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They look about 45 years old? Impressive top-tier fitness for sure, but the human body simply isn't designed for such extreme ultra-exertions. That's why almost every marathon around the world you have a couple of people (with no prior diagnosed heart disease still) dropping dead like flies. Good for them, though. Way fitter compared to the average Singaporean.
https://mothership.sg/2021/03/men-run-around-singapore/