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ifwinterco 2 hours ago

Risk of stroke is the most obvious (and fairly concerning) one where there's solid data.

Also there's "distance running" as in running maybe 50k a week, that's probably okay, although as you get older it will increase your risk of stroke. But ultramarathons are a whole different ball game and almost certainly bad for you

slibhb 2 hours ago | parent [-]

Can you link the data? I don't buy it.

https://pmc.ncbi.nlm.nih.gov/articles/PMC11720530/ says there's a higher rate of AF in older, male althetes but a lower risk of stroke compared to similar aged, non-athletes.

At any rate, the data doesn't seem clear enough to claim that "distance running bad for you" or "any distance over 50K is bad for you".

ifwinterco 2 hours ago | parent [-]

I'm struggling to find it but I definitely remember reading a paper that claimed that aerobic exercise in over 60s decreased heart attack risk (which is good, obviously) but increased stroke risk.

I think the biggest risk though is acutely doing high intensity exercise (e.g. a marathon) whereas doing low intensity regular exercise (e.g. a 5k jogged at moderate pace 4x a week) is probably good.

So it's not "running is bad", it's more "running insane distances and/or running at insanely high intensity is bad", but the issue is a lot of people who get really into running end up doing one or both of those things.

One sign that marathons (let alone ultramarathons) may not be particularly healthy is that the first guy to do one famously died, and then subsequently people die doing them every single year. Yes the risk is low overall, but that doesn't mean it's actually good for you

slibhb an hour ago | parent [-]

> One sign that marathons (let alone ultramarathons) may not be particularly healthy is that the first guy to do one famously died, and then subsequently people die doing them every single year

I don't find this line of thinking terribly convincing

It's well known that (even young) elite athletes with unknown inborn heart defects sometimes die after extreme exertion. But it doesn't really follow that "extreme exertion is bad for you," the lurking variable is the heart defect.