Header

UZH-Logo

Maintenance Infos

Exercise-Associated Hyponatremia During a Self-Paced Marathon Attempt in a 15-Year-Old Male Teenager


Knechtle, Beat; Bamert, Jonah; Rosemann, Thomas; Nikolaidis, Pantelis T (2019). Exercise-Associated Hyponatremia During a Self-Paced Marathon Attempt in a 15-Year-Old Male Teenager. Medicina (Kaunas), 55(3):63.

Abstract

The increased participation in endurance sports such as marathon running has attracted scientific interest especially with regard to adult athletes. However, few studies have examined the impact of a marathon race on children and adolescents. Therefore, the aim of the present case study was two-fold: first, to describe pacing during a marathon race, and second, to examine acute responses of blood physiology and biochemistry parameters during the race (i.e., pre- and post-race) as well as five consecutive days after the race. : Participant was a 15-year-old boy who completed a self-paced marathon attempt for the first time and finished in 5 h 19 m 53 s. Positive pacing (i.e., a running speed that decreased throughout race) with a final end spurt was observed. An increase in fluid intake across race was shown. Exercise-associated hyponatremia (EAH, i.e., plasma sodium concentration <135 mmol/L) was found post-race. C-reactive protein (CRP) did not correlate either with creatine kinase (CK) (r = 0.457, = 0.302) or with lactate dehydrogenase (LDH) (r = 0.156, = 0.739); however, leukocytes correlated very largely with LDH (r = 0.889, = 0.007) but not with CK (r = 0.696, = 0.082). CK and LDH related almost perfectly with creatinine (r = 0.937, = 0.002 and r = 0.959, = 0.001, respectively); also, creatinine clearance correlated very largely with CK (r = -0.782, = 0.038) but not with LDH (r = -0.733, = 0.061). Leukocytes, aspartate aminotransferase, LDH, and CK deviated from physiological range post-race, but returned to normal values during the five-day recovery period. In summary, a male teenager at the age of 15 years was able to run a marathon in under 6 h without significant harmful effects on health. He developed mild and asymptomatic EAH and an increase in leucocytes, CRP, CK, and LDH as markers of inflammation and skeletal muscle damage. EAH after the marathon was resolved within one day of recovery.

Abstract

The increased participation in endurance sports such as marathon running has attracted scientific interest especially with regard to adult athletes. However, few studies have examined the impact of a marathon race on children and adolescents. Therefore, the aim of the present case study was two-fold: first, to describe pacing during a marathon race, and second, to examine acute responses of blood physiology and biochemistry parameters during the race (i.e., pre- and post-race) as well as five consecutive days after the race. : Participant was a 15-year-old boy who completed a self-paced marathon attempt for the first time and finished in 5 h 19 m 53 s. Positive pacing (i.e., a running speed that decreased throughout race) with a final end spurt was observed. An increase in fluid intake across race was shown. Exercise-associated hyponatremia (EAH, i.e., plasma sodium concentration <135 mmol/L) was found post-race. C-reactive protein (CRP) did not correlate either with creatine kinase (CK) (r = 0.457, = 0.302) or with lactate dehydrogenase (LDH) (r = 0.156, = 0.739); however, leukocytes correlated very largely with LDH (r = 0.889, = 0.007) but not with CK (r = 0.696, = 0.082). CK and LDH related almost perfectly with creatinine (r = 0.937, = 0.002 and r = 0.959, = 0.001, respectively); also, creatinine clearance correlated very largely with CK (r = -0.782, = 0.038) but not with LDH (r = -0.733, = 0.061). Leukocytes, aspartate aminotransferase, LDH, and CK deviated from physiological range post-race, but returned to normal values during the five-day recovery period. In summary, a male teenager at the age of 15 years was able to run a marathon in under 6 h without significant harmful effects on health. He developed mild and asymptomatic EAH and an increase in leucocytes, CRP, CK, and LDH as markers of inflammation and skeletal muscle damage. EAH after the marathon was resolved within one day of recovery.

Statistics

Citations

Altmetrics

Downloads

10 downloads since deposited on 12 Jun 2019
10 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of General Practice
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:7 March 2019
Deposited On:12 Jun 2019 14:02
Last Modified:01 Jul 2019 12:34
Publisher:Lithuanian Medical Association, Kaunas University of Medicine, Vilnius University
ISSN:1010-660X
OA Status:Gold
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.3390/medicina55030063
PubMed ID:30866569

Download

Download PDF  'Exercise-Associated Hyponatremia During a Self-Paced Marathon Attempt in a 15-Year-Old Male Teenager'.
Preview
Content: Published Version
Filetype: PDF
Size: 996kB
View at publisher
Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)