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Fitness

Endurance Training Is Bad For Your Heart

Marathons might be fun, but are they healthy? New studies point to extensive cardio being UN-healthy for your heart. Too much can lead to heart scarring and other types of damage.

Tom Kelso

Written by Tom Kelso Last updated on Oct 21, 2021

You hear it often: exercise aerobically forty to sixty-plus minutes per day, five to six times per week, for a total of three and a half to six-plus hours. Distance runners do it because that is their hobby. It is the same for distance swimmers and other “aerobic” sports. The demands of their sport require it, so they must replicate it in training.

Indeed, getting your heart rate up with regular cardio exercise is important because as the heart pumps harder, blood oxygen levels rise and endorphins (natural painkillers) increase. Additionally, aerobic exercise activates the immune system, helps the heart pump blood more efficiently, and increases endurance over time.

However, for the average fitness enthusiast, sport athlete, and fat-loss seeker, is lengthy and frequent training feasible and even necessary? Doubtful. Admit it: many dread initiating an training session or avoid it like the Swine flu for various and sundry reasons: difficult to schedule, not motivated, too time-consuming, and too physically demanding. Well, as I have mentioned in past articles, sensible exercise sessions do not need to be lengthy and performed every day. They do, however, require a certain level of physical effort. You cannot get something for nothing, because something must give.

But what about those who partake in extensive aerobic training? Well, here is a new controversy: too much “cardio” can damage the heart. Marathon runners are a good example of this. Although running a marathon is normally viewed as the essence of fitness and the ultimate test of endurance, it puts an unusual stress on the heart.

According to a study presented at the Canadian Cardiovascular Congress in Montreal, regular exercise reduces cardiovascular risk by a factor of two or three. That, of course, is a fantastic benefit. But the vigorous demand of running a competitive marathon increases cardiac risk by seven-fold. Long-distance running also results in high levels of inflammation that may trigger cardiac events and damage the heart post-marathon running.

endurance training, cardio, long distance training, marathon, marathon runningAnother study published in the Journal of Applied Physiology discovered even more grim news. Researchers used a group of extremely fit older men who were members of the 100 Marathon Club, meaning they had successfully run in a minimum of one hundred marathons. If marathon running provided a cardiovascular benefit this group of men would surely be worthy of serious examination. Well, they found that half of these marathon-lifers showed some heart muscle scarring, especially the men who had trained the longest and hardest.

Heart scarring was also revealed in a study published in the Journal of Circulation. Lab rats performed cardio training designed to mimic the strenuous daily exercise load of serious marathoners over the course of ten years. All the rats had normal, healthy hearts at the beginning of the study, but most of them had developed diffuse scarring and some structural changes at the end. This is similar to the changes seen in the human endurance athletes.

Yet another study showed that long-term endurance athletes suffer from decreased right ventricle function of the heart after competitive endurance events. They also had increased blood levels of cardiac enzymes (markers for heart injury) and twelve-percent of the athletes had noticeable scar tissue on their heart muscle one week post-race. The conclusion was over-exercise is more than likely to harm the body.

Lastly, Dr. Joseph Mercola also concluded too much exercise can actually be harmful – specifically lengthy bouts of aerobic training. As per the previous studies noted, there is a limit to these benefits – and potential bodily harm – especially if one trains too long, such as:

  • Catabolism – tissue break down leads to excess cortisol (a stress hormone) release, which not only contributes to catabolism but also chronic disease.
  • Microscopic tears in muscle fibers that may have trouble healing if one continues to over-exercise, which may increase the risk of injuries.
  • A weakened immune system.
  • Insomnia – especially if the training session is later in the day.

Let’s face it, to get the most benefits out of training one must work the body hard enough to elicit a change, while endurance training, cardio, long distance training, marathon, marathon runningallowing adequate time for recovery and repair to take place: stimulus – recovery – adaptation. One of the best ways to do this is to follow a fitness regimen that mimics the movements of our hunter-gatherer ancestors. This includes short bursts of high-intensity activities and NOT long-distance running as per that required to complete a marathon or even an hour on the treadmill.

In conclusion, the recommended training that can offer cardiovascular benefits without potential long-term heart damage should include:

  1. Brief and demanding sessions consisting of intermittent work and rest, such as interval training.
  2. Circuit-type strength training. You’ll get muscle strength and an elevated heart rate. It is the total package.
  3. Training no more than four days per week. Build in recovery days. Allow the body time to heal. Your biology demands it.
  4. Simple progression. Over time, increase the number of bouts, intensity of effort, and/or decrease the recovery time between bouts.
  5. A whiff of common sense. If you’re exhausted, you sense potential injury, or you’re not feeling fully recovered, take an extra day of rest. It is better to err on the side of caution to maintain training longevity.

Photos courtesy of Shutterstock.

Tom Kelso

About Tom Kelso

Tom Kelso is currently an Exercise Physiologist with the St. Louis Metropolitan Police Department. He also trains clients through Pinnacle Personal & Performance Training in Chesterfield, Missouri.

For 23 years he was in the collegiate strength and conditioning profession, serving as the Head Coach for Strength and Conditioning at Saint Louis University (2004-2008), the University of Illinois at Chicago (2001-2004), Southeast Missouri State University (1991-2001), and the University of Florida (1988-1990). He got his start in the strength and conditioning field as an Assistant Strength Coach at Florida in 1984 where he was also a weight training instructor for the Department of Physical Education from 1985 to 1988.

In 2006, Tom was named Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association for his years of service in the field. In 1999, he was named NSCA Ohio Valley Conference Strength and Conditioning Professional of the year. In 2001, he received an honorary certification from the International Association of Resistance Trainers (I.A.R.T.).

Tom possesses C.S.C.S. and S.C.C.C. certifications with the NSCA and CSCCA, respectively. Additionally, he is certified by the Illinois Law Enforcement Training and Standards Board in basic instructor development and as a specialist instructor by the Missouri Department of Public Safety. In 2012, he became certified by the IBNFC as a Certified Nutrition Coach.

Tom has worked with athletes at the Olympic and professional levels, presented at various clinics/seminars, and worked several athletic-related camps. He is a strong advocate of safe, practical, and time-efficient training and has published a collection of periodical articles, book chapters, complete books, and user-friendly downloads promoting such.

Tom received a Bachelor’s Degree from the University of Iowa in 1981(It's great to be a Hawkeye!) and a Master's Degree in Physical Education from Western Illinois University in 1984. He was a member of the Track and Field team at Iowa and served as a Graduate Assistant Track & Field Coach while at Western Illinois.

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