Can a study of 70, 000 runners be wrong? Paul Williams, exercise scientist at Lawrence Berkeley National Laboratory in California, has studied that many runners over 22 years and says that running long distances does not cause repetitive-stress injuries such as arthritis and joint damage.
Running Not to Blame for Arthritis

“There’s a perception out there that somehow you’re wearing out your joints if you’re out there running, ” Williams told Christie Aschwanden, writing for the Washington Post. “I’ve recruited people who were doing 60 or 70 miles per week, and we’ve followed them over time. If there had been an effect, we would have seen it.” Williams believes that running can inhibit joint damage. As leader of the National Runners’ Health Study, he has studied thousands of runners since 1991 and says that he has yet to see any convincing evidence that links running to osteoarthritis.
Major risk factors for osteoarthritis are obesity and family history, according to experts. Patience White, vice president of the Arthritis Foundation, says that people with a family history of osteoarthritis are at a greater risk for joint damage than are distance runners without such a genetic predisposition.
“If you have osteoarthritis in your family, you’re more likely to get it no matter what you do, ” said White. Similarly, carrying excess weight is far more stressful for joints than running. “If you lose five pounds, that’s like 20 pounds across your knees, ” said White.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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