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The truth about endurance training

The benefits of being active and getting aerobic and strength-building exercise are as good for you as having LeBron James on your team in the NBA! And the dangers of being sedentary, whether you’re a couch potato or a desk-bound workaholic, are far-reaching.

A recent study of sedentary lifestyles by Cleveland Clinic doctors Wael Jaber and Steve Nissen found being unfit (not exercising at all) can be worse for your overall health “than being hypertensive, being diabetic or being a current smoker.”

But you can also get too much of a good thing.

Exercising excessively or overtraining can tax your immune and gastrointestinal systems, your heart, kidneys and, of course, joints and muscle tissue, to the point of causing disease and damage — not preventing it.

Exercise-induced gastrointestinal syndrome can cause both acute and chronic gut issues by triggering leaky gut. That allows endotoxins to pass from your bowels into your bloodstream. You end up with cramping, nausea, malabsorption of nutrients and problems with bowel movements.

Researchers found that working out for more than two hours at more than 60 percent of your capacity seems to trigger the syndrome in folks, regardless of how fit they are. The good news is that most of the time, scaling back helps restore gut integrity.

Cardiotoxic problems also happen if you habitually push yourself too hard. They can cause structural damage and functional changes to the heart. One study published in the European Heart Journal measured the heart rhythms of over 52,000 competitive cross-country skiers over 10 years. Researchers found the risk of arrhythmia increased with every race, and it was up to 30 percent higher for those who competed for five years straight. The fastest racers were at the highest risk for arrhythmia. Arrhythmia can lead to everything from fainting to heart attack and stroke.

Overtraining can damage your kidneys. A condition called rhabdomyolysis occurs when skeletal muscle tissue breaks down and the damaged cells enter the bloodstream, disrupting kidney function. You end up with dehydration, muscle pain, weakness and swelling of affected muscles and dark-colored urine. You don’t have to be an ultra-marathoner to have it happen. In 2011, the NCAA reported that 13 members of the University of Iowa football team developed the condition after being led through a particularly grueling workout.

ARE YOU OVERTRAINING?

Running USA reported that in 2014 there were over 19 million finishers in U.S. endurance events, such as marathons, triathalons and century bike rides (100+ miles), and the numbers increase every year. Clearly, there’s a good bit of overtraining going on.

Your body will let you know if you’re overdoing it. Here are two sure signs:

>> You’re not sleeping well and are lethargic and irritable during the day.

>> Your workouts are delivering diminishing returns. In other words, you’re getting slower and don’t feel like working out.

If that’s you, stop training, see your doc and have your gastrointestinal system, heart and kidneys checked out.

After you’ve recovered, we suggest that you limit your workouts to 120 minutes for four days a week, or 60 minutes a day for five days. Make sure you stay well-hydrated, avoid extreme temperatures, stop when you’re tired and take breaks during your routines.

Also, try interval training while walking, jogging, biking or swimming. And keep it fun by trying various sports, such as tennis, basketball, soccer, badminton or Dr. Mike’s favorite, squash. And then there’s the time-honored, heart-healthy 10,000 steps at a moderate pace and 40 jumps every day, plus 30 minutes three times a week of resistance training.

If you enjoy well-regulated exercise, you’ll gain cardiorespiratory fitness, reduce your risk for coronary artery disease, high blood pressure and stroke (as well as some cancers, Type 2 diabetes and cognitive decline).

Remember, exercise is a pleasure, not a punishment, so enjoy!


Mehmet Oz, M.D., is host of “The Dr. Oz Show,” and Mike Roizen, M.D., is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. Email questions to youdocsdaily@sharecare.com.


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