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Bodyworks: Running a marathon won't kill you — or will it?

Is running a marathon more dangerous than other rigorous exercise?

 
BY STEPHEN PRESCOTT, M.D., AND ADAM COHEN | Published: January 31, 2012    Comment on this article Leave a comment

Adam's journal

I was talking with my dad about my plans for the upcoming year, and I mentioned that a marathon was on my to-do list.

photo - Adam Cohen runs the final stretch at the 6th Annual Oklahoma City Memorial Marathon in 2006. By John Clanton, The Oklahoman. <strong>John Clanton</strong>
Adam Cohen runs the final stretch at the 6th Annual Oklahoma City Memorial Marathon in 2006. By John Clanton, The Oklahoman. John Clanton

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He paused. This is what he usually does when he contemplates saying something he thinks will upset me. Mind you, this pause never stops him from uttering his pronouncement; it just slows him down a bit.

“Look, I think you need to be careful about this marathoning. You're almost 44 years old.” He waited to see if I'd erupt. I didn't. “I mean, it could kill you. Just like it did those guys in the Philadelphia Marathon.”

I knew what he was talking about. Dad lives in Pennsylvania where, in November, two men died — one at the finish line, the other a quarter-mile short of it — during a marathon. These deaths received a lot of media attention. And it prompted questions like my father's from the family members of concerned distance runners everywhere. So, do Dad and I have anything to worry about?

Dr. Prescott prescribes

I always remind runners that the first person ever to complete a marathon dropped dead at the finish line (or so the tale of Phidippides goes). But I don't think you need a Greek legend, or even a news report from the City of Brotherly Love, to tell you that running 26.2 miles puts a considerable strain on the human body.

In a new study in “The New England Journal of Medicine,” researchers looked at just how dangerous running is. In particular, they examined heart-attack risk during marathons and their little sisters, half-marathons.

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