âDonât run, itâs too dangerous.â
Art de Vany
Art highlights the perils of endurance exercise in this excellent podcast episode:
I hated running but did it daily.
My two-decade competitive athletic career forced me to.
Truth told, running isnât a heart-healthy panacea. Better cardiovascular-strengthening exercises include slow strength and blood flow restriction training.
Frequency, distance, time, and effort can push the positive stress of short physical bursts (sprints) into chronic degeneration. Evidence is mounting,
âAlmost half of all recreational runners incur injuries, mostly relating to knees, calves or Achilles tendons, and the level of risk is equally high whatever your age, gender or running experience.â
University of Gothenburg (April 2021)
If youâre an avid runner, listen up.
Running has a dark side. Hereâs what you donât often hear about this dangerous activity.
Done wrong or in excess, running can break down the body, dysregulate hormones, reinforce bad habits, and lead to overtraining symptoms.
Running Danger #1: Becoming Skinny-Fat
Ever see a sprinter and an ultra-marathoner side-by-side?
Probably not, since they compete in very different events, but Iâll spare you the sight. They look very different and the sprinter looks healthier. Why?
In part, hormonal differences.
Hormones have a tremendous effect on nearly every part of your physiology. They control the way you look, feel, and act.
Long-distance running has detrimental effects on both stress and growth hormones.
Running Danger #2: Bad Stress
One of the main stress hormones, cortisol shifts your body into performance mode for exercise. Whether exercise or a deadline at work, you need cortisol in part for energy production. It fluctuates naturally, but extended exercise can keep cortisol artificially elevated. Endurance athletes commonly have abnormal cortisol levels.
This 2005 study showed a temporary spike to the level seen in patients with Cushing Syndrome disease.
Why do prolonged cortisol spikes matter?
Cortisol breaks down muscle, the immune system, bone, can lead to type 2 diabetes, kills brain cells, and lead to fat gain. Effectively, it weakens the body.
Running Danger #3: Destroys Testosterone Levels
Exercise and testosterone go hand in hand for weight lifters or sprinters. What about other athletes?
Long bouts of endurance exercise worsen the coveted male sex hormone testosterone. The researchers in that study hypothesized:
âIt may also perhaps reflect a lowering of the set-point (i.e., readjustment) of the axis for what is deemed a necessary minimal amount of circulating testosterone for proper physiological functionâŠâ
Ladies are not exempt from sex-hormone issues either.
The problem of low-testosterone in tandem with chronic cortisol should make you reconsider your exercise routine.
Together they are a one-two punch into the loathed skinny-fat syndrome. It makes sense.
Endurance activity is long and grueling. Your body does not know when and if it will end and it needs a lot of energy. So it pulls from your body fat but also muscle since it cannot convert body fat fast enough. At rest, muscle burns more calories â in times of scarcity that becomes too costly.
Why would the body hold on to metabolically costly muscle?
Yes, your body would rather shed muscle and hold on to metabolically precious body fat.
Athletes like 33-year-old Ryan Hall have first-hand experiences with chronically low-testosterone. I doubt the U.S. record holder in the half-marathon would throw the towel in and quit easily. You can imagine he must have felt pretty crumby to give up running and retire.
Running Danger #4: Begging for Injury
Running is stressful. Physically stressful.
I found a comparison of the gravitational forces of common every day activities:
- Standing: 1G
- Walking: 1.5-1.7G
- Running: 2-3G
At the high end, running subjects you to three times the gravitational force of standing. Force and injury are closely related. Itâs no surprise that lower extremity running injuries fluctuate between 19-79 percent depending on the runnerâs experience.
Routinely performing activities like foam rolling and stretching can help, but also add considerable time to an already lengthy workout.
I ran a quick Google Search of running and came across a surprising amount of resources dedicated to running, injuries, and pain management. I came across ads for clinics, prevention articles, news, and other people searching for relations between nearly every body part and running.
Running Danger #5: Runnerâs Knee
Longtime runner know about runnerâs knee.
So far Iâve managed to avoid it, but one in four runners does not.
The condition likely comes from an imbalance between the muscles on either side of the knee: the quadriceps and hamstrings.
Recommendations for those suffering from runnerâs knee include stretching, hip-strengthening, foam rolling, changing footwear, physical therapy, or hardest of all, rest.
Avoid common knee problems by choosing a knee-strengthening exercise program.
Running Danger #6: Shin Splints
Iâm part of the not-so-minority to deal with the sharp unrelenting pain known as shin splints.
It can come from running too much, ramping your speed too fast, the wrong footwear, or general overuse.
For me, it came back worse every sports season since high-school. By my Junior year of college I would collapse during halftime with my feet elevated in the air, wincing from intense pain.
Yet I didnât stop. I kept running and it only got worse.
Running Danger #7: Hip Pain & Imbalance
After knee issues, talk to veteran runners and youâll hear battle stories regarding hips. Such as this runner,
âLike most runners, I have a good leg and a bad leg. On good days, I can run my commute and train for marathons, on bad days, I collapse to one side and compensate through my pelvis as I run.â
My Google Search showed hip injuries as a first result. This Pain Doctor article explains ten different causes of hip pain⊠all from running.
Something as basic as a tight hip doesnât sound serious. Chronically, however, it can cause imbalances in stride. Eventually degrading running form and potentially leading to one leg becoming longer than the other.
That causes pain in other parts of the body, notably the neck and back.
Doesnât sound like my idea of a good time.
Running Danger #8: Food Leaking into Bloodstream
You gut can handle a beating, but maybe not long-distance running.
During exercise, blood moves from the gut to nutrient-hungry muscles. Not just a little bit, but in some cases up to 80 percent.
How long are your runs?
90 minutes at a challenging pace caused small intestine damage and increased intestinal permeability (the basis for leaky gut) in a group of active runners.
Between 30-90 percent of people exhibit gastrointestinal distress symptoms during exercise and especially running.
Running Danger #9: Heart Disease
Long, low-level exercise strengthens the heart, no surprises there.
More strength doesnât necessarily translate into fewer issues.
The benefits of a stronger heart come down to the uniformity and evenness of the strengthening. For example, you wouldnât upgrade three of your four car tires for off-roading and expect to be safe. But thatâs similar to the effect of running without adding other training types.
18 percent of a group of 55 competitive triathletes showed impairments to their heart muscle.
Running overly strengthens the left ventricle of the heart. In extreme cases it leads to sudden cardiac death, killing the athlete.
Too much of a good thing is not always better.
Running Danger #10: Lifelong Disability
You activate your fight-or-flight sympathetic nervous system when you run. Quite literally, the âflightâ in âfight-or-flightâ comes from running.
Long-distance running over-activates cortisol and impairs recovery.
Athletes adapt to the demands of running, and learn to tune out the signs of overtraining. Itâs not just athletes though. Without ample recovery, nourishment, or sleep the body can have a hard time with the addition of running.
Unlike other forms of exercise, runners can easily push through a little soreness or signs they need a break. A âlight runâ doesnât count as recovery if you run ten miles with a heart rate of 180 beats per minute. Yes, Iâve heard many such stories.
How to Design a Proper Running Program
Running should be as simple as grabbing your shoes and getting outside. Unfortunately, it isnât.
Your running form, the type and age of your shoes, the surface you run on, the way you breathe, and a number of other factors can drastically alter how running affects you.
Form
To begin with, most runners have terrible form. Not my words, but those of running coaches.
Itâs hard to know who to trust when it comes to running form. I had âconcernedâ family friends give me tips directly opposing those from sports coaches. And then running specialists with a different opinion than the others.
From an orthopedic standpoint, Dr. Gonzalez-Lomas wants runners to pay attention to:
âHow their foot strikes the ground; if they pronate when they foot-stride; if they donât have strong hip stabilizersâŠâ
Even the best runners around still need to unlearn bad technique and learn proper running.
Surface and Shoes
A secondary consideration to many uninjured (novice) runners, the surface and your shoes make a big difference.
Those deciding to start running as part of a couch-to-5K type of challenge miss this idea completely.
Iâm as guilty as anyone. I can easily bring back my shin splints in a session or two by wearing my old âmaximalistâ shoes And with a vengeance. What do I wear now?
An ultra-low-profile type of shoes with absolutely zero padding. By removing the shoe technology, I forced my body to strengthen my small stabilizer muscles, helping prevent injury. I wrote about this in a review on barefoot minimalist shoes.
Frequently running more than a few miles on concrete doesnât agree with me. Grass and softer surfaces no problem, but not concrete.
What works for one person often doesnât always work for others.
Avoiding the Dangers: Tips For Runners and The Rest Of Us
Itâs not all doom and gloom. If you like running, you can continue, armed with knowledge on making it safer and more effective. For the rest of us, we have plenty of other great options.
Running addicts have a few important things to add to their repertoire.
- Add some form of resistance training into your fitness program immediately. It strengthens connective tissue and muscles, improves speed, and running efficiency. It doesnât have to be extensive, as little as 12 minutes per week will do.
- Check nervous system stress before going out through a basic biometric called HRV.
Together these two tips will extend and improve your running career, and mitigate injury risk.
Everyone else can enjoy a walk in the sun, a hike with friends, or any outdoor micro-movements. Work your way up to sprinting occasionally, and savor your extra time.
Running isnât the only way to build your cardiovascular system. Our ancestors moved around a lot, but they certainly didnât run hundreds of miles per week.
Ultimately the best exercise is the one you can complete consistently.
Whether running or something else, get out there and get after it.
