Too much of a good thing can be bad for you, even with exercise. This is one of the reasons I’m such an avid proponent for antioxidant consumption when training hard and racing. But don’t take my word for it when you can read about the study below:
Doctors at the University of Maryland Medical Center started with a puzzling case of a 51-year-old physician colleague had no cardiovascular risks, was a marathon runner, but flunked a calcium screening scan of his heart.
The researchers conclude that the physician’s intense, long-term exercise regime, coupled with a predisposition toward a type of hypertension, contributed to his cardiovascular disease. “In this particular individual, we think that oxidative stress was an important contributor,” says the study’s senior author, Michael Miller, M.D., director of preventive cardiology at the University of Maryland Medical Center and associate professor of medicine at the University of Maryland School of Medicine. “But we also found that this individual has exercise-induced hypertension, which I think is vastly under-diagnosed.”
To help gage the impact of oxidative stress on the patient’s cardiovascular system, the doctors of this study evaluated the response to exercise of the endothelium, the lining of his arteries. An ultrasound device was used to measure what is known as flow-mediated vasodilation. It shows how well the endothelium responds to a sudden increase in the flow of blood through an artery in the upper arm. The endothelium in a healthy vessel typically dilates or expands during this test to accommodate the increased blood flow, while an impaired vessel constricts or narrows.
The patient’s blood vessel dilation was normal before exercising. But after exercise, vessel constriction occurred immediately and showed no improvement after an hour. To put this response into perspective, the researchers administered the same exercise/blood vessel response test to a group of ten men whose mean age was 41. The vessels of these men initially constricted, but improved significantly one hour after exercise.
Several weeks later, the patient was given vitamins C and E just before exercise and was tested again for endothelial response. These vitamins are known as antioxidants and may protect cells from free radical damage. This time, the test revealed a partial reversal of the blood vessel constriction after one hour, and normalization after two hours.
“As he took the vitamin C and vitamin E, you could see improvements in his brachial arteries,” says Dr. Miller. “We recommended that the patient take these vitamins before he runs.”
With half the mystery solved, the research team explored another possible cause of the calcium buildup - elevated blood pressure. Hypertension can cause artery walls to thicken and the endothelium to narrow. This narrowing can promote the formation of fatty plaque deposits in artery walls. The plaque, from cholesterol and fats, can eventually harden or calcify.
Dr. Miller adds another question: “Should we screen all middle-aged individuals who want to participate in an exercise program to make sure they don’t have exercise-induced high blood pressure?”
Authors of the study included Radha Goel, M.D., Duke University School of Medicine, Durham, North Carolina; Farhan Majeed, M.D., Robert Vogel, M.D., Charles Mangano, R.D.M.S., Charles White, M.D., Gary D. Plotnick, M.D., University of Maryland School of Medicine and Mary C. Corretti, M.D., Johns Hopkins Hospital.