in the absence of high duration, was not clearly linked to CAD. These findings underscore the potential of objectively measured TL for understanding associations with subclinical CAD in endurance athletes.

Circulation
Baker Heart and Diabetes Institute (AU), Radboud University Nijmegen (NL), Radboud University Medical Center (NL), St Vincent's Hospital Melbourne (AU), Jessa Hospital (BE), Antwerp University Hospital (BE), Hartcentrum Hasselt (BE), St Vincents Institute of Medical Research (AU), Hasselt University (BE), KU Leuven (BE)
Good health and well-being
Openalex Percentile: Top 74%
Cardiovascular Effects of Exercise
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