High-Intensity Exercise Linked to Heart Risks for Older Athletes

Study finds long-term, high-intensity training may increase heart rhythm disorders and coronary artery calcification in athletes over 35.

Apr. 11, 2026 at 6:11am

A translucent, ghostly X-ray image of a human heart, its intricate structure glowing against a dark background, conveying the nuanced balance between the benefits and risks of high-intensity exercise.A revealing X-ray view of the heart underscores the complex relationship between extreme exercise and cardiovascular health.Hermann Today

A recent study has found that long-term, high-intensity exercise, defined as activity that leaves you gasping for breath and unable to hold a conversation, may increase the risk of heart rhythm disorders and coronary artery calcification in athletes aged 35 and older. This challenges the common belief that more exercise is always better for health, suggesting there is a tipping point where the benefits plateau and the risks begin to rise.

Why it matters

This study complicates the narrative around exercise and aging, showing that even athletes are not immune to cardiovascular risks. It raises questions about how we approach fitness, especially as we get older, and highlights the need for more personalized guidance on exercise intensity and duration.

The details

Researchers from Radboudumc and other international institutions found that athletes with 5-10 years of high-intensity training face higher rates of heart rhythm disorders and coronary artery calcification. Exercise physiologist Thijs Eijsvogels notes the sweet spot for maximum health benefits is around 3-5 hours of exercise per week, and beyond that, the gains plateau and the risks begin to creep in. The study also warns that an unexplained decline in athletic performance could be a red flag for underlying heart issues.

  • The study was published in April 2026.

The players

Thijs Eijsvogels

An exercise physiologist who contributed to the study.

Radboudumc

A medical center in the Netherlands where the study was conducted.

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What they’re saying

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— Robert Jenkins, San Francisco resident

“Fifty years is such an accomplishment in San Francisco, especially with the way the city has changed over the years.”

— Gordon Edgar, grocery employee

What’s next

The study has already sparked updated guidelines from European and American cardiology associations, emphasizing shared decision-making between doctors and athletes on exercise intensity.

The takeaway

This study suggests the future of fitness may be less about pushing harder and more about pushing smarter, with a focus on tailored care and finding the right balance between ambition and caution as we age.