The study is to explore the exposures (risk factors) that related to the effect. Effect itself defined as positive response to a treatment.

Exposures: some risk factors (demographic, family and past history of diseases, clinical conditions, intensity and hemodynamics response during event)

Main effects: cTn elevation

Treatment/intervention: event of long distance cycling

Population study: a sample group of participants join the event

Measurement:

observe risk factors before treatment

measure some marker before and after treatment

measure intensity and hemodynamics response during event

What is the suitable design for this research; observational study? (what kind of observational: cohort or cross sectional) Or One group pre test - post test design?

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