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. 1985 Jul;35(276):341–345.

Jogging in middle age

Michael J Lichtenstein
PMCID: PMC1960188  PMID: 3897524

Abstract

The risks and possible cardiovascular benefits of beginning a programme of jogging in middle age are critically reviewed. A lifelong habit of vigorous exercise results in lower incidence rates of ischaemic heart disease. There is, however, no direct evidence that the same is true when sedentary middle-aged people decide to begin exercise. Exercise can have a beneficial effect on the risk factors for ischaemic heart disease but whether this reduces the likelihood of death from ischaemic heart disease remains unproven. There are approximately 12 sudden deaths per 100 000 male joggers in the USA attributable to jogging annually, while almost a third of all joggers report a musculoskeletal injury in a 12-month period.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashley F. W., Jr, Kannel W. B. Relation of weight change to changes in atherogenic traits: the Framingham Study. J Chronic Dis. 1974 Mar;27(3):103–114. doi: 10.1016/0021-9681(74)90079-4. [DOI] [PubMed] [Google Scholar]
  2. Bassler T. J. Marathon running and immunity to atherosclerosis. Ann N Y Acad Sci. 1977;301:579–592. doi: 10.1111/j.1749-6632.1977.tb38231.x. [DOI] [PubMed] [Google Scholar]
  3. Blair S. N., Goodyear N. N., Gibbons L. W., Cooper K. H. Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA. 1984 Jul 27;252(4):487–490. [PubMed] [Google Scholar]
  4. Blomqvist C. G., Saltin B. Cardiovascular adaptations to physical training. Annu Rev Physiol. 1983;45:169–189. doi: 10.1146/annurev.ph.45.030183.001125. [DOI] [PubMed] [Google Scholar]
  5. Boyer J. L., Kasch F. W. Exercise therapy in hypertensive men. JAMA. 1970 Mar 9;211(10):1668–1671. [PubMed] [Google Scholar]
  6. Brand R. J., Paffenbarger R. S., Jr, Sholtz R. I., Kampert J. B. Work activity and fatal heart attack studied by multiple logistic risk analysis. Am J Epidemiol. 1979 Jul;110(1):52–62. doi: 10.1093/oxfordjournals.aje.a112787. [DOI] [PubMed] [Google Scholar]
  7. Brownell K. D., Bachorik P. S., Ayerle R. S. Changes in plasma lipid and lipoprotein levels in men and women after a program of moderate exercise. Circulation. 1982 Mar;65(3):477–484. doi: 10.1161/01.cir.65.3.477. [DOI] [PubMed] [Google Scholar]
  8. Brunner D., Manelis G., Modan M., Levin S. Physical activity at work and the incidence of myocardial infarction, angina pectoris and death due to ischemic heart disease. An epidemiological study in Israeli collective settlements (Kibbutzim). J Chronic Dis. 1974 Jul;27(4):217–233. doi: 10.1016/0021-9681(74)90047-2. [DOI] [PubMed] [Google Scholar]
  9. Chave S. P., Morris J. N., Moss S., Semmence A. M. Vigorous exercise in leisure time and the death rate: a study of male civil servants. J Epidemiol Community Health. 1978 Dec;32(4):239–243. doi: 10.1136/jech.32.4.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dimsdale J. E., Hartley L. H., Guiney T., Ruskin J. N., Greenblatt D. Postexercise peril. Plasma catecholamines and exercise. JAMA. 1984 Feb 3;251(5):630–632. doi: 10.1001/jama.251.5.630. [DOI] [PubMed] [Google Scholar]
  11. Eichner E. R. Exercise and heart disease. Epidemiology of the "exercise hypothesis". Am J Med. 1983 Dec;75(6):1008–1023. doi: 10.1016/0002-9343(83)90882-3. [DOI] [PubMed] [Google Scholar]
  12. Ekblom B., Hartley L. H., Day W. C. Occurrence and reproducibility of exercise-induced ventricular ectopy in normal subjects. Am J Cardiol. 1979 Jan;43(1):35–40. doi: 10.1016/0002-9149(79)90041-9. [DOI] [PubMed] [Google Scholar]
  13. Fox S. M., 3rd, Naughton J. P. Physical activity and the prevention of coronary heart disease. Prev Med. 1972 Mar;1(1):92–120. doi: 10.1016/0091-7435(72)90079-5. [DOI] [PubMed] [Google Scholar]
  14. Garcia-Palmieri M. R., Costas R., Jr, Cruz-Vidal M., Sorlie P. D., Havlik R. J. Increased physical activity: a protective factor against heart attacks in Puerto Rico. Am J Cardiol. 1982 Oct;50(4):749–755. doi: 10.1016/0002-9149(82)91229-2. [DOI] [PubMed] [Google Scholar]
  15. Gibbons L. W., Blair S. N., Cooper K. H., Smith M. Association between coronary heart disease risk factors and physical fitness in healthy adult women. Circulation. 1983 May;67(5):977–983. doi: 10.1161/01.cir.67.5.977. [DOI] [PubMed] [Google Scholar]
  16. Gibbons L. W., Cooper K. H., Meyer B. M., Ellison R. C. The acute cardiac risk of strenuous exercise. JAMA. 1980 Oct 17;244(16):1799–1801. [PubMed] [Google Scholar]
  17. Gordon T., Kannel W. B., Dawber T. R., McGee D. Changes associated with quitting cigarette smoking: the Framingham Study. Am Heart J. 1975 Sep;90(3):322–328. doi: 10.1016/0002-8703(75)90320-8. [DOI] [PubMed] [Google Scholar]
  18. Gordon T., Kannel W. B., McGee D., Dawber T. R. Death and coronary attacks in men after giving up cigarette smoking. A report from the Framingham study. Lancet. 1974 Dec 7;2(7893):1345–1348. doi: 10.1016/s0140-6736(74)92214-4. [DOI] [PubMed] [Google Scholar]
  19. Hagan R. D., Smith M. G., Gettman L. R. High density lipoprotein cholesterol in relation to food consumption and running distance. Prev Med. 1983 Mar;12(2):287–295. doi: 10.1016/0091-7435(83)90237-2. [DOI] [PubMed] [Google Scholar]
  20. Handler J. B., Asay R. W., Warren S. E., Shea P. M. Symptomatic coronary artery disease in a marathon runner. JAMA. 1982 Aug 13;248(6):717–719. [PubMed] [Google Scholar]
  21. Hartung G. H., Farge E. J., Mitchell R. E. Effects of marathon running, jogging, and diet on coronary risk factors in middle-aged men. Prev Med. 1981 May;10(3):316–323. doi: 10.1016/0091-7435(81)90021-9. [DOI] [PubMed] [Google Scholar]
  22. Heinzelmann F., Bagley R. W. Response to physical activity programs and their effects on health behavior. Public Health Rep. 1970 Oct;85(10):905–911. [PMC free article] [PubMed] [Google Scholar]
  23. Hubert H. B., Feinleib M., McNamara P. M., Castelli W. P. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983 May;67(5):968–977. doi: 10.1161/01.cir.67.5.968. [DOI] [PubMed] [Google Scholar]
  24. Huttunen J. K., Länsimies E., Voutilainen E., Ehnholm C., Hietanen E., Penttilä I., Siitonen O., Rauramaa R. Effect of moderate physical exercise on serum lipoproteins. A controlled clinical trial with special reference to serum high-density lipoproteins. Circulation. 1979 Dec;60(6):1220–1229. doi: 10.1161/01.cir.60.6.1220. [DOI] [PubMed] [Google Scholar]
  25. Jackson R. T., Beaglehole R., Sharpe N. Sudden death in runners. N Z Med J. 1983 Apr 27;96(730):289–292. [PubMed] [Google Scholar]
  26. Kannel W. B., Sorlie P. Some health benefits of physical activity. The Framingham Study. Arch Intern Med. 1979 Aug;139(8):857–861. [PubMed] [Google Scholar]
  27. Khosla T., Lowe C. R. Obesity and smoking habits. Br Med J. 1971 Oct 2;4(5778):10–13. doi: 10.1136/bmj.4.5778.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Koplan J. P. Cardiovascular deaths while running. JAMA. 1979 Dec 7;242(23):2578–2579. [PubMed] [Google Scholar]
  29. Koplan J. P., Powell K. E., Sikes R. K., Shirley R. W., Campbell C. C. An epidemiologic study of the benefits and risks of running. JAMA. 1982 Dec 17;248(23):3118–3121. [PubMed] [Google Scholar]
  30. LaPorte R. E., Brenes G., Dearwater S., Murphy M. A., Cauley J. A., Dietrick R., Robertson R. HDL cholesterol across a spectrum of physical activity from quadriplegia to marathon running. Lancet. 1983 May 28;1(8335):1212–1213. doi: 10.1016/s0140-6736(83)92482-0. [DOI] [PubMed] [Google Scholar]
  31. Lambert C. A., Netherton D. R., Finison L. J., Hyde J. N., Spaight S. J. Massachusetts Department of Public Health. Risk factors and life style: a statewide health-interview survey. N Engl J Med. 1982 Apr 29;306(17):1048–1051. doi: 10.1056/NEJM198204293061711. [DOI] [PubMed] [Google Scholar]
  32. Leon A. S., Blackburn H. The relationship of physical activity to coronary heart disease and life expectancy. Ann N Y Acad Sci. 1977;301:561–578. doi: 10.1111/j.1749-6632.1977.tb38230.x. [DOI] [PubMed] [Google Scholar]
  33. Lund-Larsen P. G., Tretli S. Changes in smoking habits and body weight after a three-year period--the cardiovascular disease study in Finnmark. J Chronic Dis. 1982;35(10):773–780. doi: 10.1016/0021-9681(82)90088-1. [DOI] [PubMed] [Google Scholar]
  34. Mann G. V., Garrett H. L., Farhi A., Murray H., Billings F. T. Exercise to prevent coronary heart disease. An experimental study of the effects of training on risk factors for coronary disease in men. Am J Med. 1969 Jan;46(1):12–27. doi: 10.1016/0002-9343(69)90054-0. [DOI] [PubMed] [Google Scholar]
  35. McHenry P. L. Risks of graded exercise testing. Am J Cardiol. 1977 May 26;39(6):935–937. doi: 10.1016/s0002-9149(77)80049-0. [DOI] [PubMed] [Google Scholar]
  36. Meade T. W., Chakrabarti R., Haines A. P., North W. R., Stirling Y. Characteristics affecting fibrinolytic activity and plasma fibrinogen concentrations. Br Med J. 1979 Jan 20;1(6157):153–156. doi: 10.1136/bmj.1.6157.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Milvy P., Forbes W. F., Brown K. S. A critical review of epidemiological studies of physical activity. Ann N Y Acad Sci. 1977;301:519–549. doi: 10.1111/j.1749-6632.1977.tb38228.x. [DOI] [PubMed] [Google Scholar]
  38. Morris J. N., Chave S. P., Adam C., Sirey C., Epstein L., Sheehan D. J. Vigorous exercise in leisure-time and the incidence of coronary heart-disease. Lancet. 1973 Feb 17;1(7799):333–339. doi: 10.1016/s0140-6736(73)90128-1. [DOI] [PubMed] [Google Scholar]
  39. Morris J. N., Everitt M. G., Pollard R., Chave S. P., Semmence A. M. Vigorous exercise in leisure-time: protection against coronary heart disease. Lancet. 1980 Dec 6;2(8206):1207–1210. doi: 10.1016/s0140-6736(80)92476-9. [DOI] [PubMed] [Google Scholar]
  40. Nicklin D., Balaban D. J. Exercise EKG in asymptomatic normotensive subjects. N Engl J Med. 1984 Mar 29;310(13):852–853. doi: 10.1056/NEJM198403293101313. [DOI] [PubMed] [Google Scholar]
  41. Nicklin D., Balaban D. J. Exercise EKG in asymptomatic normotensive subjects. N Engl J Med. 1984 Mar 29;310(13):852–853. doi: 10.1056/NEJM198403293101313. [DOI] [PubMed] [Google Scholar]
  42. Noppa H. Body weight change in relation to incidence of ischemic heart disease and change in risk factors for ischemic heart disease. Am J Epidemiol. 1980 Jun;111(6):693–704. doi: 10.1093/oxfordjournals.aje.a112947. [DOI] [PubMed] [Google Scholar]
  43. Paffenbarger R. S., Hale W. E. Work activity and coronary heart mortality. N Engl J Med. 1975 Mar 13;292(11):545–550. doi: 10.1056/NEJM197503132921101. [DOI] [PubMed] [Google Scholar]
  44. Paffenbarger R. S., Jr, Hyde R. T., Wing A. L., Steinmetz C. H. A natural history of athleticism and cardiovascular health. JAMA. 1984 Jul 27;252(4):491–495. [PubMed] [Google Scholar]
  45. Paffenbarger R. S., Jr, Wing A. L., Hyde R. T., Jung D. L. Physical activity and incidence of hypertension in college alumni. Am J Epidemiol. 1983 Mar;117(3):245–257. doi: 10.1093/oxfordjournals.aje.a113537. [DOI] [PubMed] [Google Scholar]
  46. Paffenbarger R. S., Jr, Wing A. L., Hyde R. T. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978 Sep;108(3):161–175. doi: 10.1093/oxfordjournals.aje.a112608. [DOI] [PubMed] [Google Scholar]
  47. Paffenbarger R. S., Jr, Wolf P. A., Notkin J., Thorne M. C. Chronic disease in former college students. I. Early precursors of fatal coronary heart disease. Am J Epidemiol. 1966 Mar;83(2):314–328. doi: 10.1093/oxfordjournals.aje.a120587. [DOI] [PubMed] [Google Scholar]
  48. Peters R. K., Cady L. D., Jr, Bischoff D. P., Bernstein L., Pike M. C. Physical fitness and subsequent myocardial infarction in healthy workers. JAMA. 1983 Jun 10;249(22):3052–3056. [PubMed] [Google Scholar]
  49. Pomrehn P. R., Wallace R. B., Burmeister L. F. Ischemic heart disease mortality in Iowa farmers. The influence of life-style. JAMA. 1982 Sep 3;248(9):1073–1076. [PubMed] [Google Scholar]
  50. Remington R. D., Taylor H. L., Buskirk E. R. A method for assessing volunteer bias and its application to a cardiovascular disease prevention progamme involving physical activity. J Epidemiol Community Health. 1978 Dec;32(4):250–255. doi: 10.1136/jech.32.4.250. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Rochmis P., Blackburn H. Exercise tests. A survey of procedures, safety, and litigation experience in approximately 170,000 tests. JAMA. 1971 Aug 23;217(8):1061–1066. doi: 10.1001/jama.217.8.1061. [DOI] [PubMed] [Google Scholar]
  52. Rose G., Marmot M. G. Social class and coronary heart disease. Br Heart J. 1981 Jan;45(1):13–19. doi: 10.1136/hrt.45.1.13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Siscovick D. S., Weiss N. S., Fletcher R. H., Lasky T. The incidence of primary cardiac arrest during vigorous exercise. N Engl J Med. 1984 Oct 4;311(14):874–877. doi: 10.1056/NEJM198410043111402. [DOI] [PubMed] [Google Scholar]
  54. Taylor H. L., Buskirk E. R., Remington R. D. Exercise in controlled trials of the prevention of coronary heart disease. Fed Proc. 1973 May;32(5):1623–1627. [PubMed] [Google Scholar]
  55. Temple C. Sports injuries. Hazards of jogging and marathon running. Br J Hosp Med. 1983 Mar;29(3):237–239. [PubMed] [Google Scholar]
  56. Thompson P. D., Funk E. J., Carleton R. A., Sturner W. Q. Incidence of death during jogging in Rhode Island from 1975 through 1980. JAMA. 1982 May 14;247(18):2535–2538. [PubMed] [Google Scholar]
  57. Thompson P. D., Stern M. P., Williams P., Duncan K., Haskell W. L., Wood P. D. Death during jogging or running. A study of 18 cases. JAMA. 1979 Sep 21;242(12):1265–1267. [PubMed] [Google Scholar]
  58. Virmani R., Robinowitz M., McAllister H. A., Jr Nontraumatic death in joggers. A series of 30 patients at autopsy. Am J Med. 1982 Jun;72(6):874–882. doi: 10.1016/0002-9343(82)90845-2. [DOI] [PubMed] [Google Scholar]
  59. Williams A. F. When motor vehicles hit joggers: an analysis of 60 cases. Public Health Rep. 1981 Sep-Oct;96(5):448–451. [PMC free article] [PubMed] [Google Scholar]
  60. Williams P. T., Wood P. D., Haskell W. L., Vranizan K. The effects of running mileage and duration on plasma lipoprotein levels. JAMA. 1982 May 21;247(19):2674–2679. [PubMed] [Google Scholar]
  61. Wood P. D., Haskell W. L., Blair S. N., Williams P. T., Krauss R. M., Lindgren F. T., Albers J. J., Ho P. H., Farquhar J. W. Increased exercise level and plasma lipoprotein concentrations: a one-year, randomized, controlled study in sedentary, middle-aged men. Metabolism. 1983 Jan;32(1):31–39. doi: 10.1016/0026-0495(83)90152-x. [DOI] [PubMed] [Google Scholar]
  62. Wood P. D., Haskell W. L., Stern M. P., Lewis S., Perry C. Plasma lipoprotein distributions in male and female runners. Ann N Y Acad Sci. 1977;301:748–763. doi: 10.1111/j.1749-6632.1977.tb38244.x. [DOI] [PubMed] [Google Scholar]
  63. Yamamoto L., Yano K., Rhoads G. G. Characteristics of joggers among Japanese men in Hawaii. Am J Public Health. 1983 Feb;73(2):147–152. doi: 10.2105/ajph.73.2.147. [DOI] [PMC free article] [PubMed] [Google Scholar]

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