Detail publikace

Description of Three Female 24-h Ultra-Endurance Race Winners in Various Weather Conditions and Disciplines

CHLÍBKOVÁ, D. ROSEMANN, T. KNECHTLE, B. NIKOLAIDIS, P.T. ŽÁKOVSKÁ, A. SUDI, K.

Originální název

Description of Three Female 24-h Ultra-Endurance Race Winners in Various Weather Conditions and Disciplines

Typ

článek v časopise ve Web of Science, Jimp

Jazyk

angličtina

Originální abstrakt

The incidence of exercise-associated hyponatremia (EAH) is higher in women than in men. We present three cases of a very mild post-race EAH in female winners of three 24-h ultra races in various weather conditions and disciplines with post-race plasma sodium [Na+] levels of 134 mM (Case 1), 133 mM (Case 2) and 134 mM (Case 3). Moreover, Case 1 and Case 2 showed elevated creatine kinase (CK) concentrations of >10,000 U/I with an absence of renal function abnormality. The common characteristics were female sex, veteran recreational category, long race experience in the particular sports discipline, excellent race performance, similar total weekly training hours and the presence of luteal phase of the menstrual cycle during the race. Hematocrit and hemoglobin decreased and post-race K+/Na+ ratio in urine increased in all three cases. In addition, an increased body mass and a decreased urine specific gravity and urine osmolality suggested over-drinking in Case 1. A decrease in the glomerular filtration rate (GFR) and creatine clearance accompanied by an increase in urine [Na+] may contribute to fluid overload in Cases 2 and 3. Furthermore, urine osmolality reached a level indicating antidiuretic hormone (ADH) secretion in all the present cases. Therefore, we recommend that race medical personnel should not forget to look for EAH even in fast and experienced female athletes and during races in different environmental conditions.

Klíčová slova

mountain biking; running; 24-h-race

Autoři

CHLÍBKOVÁ, D.; ROSEMANN, T.; KNECHTLE, B.; NIKOLAIDIS, P.T.; ŽÁKOVSKÁ, A.; SUDI, K.

Vydáno

31. 8. 2017

Nakladatel

WOLTERS KLUWER MEDKNOW PUBLICATIONS

Místo

MUMBAI

ISSN

0304-4920

Periodikum

CHINESE JOURNAL OF PHYSIOLOGY

Ročník

60

Číslo

4

Stát

Indická republika

Strany od

231

Strany do

241

Strany počet

11

URL

https://www.ncbi.nlm.nih.gov/pubmed/28847143

BibTex

@article{BUT133544,
  author="Daniela {Chlíbková} and Thomas {Rosemann} and Beat {Knechtle} and Pantelis T. {Nikolaidis} and Alena {Žákovská} and Karl {Südi}",
  title="Description of Three Female 24-h Ultra-Endurance Race Winners in Various Weather Conditions and Disciplines",
  journal="CHINESE JOURNAL OF PHYSIOLOGY",
  year="2017",
  volume="60",
  number="4",
  pages="231--241",
  doi="10.4077/CJP.2017.BAF443",
  issn="0304-4920",
  url="https://www.ncbi.nlm.nih.gov/pubmed/28847143"
}