11/01/2024

How Does Long-Distance Running Affect Your Body?

New York NY USA-November 6, 2022 Runners pass through Harlem in New York near the 22 mile mark near Mount Morris Park in the running of the TCS New York City Marathon
Runners in the TCS New York City Marathon on November 6, 2022. Credit: Shutterstock

On Sunday, more than 50,000 athletes are expected to compete in the New York City Marathon, one of the largest, and most elite marathons in the world. Running a continuous 26.2 miles is a major physical challenge. But what exactly is happening in the body when running such a long distance?

Joining guest host Rachel Feltman to answer questions from long-distance runners is Dr. Brandee Waite, Director of UC Davis Health Sports Medicine. Over the past 20 years, Dr. Waite has directed the medical care for multiple marathons and ultra-marathons, and has served as a team physician for USA Track & Field.


Running Questions From Our Inbox, Answered By Dr. Waite:

Transcripts for the answers are available under “Segment Transcript” at the bottom of this page.

Q: Between the two of us, we have 100-plus marathons, a bunch of ultra marathons, a bunch of triathlons. We just finished 15 miles along the beautiful and mighty Susquehanna River. My question for you all is: Why do I have such a sense of mental clarity when I’m running?

—Peter B. and Dan N., Lancaster, PA

Click to hear the answer

Q: Is running bad for your knees? I do a lot of strength training to prevent knee damage or pain that comes with running. But am I actually deteriorating my joints?

—Kaylee, White River Junction, VT

Click to hear the answer

Q: As an older runner, I’m 65, I’d like to know: What can I do to continue running even into my 60s and 70s and beyond? What’s necessary to be able to maintain a high level of fitness and conditioning and to avoid injury, as I know my body will begin to deteriorate some and all the stresses of exercise can take a toll. How do I keep doing this for as long as possible?

Rob K., Memphis, TN

Click to hear the answer


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Segment Guests

Brandee Waite

Dr. Brandee Waite is Director of Sports Medicine at UC Davis Health in Sacramento, California.

Segment Transcript

The transcript of this segment is being processed. It will be available within one week after the show airs.

Answers to the running Q&A:

A1: Ooh, Peter has a great question. I think it dances on, on the edges of a couple of things. One of the things that dances on is the edge of meditation and moving meditation. And so the combination of exercise by increasing your circulation in your muscles, it also helps to increase the circulation in your brain.

So that can help with clarity. I think People who do, uh, quote unquote, naked running, if they run without air pods or run without, um, music or run without sound and they’re just kind of in nature on their run without things distracting them, is really a time when you can get mental focus. A lot of our lives, we are distracted by our bodies, by things pinging, by our watch going off, by people trying to get our attention, by trying to stay safe in the environment you’re in.

And so when you’re running, and if you’re running in a safe, that space, and you can just kind of get in the zone, so to speak, you really have so much fewer distraction. to other things. And it’s very common for people to say, I come up with my best ideas when I’m running. People talk about endorphins too, and the runner’s high, and there’s a little bit of scientific, uh, controversy, actually the endorphins that your body produces that are a type of hormone.

They don’t actually cross the blood brain barrier. So it’s hard for them to get from your blood into your brain. But there’s another, substance in the body that increases with exercise, and that’s endocannabinoids. And these are natural substances that increase in your body when you’re exercising, and they do move easily across the cell border that separates the bloodstream from the brain, and these are mood improving, uh, natural substances, and so they can have kind of short term brain enhancing effects, um, that can help reduce anxiety or improve feelings of calm, and that can give people better focus.

A2: Your listeners have great questions. I love Kaylee’s question and I’m very happy to tell her no, running does not deteriorate your knees. There is no higher incidence of arthritis in runners than there is in the general population. So actually runners who do recreational running have a lower incidence of knee arthritis.

Then people who are sedentary. And she also really keyed into the fact that she’s doing strength training as well to help offset that. And that is a wonderful pairing, the strength training to help build the muscles, like you’re building a brace around the joint from the inside out, and then the running itself actually is beneficial for circulation, which can only help joints to feel better.

Now there are people, if you have an underlying knee problem, Running can make it worse depending on the type of problem. So, but running itself, yeah, running itself does not increase the degeneration of knees.

A3: I love this question because it focuses on maintaining function and continuing to be able to do the things that you enjoy in life. You know, well into 60s, 70s and, and 80s. And there are strategies that can help people be more successful in being more fit and, uh, tolerate activity longer. That includes making sure they’re doing some cross training.

So just the high intensity, high impact exercise can be harder to maintain over time. So having cross training, including stretching, having good nutrition, all of these things really, it’s the whole package that you’ve got to do in order to keep. You’re running going well into your later decades. I take care of a lot of runners who are in their sixties and seventies and they, they may change their focus.

It’s not so much on speed, but more on distance. They focus on maintaining a healthy weight or a weight that, um, healthy weight is probably a loaded term, but a weight that their body can carry without really having excess. Pressure on their joints and by building the muscles having some strength training built in with their running program Again, as I mentioned before the strength training helps to build the muscles that support the joints almost like building a brace from the inside Out which can decrease some of the aches and pains that come with running as people age There’s a natural tendency for the muscles to shrink.

It’s called sarcopenia and And that, that’s a normal process of aging. And so the same amount of resistance training that kept your muscles a certain size in your thirties or forties will not do the same in your sixties or seventies. And so that’s okay. It’s, it’s part of what goes on, but you may need to actually do more strength training in order to maintain benefits and to fight that sarcopenic muscle loss.

Meet the Producers and Host

About Kathleen Davis

Kathleen Davis is a producer and fill-in host at Science Friday, which means she spends her weeks researching, writing, editing, and sometimes talking into a microphone. She’s always eager to talk about freshwater lakes and Coney Island diners.

About Rachel Feltman

Rachel Feltman is a freelance science communicator who hosts “The Weirdest Thing I Learned This Week” for Popular Science, where she served as Executive Editor until 2022. She’s also the host of Scientific American’s show “Science Quickly.” Her debut book Been There, Done That: A Rousing History of Sex is on sale now.

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