By ROBERT J. DAVIS
Special to THE WALL STREET JOURNAL
June 8, 2004; Page D10
If you're a runner, perhaps you've been warned by your nonrunning
friends -- or even your doctor -- that all that pounding on your joints will
lead to arthritis. In fact, there's little scientific support for the claim,
and some research suggests that running may even be beneficial for joints.
A continuing study at Stanford University, begun in 1984, is the most
definitive on the subject. Researchers enrolled about 500 middle-aged
members of a running club and a comparison group of nonmembers. Following
the subjects for the past 20 years, the study has found rates of arthritis
to be no higher among runners. What's more, those who run appear to have a
lower risk of muscle and skeletal-related disability and pain.
Another study, conducted by researchers at Centers for Disease Control
and Prevention and the Cooper Institute, found no link between running and
arthritis of the hip or knee. Likewise, in a study comparing men who were
college cross-country runners with swimmers (who presumably put less stress
on their joints), the runners were less likely to have severe pain of the
hips and knees or to require surgery for arthritis.
Still, researchers say running may pose problems for some people,
including those who have had severe joint injuries or are genetically
predisposed to arthritis. Runners with higher body weights -- even if they
aren't overweight -- may also be at higher risk because they land with
greater force that's absorbed by knees and other joints. Experts say in many
cases, people who fall in these categories can still run, as can those who
have arthritis, but they need to be especially careful.
While runners aren't necessarily more likely to have long-term joint
problems, they are prone to acute injuries. In one survey of runners,
three-fourths of respondents said they had been injured while running. The
most common site of injury was the knee.
To minimize the risk of both short-term and long-term injuries, avoid
running on concrete, which is hardest on joints. Asphalt (which has more
give) is better; a dirt trail, track or treadmill is best. The surface
should be even, and, ideally, flat. Use shoes with good shock absorption and
replace them every 400 to 500 miles. Though there is some controversy about
the value of stretching, many experts agree it's a good idea to do it both
before running (after warming up) and afterward.
Take days off between runs to allow your body to rest, and cross-train
with other activities such as weightlifting, which can strengthen muscles
around joints and make joints less susceptible to injury. Though there is no
definitive rule about how much running is too much, some researchers say
it's wise to limit yourself to 40 miles a week or less at a pace of eight
minutes a mile or slower. Don't increase your distance more than 10% a week,
and if you feel pain, cut back or stop until it subsides.
--With reporting by John M. Gunn
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