"My question has always been, how much exercise do you need to do to injure the heart?" Levine says. "Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity."
It could go on to show that extreme (exercising at low intensity for 8 hours a day for 5-6 months) isn't "dangerous for your health".
That doesn't sound extreme by any definition. It sounds really hard and is a lot of output over time, but it is not at all what I would characterize as "extreme".
If I were trying to discover what "extreme" exercise did to ones heart (or body, whatever) I would simulate a life or death scare that would enlist adrenaline and then present an insurmountable obstacle (basically a steep hill, or staircase that doesn't end) and have them run to muscle failure.
That sounds like extreme physical output and that would be an interesting scenario to test heart health in.d