Everyone has heard of how a marathon is a life changing event. The seemingly unsurmountable task of finishing one is on the bucket list of many people.
“If you want to run, run a mile. If you want to experience a different life, run a marathon”
“When you cross the finish line, no matter how slow or fast, it will change your life forever”
The quotes and testimonies are endless. Every year, at least 50,000 people participate in the New York Marathon. Multiple studies (here, here and here) have shown physical exercise to be healthy for the heart. Over the past 40 years, people believed that endurance exercise would be a panacea for heart problems. This study from 1977 suggested that marathon running and a healthy diet would immunize runners against atherosclerosis. With all this evidence, it’s no surprise that running marathons have grown in popularity.
However, running marathons (and other forms of long distance endurance sports), might not be beneficial as one might think, especially when it comes to issues of the heart. Most runners know the damage caused to their body and heart during the course of the marathon. That damage has only been thought to be temporary, lasting only a few weeks This report published in Mayo Clinic Proceedings suggests that this damage done to the heart actually adds up over time. Repeated intense and endurance exercise can cause a build-up of scar tissue on the heart – leading to the development of patchy myocardial fibrosis.
For marathon runners, the name Micah True will ring a bell. Known for running up to 160km at a time for training, Micah was a force to be reckoned with. However, his death (which happened while running ironically) was called out as a link between the long-term effects of excessive endurance training and scarring of the heart. An autopsy showed that his heart was enlarged and scarred, suggesting death from lethal arrhythmia, or irregular heartbeat.
But most of us will never run the same distances that Micah did.
According to author James O’Keefe, the best outcomes are found far below the exercise levels of even casual endurance athletes. A 15-year study cited by O’Keefe highlights that the greatest benefits resulted from running less than 32km per week in runs of 30 – 45 minutes over 3-4 days. Anything beyond that level results in diminishing returns.
Furthermore, much of the damage seen immediately after marathons disappears within a month. Only when the heart is repeatedly damaged does scarring build up. O’Keefe also notes that people do endurance races for reasons besides their health. He likens it to climbing Mt. Everest – a bucket list item for many, but not without its dangers. “I don’t think anyone climbs Mt. Everest thinking it’ll be good for their health” he says.
Having run four 42.2 full marathons and eleven 21.1km half-marathons among other races in the past, I know that putting my body through these have a dramatic effect on it. I feel it in my legs after every race! But having developed a love for the sport, giving it up or cutting it down would take the fun out of running for me. Either way, I highly doubt my weekly mileage hits the same levels as Micah True’s.
After all this, is running a marathon still on your bucket list?