长跑马拉松容易得结肠癌?

c
carollife
楼主 (北美华人网)

会不会因为出汗太多?
The three patients should have been portraits of health. They were young, lean and physically active. Unusually active, in fact: Two regularly ran 100-mile ultramarathons, and one had completed 13 half-marathons in a single year. By the time they came to see Dr. Timothy Cannon, all three had advanced colon cancer. He was mystified; the oldest of them was 40, and none had any known risk factors. The doctor couldn’t help wondering if extreme running might have played a role. So Dr. Cannon, an oncologist with Inova Schar Cancer in Fairfax, Va., launched a study, recruiting 100 marathon and ultramarathon runners aged 35 to 50 to undergo a colonoscopy. The results were staggering. Almost half the participants had polyps, and 15 percent had advanced adenomas likely to become cancerous. The rate of advanced adenomas was much higher than that seen among adults in their late 40s in the general population, which ranges from 4.5 percent to 6 percent, according to recent studies The figure among extreme runners was even higher than the 12 percent rate among Alaska Natives, who are unusually prone to colon cancer. The research was presented at an American Society of Clinical Oncology conference but has not yet been published in a medical journal. “I was surprised — you would think running is super healthy,” said Laura Linville, 47, of Alexandria, Va., a longtime marathon runner who participated in the study. She learned she had seven polyps, including some so large that she had to undergo additional procedures. “Running is typically associated with better body mass and lower stress and lots of other positives — you never hear it’s bad for you,” said Ms. Linville, who took up ultramarathon running for a while during the pandemic. She has no intention of giving up marathons but will get checked often for signs of colon cancer, she said. The new study comes amid heightened concerns about a rise in colon and rectal cancer rates among adults under 50, a population that historically has had a low risk of cancer. Older adults still make up the vast majority of those diagnosed with colon cancer. But the increase in so-called early-onset colorectal cancer led in 2021 to a change in screening recommendations. The age for a first colonoscopy was lowered to 45, from 50, for those at average risk. The rise in colorectal cancer among younger adults has mystified experts. Physical inactivity and rising rates of obesity are frequently blamed — one reason his very fit, lean patients struck Dr. Cannon as worth investigating. “You never want to give people an excuse not to exercise, because by and large, we have bigger problems from people not exercising enough,” said Dr. Cannon (who ran the New York City Marathon himself in 2010). “But I do believe, after what I’ve seen from my patients and what we’ve found here, that extreme exercise may increase the risk of this cancer.”
原文:https://www.nytimes.com/2025/08/19/health/running-colon-cancer.html
D
Dongjie
内容看不到啊,post一段看看
c
carollife
这三位病人本应是健康的写照。他们年轻、精瘦、体力充沛。事实上,他们的活跃程度非同寻常:其中两位经常跑100英里超级马拉松,还有一位一年内完成了13场半程马拉松。 当他们来到蒂莫西·坎农医生那里时,三个人都已是晚期结肠癌。医生感到很疑惑;他们中年纪最大的已经40岁了,却没有人有任何已知的风险因素。医生不禁怀疑,剧烈跑步是否起了作用。 因此,弗吉尼亚州费尔法克斯 Inova Schar Cancer 的肿瘤学家坎农博士发起了一项研究,招募了 100 名年龄在 35 至 50 岁之间的马拉松和超级马拉松运动员接受结肠镜检查。 研究结果令人震惊。几乎一半的参与者患有息肉,15% 的参与者患有可能癌变的晚期腺瘤。 根据最近的研究,晚期腺瘤的发病率远高于 40 多岁成年人中的普通人群,后者为4.5%至6%。极限跑步者的发病率甚至高于阿拉斯加原住民的 12%,而阿拉斯加原住民极易患结肠癌。 该研究在美国临床肿瘤学会会议上发表,但尚未在医学期刊上发表。 “我很惊讶——你会觉得跑步非常健康,”弗吉尼亚州亚历山大市47岁的劳拉·林维尔(Laura Linville)说道。她是一位参与这项研究的资深马拉松运动员。她发现自己身上有七个息肉,其中一些非常大,以至于不得不接受额外的手术。 “跑步通常与改善体重、减轻压力以及许多其他积极因素有关——你从未听说跑步对身体有害,”林维尔女士说,她在疫情期间曾参加过一段时间的超级马拉松比赛。 她说,她不打算放弃马拉松,但会经常检查是否有结肠癌的迹象。 这项新研究是在人们对 50 岁以下成年人结肠癌和直肠癌发病率上升的担忧加剧的背景下进行的,而这一人群历来患癌症的风险较低。
f
fannysunny
这运动太摧磨人。 第一个跑马拉松的人跑挂了啊!
p
poopooh
胡扯
s
sunnyjas
Runner's colitis 了解下。会有便血。长期对肠道这样刺激,癌变确实有可能。
j
jeso1
马拉松是极限运动, 做什么运动都不要极端
C
Centauri
为什么就不能是这些身体不健康的人,体内的激素变化,使得他们更喜欢长跑这类运动呢?
二者说不定有联系,但因果关系科不一定是这篇文章说的这样哦。。。。
m
msbaby
认识一个跑马拉松的是肺癌,很年轻
H
High.eee
三个没办法定论的。还要考虑家族遗传因素。
c
chatchat
身上或脑力上的压力都会降低免疫力,为各种疾病打开大门,这是我的理解。
a
anadigusa
结不结肠癌不知道,老了一身病是肯定的。oh wait,很可能活不到老就挂了。想想为啥叫马拉松,那玩意是给人跑的嘛😂
i
iweyr
半马其实还好 一旦上升到追求personal best,不管是半马还是全马是真的伤人 全马训练的时候需要早上起床空腹去跑半马甚至20mile的那种,模拟撞墙反应,把身体逼到绝境真的有点伤的 如果是小打小闹的那种,我还是觉得跑步对于健康是利大于弊的
M
Moonlightlady
msbaby 发表于 2025-08-20 13:22
认识一个跑马拉松的是肺癌,很年轻

我也认识一个喜欢跑马拉松的,肺癌过世,当时刚四十二岁。
s
shanggj
Moonlightlady 发表于 2025-08-20 17:59
我也认识一个喜欢跑马拉松的,肺癌过世,当时刚四十二岁。

中国那位全程马拉松吸着烟跑的大神。 也没得肺癌呀
f
ft8114
回复 13楼 iweyr 的帖子
至少这个不是一个普遍的训练方法,我认识的跑团里的人,没听说过谁为了模拟撞墙而专门饿肚子跑。反而是为了完成hard work,推崇提前补碳。
a
autumncolor22
过犹不及。锻炼身体是应该的,但没必要参加竞技体育。
x
xialele
sunnyjas 发表于 2025-08-20 13:07
Runner's colitis 了解下。会有便血。长期对肠道这样刺激,癌变确实有可能。

吓人啊