Why too much running is bad for your heart (2024)

Why too much running is bad for your heart (1)

It’s common knowledge that running is one of the most efficient forms of exercise. Many people enjoy running, myself included, and it’s proven that aerobic exercise is good for the heart.

But is it possible to run too much?

I’ve completed 54 marathons during my lifetime, including one in every state. But in 2012, new research about how running marathons affects your heart convinced me to stop. As a cardiologist, I knew my heart health had to come first.

The truth about running is that it is indeed good for your heart — to a point.

From couch potatoes to marathon runners, how running impacts your heart

If a heart attack occurs, a marathon runner is more likely to survive than his or her sedentary counterpart, but the same can be said of people who engage in other kinds of regular activity. Exercising regularly puts your heart in a better place to survive a cardiac event.

But endurance running has actually been linked to poor heart health. Studies have found that the hearts of lifelong male endurance athletes may contain more plaque or other signs of heart problems, such as scarring and inflammation, than the hearts of less active men of the same age.

So, while running marathons may give you a better chance at surviving a heart attack, it’s not going to prevent one, and it may actually increase your risk of having one.

Marathon runners increased risk of heart attack

About 25 percent of the population may be at risk for a condition known as runner’s cardiomyopathy.

For these people, the right atrium and right ventricle dilate and there are elevations of blood troponins and B-type natriuretic peptide, suggesting there is temporary injury to these chambers at the end of a marathon. This is due to three to five hours of volume overload for these thinner chambers while the individual is running a marathon.

When this damage occurs repetitively over time, scar tissue may build up in the heart muscle, which can lead to sudden death. Marathon runner’s cardiomyopathy is not related to age, gender, degree of conditioning or speed. Thus, the only way to know if you’re at risk is to undergo a cardiac MRI and or have blood tests at the end of a race.

The right amount of running

A combination of both aerobic exercise and strength exercise is best. Exercise helps preserve weight loss, which is good for the heart. Exercise doesn’t prevent plaque buildup or heart blockages, but it does work to make us “tougher” and more likely to survive serious medical illnesses and accidents.

Running is the most efficient source of aerobic exercise, hence its popularity. But only to a certain point. Approximately 15-20 miles per week appears to be ideal — shorter distances and varying speeds are healthier for your heart than endurance running.

Learn more about how much exercise is best for your heart.

Concerned about your heart health? Find the heart care you need today.

Why too much running is bad for your heart (2024)

FAQs

Why too much running is bad for your heart? ›

Marathon runners increased risk of heart attack

Why running too much is bad? ›

The Dangers of Excessive Running

Too much exercise can lead to overtraining — a state of chronic stress and fatigue that occurs when you overtax your body, exceeding its ability to recover from strenuous exercise. When you become overtrained, you stop making progress. Your strength goes down, your mile time goes up.

What happens to your heart when you run everyday? ›

Those who start running on a regular basis decrease their risk for heart disease by 35 to 55 percent. Running helps prevent blood clots in the arteries and blood vessels. It also supports healthy blood flow, blood pressure and cholesterol.

How much running is good for the heart? ›

How much: Ideally, at least 30 minutes a day, at least five days a week. Examples: Brisk walking, running, swimming, cycling, playing tennis and jumping rope. Heart-pumping aerobic exercise is the kind that doctors have in mind when they recommend at least 150 minutes per week of moderate activity.

Can too much exercise damage your heart? ›

A routine of regular exercise is highly effective for prevention and treatment of many common chronic diseases and improves cardiovascular (CV) health and longevity. However, long-term excessive endurance exercise may induce pathologic structural remodeling of the heart and large arteries.

Is running too fast bad for you? ›

Injury Risk Rises

You're more likely to get injured when every run is fast. A tired and run-down body is much more susceptible to injuries. Not only will an injury derail your running, but when you're run down and demanding a lot from your body, you're risking getting sick.

Is daily running harmful? ›

Is running everyday good for you? Generally speaking, it is not recommended to go running everyday. Sports scientists and coaches point out that your body needs time to rest between workouts. Running is a high impact activity, and your muscles need time to recover before you go running again.

Is running damaging to the body? ›

Running is a high impact, repetitive exercise and certainly has potential for injuries. As with any sport or exercise there is always risk of injury. The level of risk varies with your current level of health and fitness, previous injuries and appropriate training programs.

Can running too much make you sick? ›

Running 10 miles or more or running to exhaustion, however, may temporarily weaken the immune system. This impairment of immune function generally lasts only for a few hours, although for some people, it may take several days to recover, especially for those with an already weakened immune system.

Is too much muscle bad for your heart? ›

The researchers found that the large-muscle group's heart-disease risk was as much as six times higher than the group of men with the smallest abdominal muscle area. Larsen said the team was surprised by the correlation of higher muscle area with higher coronary heart disease.

Is running good for belly fat? ›

Running is an excellent form of exercise for weight loss. It burns a lot of calories, may help you continue to burn calories long after a workout, may help suppress appetite and targets harmful belly fat. What's more, running has many other benefits for your health and is simple to begin.

Does running make your heart and lungs stronger? ›

Aerobic activities like walking, running or jumping rope give your heart and lungs the kind of workout they need to function efficiently. Muscle-strengthening activities like weight-lifting or Pilates build core strength, improving your posture, and toning your breathing muscles.

Does your heart get stronger from running? ›

If you want to keep your heart healthy well into your years, then running is an excellent choice. Regular moderate or vigorous aerobic activity gets your heart pumping, which in turn increases its longevity and capability over the long haul. It's a surefire way to keep your heart healthy well into your older years.

Is it better to walk or jog? ›

Walking and running are both excellent forms of cardiovascular exercise. Neither is necessarily “better” than the other. The choice that's best for you depends on your fitness and health goals. If you're looking to burn more calories or lose weight fast, running is a better choice.

What does an overworked heart feel like? ›

Your chest may feel heavy or like someone is squeezing your chest or heart. You may also feel a sharp, burning pain in your chest. You may feel the pain under your breastbone (sternum, so the pain is called substernal) or in your neck, arms, stomach, jaw, or upper back.

What happens if you exercise too hard too often you might run the risk of? ›

Chronic extreme exercise training and competing in endurance events can lead to heart damage and rhythm disorders. People with genetic risk factors are especially vulnerable. That doesn't mean you should put away the walking shoes, though.

Why do elite athletes have heart attacks? ›

In elite athletes, due to the sheer intensity at which they perform, this effect is naturally far higher. While these stressors may be tolerated by an athlete with a healthy heart, those with structural or electrical abnormalities are the individuals where problems arise and the risk of fatal arrythmia can occur.

Is my heart healthy if I can run a mile? ›

A woman who can run a mile in 9 minutes or less is highly fit, in 10.5 minutes or less is moderately so. A man who takes longer than 10 minutes or a woman who takes longer than 12 shows a poor level of fitness. With each minute longer, there's a dramatic increase in heart risk, the research shows.

Why does my heart hurt when I run too much? ›

When your heart works harder, it also needs more oxygen — oxygen it can't get because of the clogged coronary artery. The heart's lack of oxygen causes chest pain during exertion, a condition called angina.

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