Do Long distance Runners have higher risk of heart attack?

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🩺ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.
At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in-person if you're in the Lexington, KY area. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease.
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[@jtclaf]

Dr. George Sheehan, a cardiologist who became the philosopher of the recreational running movement in the 1970's and 1980's, and probably ran hundreds of marathons, died just about when he was turning 75. But not of any kind of heart disease, prostate cancer got him. Go figure!

[@jamescalifornia2964]

~ I enjoyed his books. He mentioned that running will not prevent heart disease. I believe like most of us he too was "addicted" to the endorphin high/calm from running.

[@misterbeach8826]

It is perhaps worth mentioning that studies such as "Mortality among marathon runners in the United States, 2000-2009" (2012) or "Differences in life expectancy between olympic high jumpers, discus throwers, marathon and 100 meter runners" (2017) show indeed problems in runners. Sprinters have the lowest life expectancy (in that study, -8 years compared to high jumpers). Marathon runners, well, it depends on the distance. A half-marathon is healthier than a long marathon. But the intensity matters. If you run daily or every second day long distance, it is high stress for your system. There is a reason why bodybuilders and other strength athletes prefer cycling over jogging, for instance.

[@vaggoskalompratsos9921]

Doing cardio on a moderate pace doesnt harm your health. If you want to run ,you have to start low and then move up to intensity or distance. Slow process. With that,the body will adapt to the stress and will become better,meaning you will not feel as tired,your RHR will go down and your heart will become stronger. Combine that with 1-2 gym sessions per week just to keep your overall muscle mass,you are at a really good pace. Even if you are doing only cardio,that doesnt mean you will die from hear attack. If you progressively overload your system you will not have any problem

[@peterbedford2610]

As a life long distance runner and cyclist, i now have persistent Afib and i am taking an anticoagulant at the age if 62. Non drinker and smoker. Great

[@PrevMedHealth]

I have A fib as well.

[@jamescalifornia2964]

@@PrevMedHealth ~ Do you suspect running as a cause .. ?

[@reyrey4261]

I used to buy coconut oil but they doubled the price in recent years, so I settled for extra virgin olive oil. Take K2 with D3 to unclog arteries and increase blood circulation (sold combined at Amazon). Throw away your vegetable oils (clog arteries slowly), and use extra virgin olive oil for cooking or frying, instead. Here’s the kicker for me from the NIH pages itself: In Sri Lanka, coconut had been the primary source of dietary fat for thousands of years. In 1978 the per capita consumption of coconut was equivalent to 120 nuts/year. At that time the country had one of the lowest heart disease rates in the world. Only one out of every 100,000 deaths was attributed to heart disease, whereas in the United States of America, where very little coconut was eaten and people relied more on polyunsaturated oils, the heart disease death rate at the same time was at least 280 times higher. As a result of the ‘anti-saturated fat’ campaign coconut consumption in Sri Lanka has declined since 1978. By 1991 per capita consumption had dropped to 90 nuts/year and has continued to fall. In place of coconut oil the people begun to eat more corn oil and other polyunsaturated vegetable oils. As coconut consumption decreased, heart disease rates increased in Sri Lanka and interestingly, the problem was greater in the urban cities

[@Seppo100100]

Long distance runners and cyclist eat a lot of ”junk food” and sugar. They don’t get obese because consumption is high but after all the body and veins has to handle all those calories…

[@Seppo100100]

HIIT and weight training doesn’t cause huge calorie deficits like marathons and 100 mile cycling so it is easier to handle cravings and eat healtier.

[@Seppo100100]

To be honest, a person who is claiming doing regularly marathons or long distance cycling eating only carrots and chicken breast is a liar.

[@animalgarden825]

Frequent dehydration probably also will add problems to veiens and heart. It`s not easy to drink enough for long distance athletes.

[@telesniper2]

Yup like Durian Rider

[@davidgifford8112]

Then there is the problem of Heart Rate Variability. Distance runners maintain steady high heart rates which tends to reduce cardiac flexibility unless you mix it up with other kinds of workouts such as HIIT, sports or weight training.

[@playerzero2236]

Gotta increase your protein intake, about 1gr per pound of lean body mass from meat, eggs, and dairy. Maximize growth hormone with hot baths post workout, and get adequate sleep. Don't be afraid to train less days a week and increase distance and intensity the days you run instead, instead of constant volume. Stay on top of your nutrition and electrolytes and you'll be fine

[@untouchable9917]

As we grow older the last thing we want is to lose muscle mass. there is a strong correlation between losing muscle mass and all cause mortality .

[@jamescalifornia2964]

😢 In that case I am close to the end ... 🙏

[@billytheweasel]

Dr Brewer... brining it yet again. Thanks Dr. This is like a study break, my wife was diagnosed with breast cancer this week and I'm drained too.

[@PrevMedHealth]

I am sorry to hear that!

[@kappaferret6052]

There is a decent amount of medical research about this subject, and evidence definitely does indicate that extensive aerobic exercise is detrimental to the heart. But the reason has nothing to do with muscle mass

[@christopherdockstader16]

Check out Dr. Bart Kay, physiologist. He highly recommends against long distance exercise. He points out that plaque deposition is always in arteries and in key places where pressure or turbulence is high. In other words, high blood pressure, raking the walls of some arteries. What would contribute to that? (Besides smoking, drinking, etc.)

[@mcgragor1]

I have a congenital bicuspid aortic valve, severely calcified and in my research, there is talk that the flow across the valve since its abnormal leads to the build up. I'm at a perfect weight, exercise, eat clean trying to keep blood sugars down, plus D and K2 and a few more, but not much I can do outside of surgery some day. I'm 52, some with bicuspids have surgery very young or in their 30's or 40's even if in very good shape.

[@christopherdockstader16]

@@mcgragor1 I feel for you. It makes sense your understanding.

[@PrevMedHealth]

Thank you very much for sharing that

[@ameralgayar4931]

Thank you very much for the very helpfull information

[@jameskantor0459]

Length was good, better than the shorts to explain complex ideas.

[@PrevMedHealth]

Thanks. But the SHORTS format is still very popular.

[@jameskantor0459]

@@PrevMedHealth , So easy to watch but I think they leave so much information that can be misleading sometimes

[@desmomotodesmomoto2033]

Self torture, never run like this.

[@mcgragor1]

How long after eating before taking the walk? I assume probably any form of movement that gets the muscles firing and blood pumping would do the same.

[@jaroslavvita]

True..and high cortizol it makes worse.

[@jerrywest7068]

Pheidippiddes cardiomyopathy can sometimes occur in long distance runners or Iron Man contestants.

[@CarlJones14]

In a word, yes.

[@douglashagan966]

Experiencing brain neural rejection

[@frankenz66]

Thanks!

[@PrevMedHealth]

YW

[@andresoares2110]

Were you a doctor in Toyota?

[@rachellenale]

I heard that too. I didn’t know doctors worked at car dealerships.

[@andresoares2110]

@@rachellenale but it can happen, in Brazil they might be called doctors of work, I don't know how it can be called in English, but they focus on assisting employees on exams, tests, paid leave, accidents

[@andresoares2110]

@@rachellenale they can even be employed by oil and gas companies

[@rachellenale]

@@andresoares2110 I had no idea. That’s nice!

[@andresoares2110]

@@rachellenale you're welcome! I think nurses can also become nurses of work too

[@ANT1714]

Wait does this go for lifting weights as well? Cause I hate cardio

[@untouchable9917]

Thanks Dr Brewer I think Long distance running causes inflammation and calcification of the arteries due to the excess strain place on the cardiovascular system..can you overdo anything? offcourse you can! ( law of diminishing return. )

[@quicksilva155]

How much is too much?

[@jamescalifornia2964]

❓Anyone remember Jim Fix ...

[@PrevMedHealth]

I do

[@gm2407]

That seemed to cut out at the stage where you expect the finer points and subtlety to be discussed. Seemed incomplete to me.