Literature DB >> 20029104

Hyperthermic fatigue precedes a rapid reduction in serum sodium in an ironman triathlete: a case report.

Paul B Laursen1, Greig Watson, Chris R Abbiss, Bradley A Wall, Kazunori Nosaka.   

Abstract

PURPOSE: To monitor the hydration, core temperature, and speed (pace) of a triathlete performing an Ironman triathlon.
METHODS: A 35-year-old experienced male triathlete participated in the Western Australian Ironman triathlon on December 1, 2006. The participant was monitored for blood Na(+) concentration before the race (PRE), at the transitions (T1 and T2), halfway through the run (R21), and after the race (POST; 2hPOST). Core body temperature (T(c); pill telemetry) was recorded continuously, and running speed (s3 stride sensor) was measured during the run.
RESULTS: The participant completed the race in 11 h 38 min, in hot conditions (26.6 +/- 5.8 degrees C; 42 +/- 19% rel. humidity). His T(c) increased from 37.0 to 38.6 degrees C during the 57-min swim, and averaged 38.4 degrees C during the 335-min bike (33.5 km x h(-1)). After running at 12.4 km x h(-1) for 50 min in the heat (33.1 degrees C), T(c) increased to 39.4 degrees C, before slowing to 10.0 km x h(-1) for 20 min. T(c) decreased to 38.9 degrees C until he experienced severe leg cramps, after which speed diminished to 6 km x h(-1) and T(c) fell to 38.0 degrees C. The athlete's blood Na(+) was constant from PRE to T2 (139-140 mEq x L(-1), but fell to 131 mEq x L(-1) at R21, 133 mEq x L(-1) at POST, and 128 mEq x L(-1) at 2hPOST. The athlete consumed 9.25 L of fluid from PRE to T2, 6.25 L from T2 to POST, and lost 2% of his body mass, indicating sweat losses greater than 15.5 L.
CONCLUSION: This athlete slowed during the run phase following attainment of a critically high T(c) and experienced an unusually rapid reduction in blood Na(+) that preceded cramping, despite presenting with signs of dehydration.

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Year:  2009        PMID: 20029104     DOI: 10.1123/ijspp.4.4.533

Source DB:  PubMed          Journal:  Int J Sports Physiol Perform        ISSN: 1555-0265            Impact factor:   4.010


  5 in total

1.  Regulation of pacing strategy during athletic competition.

Authors:  Jos J de Koning; Carl Foster; Arjan Bakkum; Sil Kloppenburg; Christian Thiel; Trent Joseph; Jacob Cohen; John P Porcari
Journal:  PLoS One       Date:  2011-01-20       Impact factor: 3.240

Review 2.  The impact of triathlon training and racing on athletes' general health.

Authors:  Veronica Vleck; Gregoire P Millet; Francisco Bessone Alves
Journal:  Sports Med       Date:  2014-12       Impact factor: 11.136

3.  Core Temperature Response During the Marathon Portion of the Ironman World Championship (Kona-Hawaii).

Authors:  Guillermo Olcina; Carmen Crespo; Rafael Timón; Jeffrey M Mjaanes; Julio Calleja-González
Journal:  Front Physiol       Date:  2019-12-03       Impact factor: 4.566

Review 4.  What predicts performance in ultra-triathlon races? - a comparison between Ironman distance triathlon and ultra-triathlon.

Authors:  Beat Knechtle; Matthias Alexander Zingg; Thomas Rosemann; Michael Stiefel; Christoph Alexander Rüst
Journal:  Open Access J Sports Med       Date:  2015-05-18

Review 5.  Variables that influence Ironman triathlon performance - what changed in the last 35 years?

Authors:  Beat Knechtle; Raphael Knechtle; Michael Stiefel; Matthias Alexander Zingg; Thomas Rosemann; Christoph Alexander Rüst
Journal:  Open Access J Sports Med       Date:  2015-08-25
  5 in total

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