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A hiker traverses the PCT's Kendall Katwalk near Seattle. (Kelly Bork)

Could Thru-Hiking Be Bad for Your Health? A New Study Makes a Troubling Find.

Exercise may not be enough to make up for thru-hikers’ bad diets, a new paper suggests

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Adam Roy

This story was originally published at Backpacker.com. To get more of their premium content along with your Outside subscription, join Outside+.


When Tom Heinbockel decided to make himself into an experiment, he didn’t expect the results to change the way he looked at hiking. He certainly didn’t expect it to change his health for the worse.

It was 2019, pre-pandemic, and he had his sights set on the Pacific Crest Trail. Heinbockel, a runner who got the trail name Tarzan on a previous thru-hike of the Appalachian Trail, had just finished his master’s degree in integrative physiology at the University of Colorado, and was looking forward to a long walk before returning to his job as a research assistant at the school. It was during a chat with Daniel Craighead, an assistant professor in his department, that the idea of documenting how the trip affected his health came up.

“We were just like, ‘we should measure a few things, because we have all the equipment’,” Heinbockel recalls. “It was just personal interest.”

Before his departure, the pair put Heinbockel through a battery of tests to measure a variety of fitness markers. They used x-ray scans to assess his body composition and bone density, and ultrasound equipment to measure how efficiently his arteries functioned. They took his blood pressure and resting heart rate, and he ran on a treadmill to measure his oxygen consumption. Overall, the data showed a picture of an athletic young man in his prime: As the pair later wrote, Heinbockel was “highly fit, and had a low body fat percentage.”

Heinbockel’s thru-hike went off without any major issues. He started hiking northbound with a friend, but after about 800 miles, he split off, hoping to enjoy “the solitude of it all.” It was a massive snow year for the Sierra, and Heinbockel spent some 500 miles trekking across snowfields, enduring swollen river crossings and passing days alone in sections that more cautious hikers had opted to skip. He snacked on typical thru-hiker fare—jerky, individually-wrapped pastries, chips—and did push-ups along the way, hoping to keep some upper body strength. He reached the Canadian border in 112 days, about a month faster than most hikers take to finish the PCT.

When Heinbockel returned to the lab, however, he and Craighead were in for a surprise. On the outside, Heinbockel didn’t look much different: His weight had stayed stable and his body composition had barely budged. The tests however, revealed that his arteries had taken a turn for the worse. Heinbockel’s brachial artery flow-mediated dilation—a measure of how well the endothelial lining, a layer of cells on the inside of blood vessels, is functioning—had dropped by more than 25%, while his aortic stiffness had risen by 5%, changes associated with an increased risk of heart disease and stroke. 

“That degree of decrease might be what you expect to see, you know, over multiple decades of someone aging, and he experienced that in only 112 days,” says Craighead. “He’s a young, healthy person who was being physically active, all things we know should protect you from having unhealthy arteries. So it was pretty surprising to see such a dramatic change over such a short amount of time.”

Heinbockel and Craighead, who published their results this January as a case study in the journal Physiological Reports, didn’t necessarily expect Heinbockel to get in better shape over the course of his hike (as Craighead puts it, “it’s hard to make someone who’s healthy and active even better”), but given the protective effect of endurance exercise, they didn’t expect to see his health change for the worse, either. The pair theorize that Heinbockel’s typical thru-hiker diet was at least partially at fault.

“I think the part we didn’t necessarily appreciate going in was how poor his diet was going to be,” says Craighead. “On the trail, having to carry your own food, you go for things that are calorically dense, which tend to be high in sugar, fat, and salt, and low in fiber. Not a lot of fresh food. We think what’s happening is they’re giving the body this kind of overwhelming stimulus of bad food that can’t be overcome by exercise.”

While the study only looked at one person, Craighead says that the results are compelling enough that aspiring thru-hikers may want to consider them when planning their treks. Hikers should be “cognizant of their own health before, during, and after doing a hike like this, because there could potentially be risks for some people,” especially older people and those with preexisting cardiovascular conditions.

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