Wow, I had no idea there is a 15X increase for endurance athletes. Make me want to dial down the running a bit, which make you wonder where the sweet spot is for distance training.
The study referenced is really light on details and they don't say if they controlled for that
Simple sugars and highly processed foods tends to affect the gut microbiome.
I guess "more ressearch is needed".
The marathon runners I know also seem to eat tons of junk food, they can get away with it from a weight perspective because a long run will burn it off, but it could have other consequences.
Point being: there's a lot about long distance runners that's quite different from other people.
Yes, and it seems like it's really a 7.5x risk increase. Still pretty spectacular, though!
I really wonder what could cause that. Randomly throwing out possible causes: 1) blood redirected away from gut, 2) overuse of NSAIDS, 3) ultraprocessed foods (gels etc), 4) strange microbiome issues (gels + stress in gut from extreme exertion = altered gut flora?)
The study that found the result is DOI: 10.1200/JCO.2025.43.16_suppl.3619
We're not really optimized for this sort of extreme endurance and long-term development of serious pathologies is unsuprising.
This pattern is quite old. Already ancient Egyptians suffered from civilizational diseases much more than hunter-gatherers, especially the richer ones (heart attacks, gout, cancer).
Colorectal cancer is not the same thing as high blood pressure, or type 2 diabetes, or any other cancer that isn't colorectal cancer. Diseases are not a monolith and you cannot assume low risk of some diseases means low risk of others. That is wild guesswork passed off as logic, like measuring the shadow your testicles cast on the wall and announcing it is 24.1 degrees Celsius. Ultra-marathon runners also have low risk of type 2 diabetes!
Do you have specific evidence that modern hunter-gatherers have low rates of colorectal cancer that cannot be explained by survivorship bias, screening, genetic differences, and all other confounders, and that they are representative of historical hunter-gatherers? No? Then you cannot confidently conclude that hunter-gatherers didn't experience elevated rates of CRC.
Diseases are not a monolith, but they do tend to arise and fall in some specific clusters, and that is not "logic", good or bad (too many computer-minded people drag logic into the chaos that is biology), but rather a long-time empirical observation, albeit with some exceptions.
In general, I don't think your irony is as strong as you think. Shrinkage of various materials in the cold is the original basis for a thermometer.
Of course it is better to use something better-observable like mercury. But in absence of an industrial civilization, you don't have mercury to measure.
"Anyways, it makes sense that marathoners get CRC because hunter-gatherers probably don't run that much" is bongcloud lalaland tier guesswork.
That is a misinterpretation of what I wrote. Let me reformulate.
"Marathons are so much more extreme than what we used to do in the Stone Age, that some pathologies resulting from such long-term physical overload are to be expected." I don't see anything lala about that. You do extreme things, you reap some consequences, sooner or later.
I would say that marathons go beyond our design parameters, but my experience in HN is that the "design" metaphor always conjures some people who consider it a dog-whistle for intelligent design (as opposed to evolution), not just an imprecise metaphor, as metaphors usually are. So I avoid it in order not to attract a senseless fight.