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A new paper looks at the available research and makes recommendations.
The world—running and not—had its eyes on the Flying Pig Marathon this past May after a 6-year-old boy completed the race with his family in 8 hours and 35 minutes.
It wasn’t the finish itself that caused an outcry, but a subsequent social media post by the boy’s mother that references his distress during the later miles of the race.
The photo showed the boy holding a box of Pringles potato chips with the caption, “On the marathon course, Rainier knew they usually hand out Pringles around mile 20. He was struggling physically and wanted to take a break and sit every three minutes. After 7 hours, we finally got to mile 20 and only to find an abandoned table and empty boxes. He was crying and we were moving slow so I told him I’d buy him two sleeves if he kept moving. I had to promise him another sleeve to get him in the family pic at the finish line. Today I paid him off.”
Sports medicine experts and pediatricians got wind of the boy’s marathon finish, and its unique circumstances, and published a paper in JAMA Pediatrics in October, titled “Kids on the Run—Is Marathon Running Safe for Children?”
The answer is: We’re not totally sure.
“Youth running is becoming more popular, particularly at longer distances, and the trend is ahead of the research,” says Emily Kraus, M.D., a clinical assistant professor at Stanford University, a sports medicine physician at Stanford Children’s Hospital, and the director of the the Female Athlete Science and Translational Research Program.
Kraus, a runner, was not an author on the JAMA Pediatrics paper but coauthored the 2021 youth running consensus statement published in the British Journal of Sports Medicine.
“We can’t conclude that there’s no risk or minimal risk, or a greater risk [to young children running long distances],” she tells Runner’s World.
The paper looks back at the running boom of the 1970s when several young children completed marathons; children as young as 8 years old covered the distance in 3 hours and 31 seconds. The authors note that although there were no reports of injuries or adverse events, physicians and race directors started to worry about the potential dangers of youth participation. In 1981 the New York City Marathon, then in its 11th year, instituted a minimum age requirement of 16 years old. Other races followed suit.
A 2010 paper published in the Clinical Journal of Sports Medicine looked at data from the Twin Cities Marathon from 1982 to 2007, which included 310 children aged 7 to 17 years old. The researchers found that the risk of a medical incident was about 50 percent lower in children than adults but not statistically significant. In other words: We can’t say for sure if they’re at lower risk for injury or medical problem.
“Some of the early research shows that the overall risk of competing in races is quite minimal or lower when compared to the adult running population,” Kraus says. “But the question becomes is that because the number [of children finishers] is so much smaller?”
Kraus, who treats primarily middle-school age athletes whose growth plates are still open, expresses concerns that we don’t know if marathoning at a young age will affect long-term growth and development.
“Young kids haven’t even started to initiate [certain developmental] milestones,” she says. “Athletes who are younger than 10 or 11 years old are true children. We don’t know enough to give the okay, in my opinion.”
Kraus advises against the repetitiveness of a single activity over time, like running. Instead, she encourages young athletes to try different physical activities that lend themselves to multidirectional movement, like soccer, tennis, and old-fashioned tag.
When asked to give guidance on a distance for young kids, Kraus says anything up to a 10K is “probably okay.” Ideally, she says, we would measure how far a young kid runs on any given day during free play or team sports to help guide that recommendation.
“[For children], free play at that stage of their development is more valuable in developing motor skills, agility, and hand-eye coordination,” she says.
Plus, although research is clear that healthy behaviors developed during youth sports can promote long-term physical activity and reduce the risks of diseases like diabetes, cardiovascular disease, and cancer, “sport specialization during childhood does not provide competitive advantages and is not a requirement for elite status,” the authors wrote in the JAMA Pediatrics paper.
What’s more is that youth marathon or ultramarathon running may not lead to lifelong participation in running events or long-term health benefits. The authors wrote: “Among children who participated in ultramarathons [longer than a marathon], less than 25 percent continued to do so as adults, and less than 10 percent were still running ultramarathons 30 years later.”
Most youth ultrarunners, the researchers wrote, are between 16 and 18 years old, but there are runners younger than 10 years old who have completed an ultra event.
Experts are unsure if this drop off in participation is because of overuse injury and burnout, or changes in interests. The authors go on to say that potential health benefits and risks of youth marathon running have not been compared similarly to shorter distance running or other sports.
But pediatric specialists like Kraus and the authors point out that the bigger question and concern when it comes to youth marathoning, particularly in children under 10 years old, is the intrinsic motivation of a young runner.
“Why is this child racing? Is it because they have a family of runners and they don’t want to feel left out? Is it something they deeply want to do?” Kraus asks, noting that young children likely don’t fully understand what training for and running a marathon really entails.
“If I were working with a 6-year-old, my conversation would be, ‘Do you know what [a marathon] is? Do you know what it feels like to run one mile? Or other shorter distances?’” Kraus says.
She’d then also work with families to understand why they were having a young child participate in such an extreme distance at this particular time, suggesting, instead, to use a marathon as a goal for years down the road.
Based on the available evidence, the authors developed a list of points families should consider before a young child runs a marathon or ultramarathon, in addition to assessing the physical health of the child, including:
Potential risks and benefits, reiterating there is limited available research
Determine the motivation for marathon running, with an emphasis on voluntary participation
Inform children that they have a right to stop at any point and will not be punished or experience negative consequences if they decide to stop
Discuss ways children can communicate their choice to parents and guardians
Monitor physical, psychological, social, and academic well-being, as well as continued commitment to marathon running during training
“For a 6- or 7-year-old who hasn’t fully captured goal-setting and follow-through, a marathon is a different type of challenge that goes beyond what they’re capable of handling,” Kraus says.
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Some victories are measured by finish times. Others are defined by the obstacles overcome simply to reach the starting line.
For American Paralympic swimmer Ali Truwit, completing the New York City Marathon represented far more than covering 26.2 miles. It was the culmination of an extraordinary journey of survival, resilience, and unwavering determination that began with a life-altering shark attack just two years earlier.
On a crisp November morning in 2025, Truwit crossed the iconic finish line wearing a carbon-fibre running blade, fulfilling a promise she had made while recovering in a hospital bed after losing her lower left leg. The emotional milestone marked another remarkable chapter in one of the most inspiring comeback stories in modern sport.
The road to that unforgettable finish began only days after Truwit celebrated a major personal achievement. In May 2023, she completed her first marathon in Copenhagen alongside her mother. Just ten days later, while enjoying a graduation trip to Turks and Caicos with former Yale swimming teammate Sophie Pilkinton, tragedy struck.
While the pair were snorkelling, a shark attacked Truwit, severely injuring her left leg. Displaying remarkable courage, the two swam approximately 55 metres back to their boat, where Pilkinton—then a medical student—quickly applied a tourniquet that stopped the bleeding and ultimately saved Truwit's life.
Doctors were forced to amputate her lower left leg on her 23rd birthday.
Even in the darkest moments of recovery, Truwit's determination never disappeared. Reflecting on having recently completed her first marathon, she joked with one of the first responders that at least she had managed to run a marathon before the attack. The responder's simple but powerful reply would remain with her throughout rehabilitation: "You'll run another one."
Those words became a source of hope during the long and demanding road back.
Only weeks after surgery, Truwit began learning to walk on a prosthetic limb before gradually returning to the swimming pool. The process was anything but straightforward. The water that had once been her sanctuary became a source of painful memories, yet she refused to allow fear to define her future.
Her relentless work ethic soon produced extraordinary results.
Less than 16 months after the attack, Truwit represented the United States at the Paris 2024 Paralympic Games, producing a sensational performance to claim both silver and bronze medals. Standing on the Paralympic podium was a powerful reminder of how far she had come in such a short period, and she dedicated those achievements to everyone who had helped save her life.
Still, another dream remained unfinished.
The New York City Marathon carried deep personal significance. It was not merely another endurance event but a symbolic return to the city where her life had changed forever. On November 2, 2025, she lined up in Staten Island accompanied by 13 family members and close friends, all proudly representing her nonprofit foundation, Stronger Than You Think. Among them was Pilkinton, the friend whose quick thinking had preserved her life on that unforgettable day in the Caribbean.
Together, they covered every mile of the marathon before celebrating an emotional finish that Truwit later described as being "over the moon."
Completing a marathon on a carbon-fibre running blade presents challenges far beyond those faced by able-bodied runners. The prosthetic demands greater strength from the hips, core, and remaining leg while requiring exceptional balance, coordination, and endurance. Truwit's preparation combined months of disciplined training, patience, and mental resilience as she effectively taught herself how to run again.
Her story extends well beyond medals and marathon finishes.
Inspired by her own recovery, Truwit founded Stronger Than You Think, a nonprofit organisation dedicated to helping individuals overcome physical and financial barriers following limb loss. Recognising that sports prosthetics can cost tens of thousands of dollars and are often not covered by insurance, the foundation provides financial assistance for prosthetic devices, supports water-safety education, and promotes opportunities within Paralympic sport.
The organisation has already helped provide more than 11 prosthetic limbs, delivered nearly $200,000 in direct support, and funded over 4,000 hours of water-safety lessons benefiting more than 700 young people.
Throughout her journey, Truwit has remained refreshingly honest about the emotional challenges that continue to accompany recovery. She has openly acknowledged that healing is an ongoing process and that grief can still come in waves. Rather than portraying an effortless comeback, she has demonstrated that resilience is built through persistence, even on the hardest days.
Her remarkable transformation resonates far beyond elite sport. While few people will ever experience the trauma she endured, countless runners and athletes understand the frustration of injury, disappointment, or rebuilding after adversity. Truwit's journey serves as a powerful reminder that recovery is rarely linear and that courage is often measured by the willingness to keep moving forward despite uncertainty.
Now looking ahead to the Los Angeles 2028 Paralympic Games, Truwit continues to redefine what is possible. She is no longer known simply as the swimmer who survived a shark attack. She has become a Paralympic medallist, marathon finisher, advocate, and symbol of resilience whose story continues to inspire athletes around the world.
Her journey proves that while life can change in an instant, so too can the strength of the human spirit. Sometimes the greatest triumph is not returning to the person you once were, but discovering someone even stronger than you ever imagined possible.
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Sprint and hurdles superstar Sydney McLaughlin-Levrone has entered an exciting new chapter in her remarkable life, welcoming her first child with husband Andre Levrone. The four-time Olympic champion and women's 400m hurdles world record holder announced the birth of their daughter, Savannah Michelle Levrone, who was born on Sunday, July 12, 2026.
The couple shared the joyful news with an emotional message celebrating the arrival of their daughter and expressing gratitude to everyone who supported them throughout the pregnancy. Sydney described Savannah as "our blessing and our joy," while expressing excitement and faith for the future that lies ahead for their growing family.
The announcement marks a deeply personal milestone for one of the most accomplished athletes of her generation. Renowned for redefining the women's 400m hurdles through a succession of record-breaking performances, McLaughlin-Levrone now embraces a new role beyond the track as a mother.
The timing of the announcement adds another layer of significance. Just days earlier, Sydney reflected on the 10th anniversary of qualifying for her first Olympic Games at only 16 years old—a breakthrough that launched one of the most decorated careers in modern athletics. Ten years later, her journey has come full circle with another life-changing milestone, underscoring that her greatest moments continue to extend beyond sporting success.
The arrival of Savannah Michelle Levrone has been met with an outpouring of congratulations from athletes, fans, and the wider sporting community, who have celebrated the couple as they begin this new chapter together. As Sydney McLaughlin-Levrone steps into motherhood, the athletics world will undoubtedly continue to follow her inspiring journey—both on and off the track.
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Ethiopia's Tsige Gebreselama produced one of the standout road running performances of the season on Sunday, storming to victory at the prestigious Boilermaker Road Race 15K in Utica, New York, with a sensational course record of 47:29.
From the opening kilometers, Gebreselama controlled the race with remarkable composure and precision, maintaining a relentless pace that ultimately erased the previous course record and secured one of the fastest performances ever recorded on the historic course. Her commanding display further reinforced her reputation as one of the world's leading road and distance runners.
The Ethiopian celebration continued as Melknat Wudu crossed the finish line in second place in 47:44, completing a dominant one-two finish for her country. Kenya's Priscah Cherono claimed third in 48:14 after a determined effort, rounding out a world-class podium in a race featuring some of the finest distance runners on the international circuit.
The battle behind the podium remained fiercely competitive. Kenya's Everlyn Kemboi finished fourth in 48:28, narrowly ahead of compatriot Selah Busienei, who clocked 48:31 for fifth. Ethiopia's Netsanet Desta and Alem Nigus Tsadik followed in sixth and seventh respectively, while Kenya's Mercy Cherono secured eighth place.
American athletes also delivered encouraging performances on home roads. Veteran Stephanie Bruce finished ninth in 50:40, with Jackie Gaughan completing the top ten in 51:02 to cap a strong showing for the host nation.
Boilermaker Road Race 15K – Women's Top 10 Results
1. Tsige Gebreselama (Ethiopia) – 47:29 (Course Record)
2. Melknat Wudu (Ethiopia) – 47:44
3. Priscah Cherono (Kenya) – 48:14
4. Everlyn Kemboi (Kenya) – 48:28
5. Selah Busienei (Kenya) – 48:31
6. Netsanet Desta (Ethiopia) – 48:46
7. Alem Nigus Tsadik (Ethiopia) – 48:48
8. Mercy Cherono (Kenya) – 50:23
9. Stephanie Bruce (United States) – 50:40
10. Jackie Gaughan (United States) – 51:02
The women's race combined exceptional depth with remarkable speed, as several athletes broke the 49-minute barrier in a contest that showcased the global strength of elite road running. Gebreselama's record-breaking run now stands as a new benchmark in the rich history of the Boilermaker 15K, adding another memorable chapter to one of the United States' most celebrated road races.
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The Boilermaker 15K is the premier event of Boilermaker Weekend. This world krenowned race is often referred to as the country's best 15K. The Boilermaker 15K is recognized for its entertaining yet challenging course and racing's best post-race party, hosted by the F.X. Matt Brewing Company, featuring Saranac beer and a live concert! With 3 ice and water stops every...
more...Kenya's Alex Matata delivered a sensational performance to claim the men's title at the prestigious Boilermaker Road Race 15K in Utica, New York, producing a dominant run that underlined his growing reputation as one of the world's finest road racers.
Matata surged to victory in an outstanding time of 42:24, mastering the demanding course with a display of strength, speed, and tactical brilliance. His commanding performance secured a memorable triumph in one of the United States' most celebrated road races, adding another significant international victory to his career.
Kenya's success was further highlighted by Kiprono Sitonik, who produced an equally impressive run to finish second in 42:53, completing a remarkable one-two finish for the East African nation. South Africa's Adam Lipschitz rounded out the podium after clocking 43:14 to claim third place following a determined effort.
The race featured a highly competitive international field, with American athletes Reid Buchanan and Hillary Bor finishing fourth and fifth respectively, while another Kenyan, Victor Shitsama, added to his country's strong showing by taking sixth place.
Matata's victory once again showcased Kenya's enduring strength in global road racing, as its athletes continued to dominate major international competitions through exceptional endurance, tactical awareness, and relentless finishing speed. His performance in Utica not only thrilled the spectators lining the streets but also reinforced the depth of Kenyan distance running on the world stage.
Men's Top 10 Results – Boilermaker Road Race 15K
1. Alex Matata (Kenya) – 42:24
2. Kiprono Sitonik (Kenya) – 42:53
3. Adam Lipschitz (South Africa) – 43:14
4. Reid Buchanan (United States) – 43:38
5. Hillary Bor (United States) – 43:40
6. Victor Shitsama (Kenya) – 44:02
7. Futsum Zienasellassie (United States) – 44:32
8. Charlie Sweeney (United States) – 44:37
9. Sam Lawler (United States) – 44:54
10. Tyler Berg (United States) – 45:08
With another major road racing title added to his résumé, Alex Matata continued his impressive 2026 campaign while reinforcing his status as one of the leading names on the international road racing circuit. The Boilermaker 15K once again delivered a high-quality contest, with athletes from across the globe producing memorable performances in one of the United States' most prestigious road races.
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The Boilermaker 15K is the premier event of Boilermaker Weekend. This world krenowned race is often referred to as the country's best 15K. The Boilermaker 15K is recognized for its entertaining yet challenging course and racing's best post-race party, hosted by the F.X. Matt Brewing Company, featuring Saranac beer and a live concert! With 3 ice and water stops every...
more...Eliud Kipchoge's remarkable World Tour continued on Brazilian soil as the Kenyan marathon icon completed the New Balance 42K Porto Alegre Marathon, crossing the finish line in 2:18:39 to place 12th overall during the second stop of his ambitious seven-continent global running tour.
Competing against a strong international field, the two-time Olympic marathon champion displayed the resilience and determination that have defined his legendary career. While the result was not among the victories that have made him one of the greatest marathon runners in history, Kipchoge once again demonstrated the unwavering commitment that continues to inspire athletes and fans across the globe.
Morocco's Zineddine Ouria claimed victory in a superb 2:08:49, with Kipchoge finishing 9 minutes and 50 seconds behind the race winner after navigating the demanding course in Porto Alegre.
Kipchoge began the race with controlled and confident pacing, reaching 5km in 15:34 before passing the halfway mark in 1:05:07. As the race entered its decisive stages, the pace gradually slowed, but the veteran marathoner pressed on with characteristic determination, completing the 42.195-kilometre challenge in 2:18:39.
For many, the story will be told through the finishing position. But for those who truly understand greatness, this journey is about far more than medals, records, or podium finishes. Kipchoge's World Tour is a celebration of the sport itself—an opportunity to connect with runners across every continent, inspire the next generation, and continue living by the philosophy that has become synonymous with his career: "No Human Is Limited."
The Brazilian appearance also carried added significance, coming shortly after Kipchoge was permanently honoured in Porto Alegre with his footprints unveiled at the entrance of Parque Harmonia—a lasting tribute to his extraordinary impact on distance running and his enduring legacy in the sport.
Once a champion. Forever an inspiration. Legends do not stop inspiring when the victories become fewer; they inspire because they never stop showing up. Through every stride, every finish line, and every challenge embraced, Kipchoge continues to prove that true greatness is measured not only by what an athlete wins, but by the lives they touch along the way.
With the second stop of his World Tour now complete, Kipchoge will turn his attention to the next chapter of his global adventure when he lines up at the Melbourne Marathon in Australia this October. Wherever he races, millions will once again follow the journey of a man whose legacy extends far beyond the stopwatch.
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