Literature DB >> 21427567

Prevalence of exercise-associated hyponatremia in male ultraendurance athletes.

Beat Knechtle1, Markus Gnädinger, Patrizia Knechtle, Reinhard Imoberdorf, Götz Kohler, Peter Ballmer, Thomas Rosemann, Oliver Senn.   

Abstract

OBJECTIVE: The prevalence of exercise-associated hyponatremia (EAH) has mainly been investigated in marathoners and Ironman triathletes. The aim of this study was to investigate the prevalence of EAH in male ultraendurance athletes in other disciplines, such as ultraswimming, ultracycling, and ultramarathon running.
DESIGN: Observational field study.
SETTING: "Marathon Swim" in Lake Zurich, the "Swiss Cycling Marathon," the "Swiss Bike Masters," the "100-km Lauf Biel," and the "Swiss Jura Marathon." PARTICIPANTS: Fifteen ultraswimmers, 28 ultra-road cyclists, 37 ultra-mountain bikers, 95 ultramarathoners, and 25 mountain ultramarathoners. MAIN OUTCOME MEASURES: Changes in body mass, plasma sodium, urinary specific gravity, and hematocrit were measured. The athletes recorded their intake of fluids.
RESULTS: Two swimmers (13%), 3 road cyclists (10.7%), no mountain bikers (0%), 5 ultramarathoners (5%), and 2 mountain ultramarathoners (8%) developed EAH. In the mountain bikers (r = -0.41) and the 100-km ultramarathoners (r = -0.52), fluid intake was significantly and negatively related to race time. In the mountain ultramarathoners, fluid consumption increased during the race.
CONCLUSIONS: The prevalence of EAH was no higher in ultraendurance athletes compared with existing reports on marathoners and Ironman triathletes. Of the 200 investigated ultraendurance athletes, 12 finishers (6%) developed EAH. 2011 by Lippincott Williams & Wilkins.

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Year:  2011        PMID: 21427567     DOI: 10.1097/JSM.0b013e31820cb021

Source DB:  PubMed          Journal:  Clin J Sport Med        ISSN: 1050-642X            Impact factor:   3.638


  15 in total

1.  No case of exercise-associated hyponatraemia in top male ultra-endurance cyclists: the 'Swiss Cycling Marathon'.

Authors:  Christoph Alexander Rüst; Beat Knechtle; Patrizia Knechtle; Thomas Rosemann
Journal:  Eur J Appl Physiol       Date:  2011-06-09       Impact factor: 3.078

2.  Fluid intake and changes in limb volumes in male ultra-marathoners: does fluid overload lead to peripheral oedema?

Authors:  Alexia Bracher; Beat Knechtle; Markus Gnädinger; Jolanda Bürge; Christoph Alexander Rüst; Patrizia Knechtle; Thomas Rosemann
Journal:  Eur J Appl Physiol       Date:  2011-07-01       Impact factor: 3.078

Review 3.  What do athletes drink during competitive sporting activities?

Authors:  Alison K Garth; Louise M Burke
Journal:  Sports Med       Date:  2013-07       Impact factor: 11.136

4.  Higher prevalence of exercise-associated hyponatremia in female than in male open-water ultra-endurance swimmers: the 'Marathon-Swim' in Lake Zurich.

Authors:  Sandra Wagner; Beat Knechtle; Patrizia Knechtle; Christoph Alexander Rüst; Thomas Rosemann
Journal:  Eur J Appl Physiol       Date:  2011-07-12       Impact factor: 3.078

5.  Exercise-associated hyponatremia in an ultra-endurance mountain biker: a case report.

Authors:  Morteza Khodaee; Dylan Luyten; Tamara Hew-Butler
Journal:  Sports Health       Date:  2013-07       Impact factor: 3.843

6.  From state to process: defining hydration.

Authors:  Erica T Perrier; Lawrence E Armstrong; Michel Daudon; Stavros Kavouras; Max Lafontan; Florian Lang; François Péronnet; Jodi D Stookey; Ivan Tack; Alexis Klein
Journal:  Obes Facts       Date:  2014-04-04       Impact factor: 3.942

Review 7.  Physiopathological, Epidemiological, Clinical and Therapeutic Aspects of Exercise-Associated Hyponatremia.

Authors:  Caterina Urso; Salvatore Brucculeri; Gregorio Caimi
Journal:  J Clin Med       Date:  2014-11-12       Impact factor: 4.241

8.  Changes in foot volume, body composition, and hydration status in male and female 24-hour ultra-mountain bikers.

Authors:  Daniela Chlíbková; Beat Knechtle; Thomas Rosemann; Alena Žákovská; Ivana Tomášková; Marcus Shortall; Iva Tomášková
Journal:  J Int Soc Sports Nutr       Date:  2014-03-24       Impact factor: 5.150

9.  The prevalence of exercise-associated hyponatremia in 24-hour ultra-mountain bikers, 24-hour ultra-runners and multi-stage ultra-mountain bikers in the Czech Republic.

Authors:  Daniela Chlíbková; Thomas Rosemann; Alena Žákovská; Ivana Tomášková; Beat Knechtle
Journal:  J Int Soc Sports Nutr       Date:  2014-02-10       Impact factor: 5.150

10.  Electrolyte disorders and in-hospital mortality during prolonged heat periods: a cross-sectional analysis.

Authors:  Carmen A Pfortmueller; Georg-Christian Funk; Alexander B Leichtle; Georg M Fiedler; Christoph Schwarz; Aristomenis K Exadaktylos; Gregor Lindner
Journal:  PLoS One       Date:  2014-03-20       Impact factor: 3.240

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