The incidence of exercise-associated hyponatraemia in the London Marathon

British Journal of Sports Medicine

Volumn 45, Issue 1, 2011, Pages 14-19

  Kipps, Courtney ^a   Sharma, Sanjay ^b   Pedoe, Dan Tunstall ^c  

^a UNIVERSITY OF LONDON   (United Kingdom)

^b KING'S COLLEGE LONDON   (United Kingdom)

^c HOMERTON UNIVERSITY HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DRINKING WATER; SODIUM;

ADULT; ARTICLE; BLOOD; BODY MASS; FEMALE; HUMAN; HYPONATREMIA; INCIDENCE; MALE; METABOLISM; PHYSIOLOGY; RUNNING; UNITED KINGDOM; WEIGHT GAIN; WEIGHT REDUCTION;

ADULT; BODY MASS INDEX; DRINKING WATER; FEMALE; HUMANS; HYPONATREMIA; INCIDENCE; LONDON; MALE; RUNNING; SODIUM; WEIGHT GAIN; WEIGHT LOSS;

EID: 78650885905     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsm.2009.059535     Document Type: Article

References (25)

1. Roberts WO. A 12-yr profile of medical injury and illness for the Twin Cities Marathon. Med Sci Sports Exerc 2000;32:1549-55.
2. Ayus JC, Arieff AI. Noncardiogenic pulmonary edema in marathon runners. Ann Intern Med 2000;133:1011.
3. Siegel AJ, Verbalis JG, Clement S, et al. Hyponatremia in marathon runners due to inappropriate arginine vasopressin secretion. Am J Med 2007;120:461. e11-17.
4. Hew-Butler T, Ayus JC, Kipps C, et al. Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007. Clin J Sport Med 2008;18:111-21.
5. Foster P, Pavia W. Fitness instructor, 22, dies in the marathon. The Times 24 April 2007; http://www.timesonline.co.uk/tol/news/uk/article1695634.ece (accessed 8 April 2009)
6. Almond CS, Shin AY, Fortescue EB, et al. Hyponatremia among runners in the Boston Marathon. N Engl J Med 2005;352:1550-6.
7. Speedy DB, Noakes TD, Boswell T, et al. Response to a fluid load in athletes with a history of exercise induced hyponatremia. Med Sci Sports Exerc 2001;33:1434-42.
8. Hew TD, Chorley JN, Cianca JC, et al. The incidence, risk factors, and clinical manifestations of hyponatremia in marathon runners. Clin J Sport Med 2003;13:41-7.
9. Speedy DB, Noakes TD, Rogers IR, et al. Hyponatremia in ultradistance triathletes. Med Sci Sports Exerc 1999;31:809-15.
10. Hew-Butler T, Almond C, Ayus JC, et al.; Exercise-Associated Hyponatremia (EAH) Consensus Panel. Consensus statement of the 1st International Exercise-Associated Hyponatremia Consensus Development Conference, Cape Town, South Africa 2005. Clin J Sport Med 2005;15:208-13.
11. Convertino VA. Clinical aspects of the control of plasma volume at microgravity and during return to one gravity. Med Sci Sports Exerc 1996;28:S45-52.
12. Hew-Butler T, Verbalis JG, Noakes TD; International Marathon Medical Directors Association. Updated fluid recommendation: position statement from the International Marathon Medical Directors Association (IMMDA). Clin J Sport Med 2006;16:283-92.
13. Mettler S, Rusch C, Frey WO, et al. Hyponatremia among runners in the Zurich Marathon. Clin J Sport Med 2008;18:344-9.
14. Chorley J, Cianca J, Divine J. Risk factors for exercise-associated hyponatremia in non-elite marathon runners. Clin J Sport Med 2007;17:471-7.
15. Goudie AM, Tunstall-Pedoe DS, Kerins M, et al. Exercise-associated hyponatraemia after a marathon: case series. J R Soc Med 2006;99:363-7.
16. Lucozade Sport. http://www.lucozadesport.com (accessed 4 July 2006)
17. Erickson KA, Wilding P. Evaluation of a novel point-of-care system, the i-STAT portable clinical analyzer. Clin Chem 1993;39:283-7.
18. Green RP, Landt M. Home sodium monitoring in patients with diabetes insipidus. J Pediatr 2002;141:618-24.
19. Hsieh M, Roth R, Davis DL, et al. Hyponatremia in runners requiring on-site medical treatment at a single marathon. Med Sci Sports Exerc 2002;34:185-9.
20. Cheuvront SN, Haymes EM. Ad libitum fluid intakes and thermoregulatory responses of female distance runners in three environments. J Sports Sci 2001;19:845-54.
21. Maughan RJ, Shirreffs SM, Leiper JB. Errors in the estimation of hydration status from changes in body mass. J Sports Sci 2007;25:797-804.
22. Noakes TD, Sharwood K, Speedy D, et al. Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2, 135 weighed competitive athletic performances. Proc Natl Acad Sci USA 2005;102:18550-5.
23. Siegel AJ. Exercise-associated hyponatremia: role of cytokines. Am J Med 2006;119:S74-8.
24. Goudie AM, Tunstall-Pedoe DS, Kerins M. Altered mental status after a marathon. N Engl J Med 2005;352:1613-14.
25. Reid SA, Speedy DB, Thompson JM, et al. Study of hematological and biochemical parameters in runners completing a standard marathon. Clin J Sport Med 2004;14:344-53.