Why do we run until it hurts? Researchers might have some answers

Why do we run until it hurts? Researchers might have some answers

 Why do we run until it hurts? Researchers might have some answers

Why would anyone want to run 400km across a desert?

It’s a good question and one that was confronted last year when a researcher completed the Ultra Gobi, a single stage, self-navigated 250-mile footrace in China. This year they face an even harder question: Why would anyone do it again?

In moderation, running improves both your health and physique; in extremes, it does quite the opposite. The feet blister and swell to the point where multiple pairs of shoes in ascending sizes are required. Toenails turn black and fall off or, worse, fill with fluid and require puncturing. Some runners even choose to strike pre-emptively and have theirs surgically removed.

Stress fractures are customary. Tendons rub and become enflamed, sending shooting pains up the leg with each agonising step. Muscles seize up, cramp unpredictably and eventually wither away, leaving a gaunt and haggard appearance. Clothing and pack straps rub the skin raw and bloody.

The stomach often ceases to function, leading to vomiting or diarrhoea – a serious issue when one needs to drink 10 litres of water and eat upwards of 6,000 calories each day.

But the greatest effect is less visible: the mind, addled by lack of sleep and constant battles with the body, begins to lose its grip on reality. Hallucinations are common. Emotions can oscillate from elation to anger to melancholy in rapid succession. Speech becomes slurred; planning, rational decisions and accurate navigation almost impossible.

It is not, by any conventional definition, pleasurable. So, why then, are increasing numbers of people paying good money to put themselves through it?

Fortunately, this is a question that academics at the University of Cardiff have sought to tackle. Published in the
Journal of Consumer Research, their research confronts the seeming conundrum that, on one hand, consumers spend billions of dollars every year to alleviate different kinds of pain, while, on the other, millions of individuals participate in extremely painful leisure pursuits.

The paper’s title, Selling Pain to the Saturated Self, implies a key premise: that, unlike many sports and activities, where pain is a risk to which participants are prepared to subject themselves, in endurance sport pain is a core part of the appeal. Even a brief conversation with most ultrarunners is enough to confirm this. Races are reverentially described as ‘brutal’ and ‘savage’, and suffering is discussed with gleeful awe. Similarly, the marketing of many races highlights the opportunities for pain that they are, in effect, selling.

Runners on an assault course.

 Why do we run until it hurts? Researchers might have some answers
Although the research study technically focuses on assault-course racing (the lead researchers using her body ‘as a tool for inquiry and knowledge creation’) rather than ultramarathons, the three leading motivations they uncover are equally transferable.

Firstly, pain makes us more aware of our own bodies – or, in the study’s terms, enables us ‘to rediscover our corporeality – through sensory intensification’. In a world where our bodies have largely ceased to be useful tools for survival and instead merely act as receptacles, it is perhaps little surprise that some form of disconnect has arisen. For the frustrated, sedentary office worker, sensory intensification – be it through self-inflicted pain or stimulatory drugs – presents an opportunity to bridge this dualistic divide. In the Gobi desert in 2016, the researcher certainly felt much more aware of their own body as it gradually disintegrated.

It follows that the popularity of ultramarathons is closely linked to the comfort of modern life. Try explaining to people whose lives are physically uncomfortable by necessity that you run in circles for pleasure, and you receive a blank look of confusion. China meanwhile, with its exploding middle class, is witnessing and unprecedented growth in endurance running.

Secondly, there is a degree of mental escapism. As the authors, somewhat morosely, put it, ‘by flooding the consciousness with gnawing unpleasantness, pain provides a temporary relief from the burdens of self-awareness.’ Escaping from self-awareness would appear to be a common characteristic of the human condition. Alcohol tends to be our society’s favoured fix, although binge-eating, antidepressants and ultimately suicide are also associated problems. In this context, ultramarathons begin to look quite benign.

It also helps to explain the abundance of recovered addicts and depressives in the sport, many of whom, as discussed by the famous American runner Nikki Kimball, use running as a form of therapy. And there are many others, who fear that without ultrarunning they might have been more susceptible to other, more damaging, forms of escapism.

The Ultra Trail of the Gobi – the hardest race in the world?

Finally, the authors assess the role that painful experiences play in retrospect. Pain helps people ‘craft the narrative of a fulfilled life through wounds and scars’. As a runner and occasional writer, that statement is as depressing as it is true. Samuel Johnson once said that ‘every man thinks meanly of himself for not having been a soldier’. Ultrarunning can provide ideal faux-battle wounds to remedy that feeling. Some runners even motivate themselves during races by pretending to be fleeing the Gestapo, or the Burmese military, or another genocidal enemy.

In reality, ultramarathons are lonely, arduous and largely uneventful. As a spectator sport they are marginally better than England football friendlies, but not quite as good as Jenga. And yet, through social media and blogs, they are dramatised into heroic struggles and atheist pilgrimages, a transformation that is reinforced by the well-intentioned, if misguided, puritanical attitude that perseverance is, by its very nature, worthy.

Overall, the paper presents a somewhat bleak but probably quite accurate assessment. The researcher was left not entirely sure whether their return to the Gobi is an attempt to escape the futility of existence or to find purpose through pain, to discover or forget, a therapy or a drug, self-harm or self-help – or all the above. They are, however, thoroughly looking forward to it.

A mid-life crisis can halve the risk of a stroke

A mid-life crisis can halve the risk of a stroke

 A mid-life crisis can halve the risk of a stroke

Middle-aged men who throw themselves into fitness can halve their risk of strokes, research suggests. Scientists said those with sedentary lifestyles had been able to transform their heart health in just seven years – protecting them three decades later.

Norwegian scientists tested the fitness of 1,400 men who were in their 40s and 50s at the start of the trial.

Most became less active as middle age set in, but one in three upped their efforts.

When they compared the group who boosted their fitness the levels the most with those who saw the greatest decline, they found startling differences.

Some of the best results were achieved among those who started out as couch potatoes.

The group with the biggest increase were 56 per cent less likely than the group which slowed down the most to suffer a stroke in later life.

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Overall, one in eight had a stroke in the following 28 years, the study by the University of Oslo found.

Last week health officials warned of an ìinactivity epidemicî with four in 10 adults failing to do even one 10 minute brisk walk a month.

They are particularly concerned about adults aged between 40 and 60, where poor lifestyles can have the greatest impact.

It means more than six million are putting themselves at increased risk of illness.

But today researchers say it is “never too late” to make radical changes.

The men who increased [their fitness levels] the most were not fit at all, they went from low levels and moved up.

It’s a really big risk reduction.

Couch potato

 A mid-life crisis can halve the risk of a stroke
Couch potato lifestyles are pushing Britain to an early grave

Their efforts to take themselves in hand involved regular exercise, such as walking or cycling, rather than epic feats.

These men were just getting themselves together. They weren’t marathon runners, or anything like that.

So we can safely say that as a normal person you are able to improve your fitness by putting in the effort and that will protect you.

The group whose midlife fitness increased the most on average saw a 22 per cent improvement in exercise tests.

Their chances of having a stroke were almost the same as those of men who had been fit all their lives.

 

Is it possible to reverse Type 2 diabetes?

Is it possible to reverse Type 2 diabetes?

 Is it possible to reverse Type 2 diabetes?

Type 2 diabetes is a progressive condition that can lead to heart disease, nerve damage, kidney disease and blindness. However, it is possible to beat it into remission. The pancreas can begin again making insulin, the hormone that regulates levels of glucose in the blood. The liver can reassert itself as the bodyís reservoir for glucose and stop pumping out unwanted sugar. And many people who have been taking tablets to control their type 2 diabetes can potentially throw them away. This is good for the NHS, because 5% to 10% of people have type 2 diabetes. However, to beat it, you would need to lose about 10% of your body weight – and keep it off.

The solution

In an analysis paper in the BMJ, it is argued that giving tablets to reduce blood sugar (the main treatment for type 2 diabetes) only addresses the symptom. Virtually everyone with type 2 diabetes is two or three stone [12-19kg] above their ideal weight. One of the great tragedies is that we’ve known this for about a hundred years and all the treatments have ever done is reduce the blood sugar – this is the consequence, but what drives it is the weight.

The easiest indicator of someone at risk of type 2 diabetes is a fat tummy. A man with a waist over 91cm (36in) or a woman with a waist over 81cm (32in) could both be on the path to the condition. Another paper in Frontiers in Endocrinology describes a programme of high-intensity exercise as a way of preventing type 2 diabetes developing in people with risk factors. But: You can’t run off diabetes, evidence suggests most people need to lose more than 12kg. But studies show woeful remission rates (0.14% of 120,000 US patients who were followed up for seven years).

A pilot study led to a third of people losing more than 12kg. The programme involves drinking formula shakes with a total of 820 calories for six to eight weeks, before reintroducing food that includes a lot less fat, and ideally no alcohol. The programme is being further evaluated and the researchers say they are not pushing their own Counterweight Plus solution – people should ask their GPs for any evidence-based weight-loss programme. The rewards of weight loss are high. Not having type 2 diabetes any more (as long as you don’t regain weight) means not only no tablets for diabetes and no complications, but often the reversal of any high blood pressure, too.