Effect of Two Hydration Strategies on CapillarySodium Concentrations in Runners Participating in 170-km Trail Race: The 2015 UltraTrail du Mont-Blanc Experience.


Journal

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300

Informations de publication

Date de publication:
16 Aug 2024
Historique:
received: 24 03 2024
accepted: 14 07 2024
medline: 19 8 2024
pubmed: 19 8 2024
entrez: 19 8 2024
Statut: aheadofprint

Résumé

This study assessed the impact of 2 hydration strategies on capillary sodium concentrations during Ultra-Trail du Mont-Blanc (UTMB) 2015. Prospective exposed/nonexposed cohort study. Ultra-Trail du Mont Blanc 2015 (170 km). Thousand five hundred sixty-three registered runners of UTMB 2015 asked to predefine their hydration strategy as either "drinking to thirst" or any other mode ("not drinking to thirst"). One hundred "drinking to thirst" participants were randomly selected and paired (sex and age) with 96 "not drinking to thirst" participants. Participant weight and capillary sodium concentrations were measured before and after the race. Variations of capillary sodium concentrations and weight during the trail according to predefine hydration strategy as either "drinking to thirst" or "not drinking to thirst." Adverse events were recorded. P < 0.05 was considered statistically significant. Among 196 participants, 88 (62 finishers) "drinking to thirst" and 87 (64 finishers) "nondrinking to thirst" participants were analyzed, respectively. There was no difference in the change in capillary sodium concentrations prerace to postrace between the groups (1.5 ± 4.4 vs 1.5 ± 4.7 mEq/L, P = 0.98). The change in participant weight was also not different (P = 0.3877). Hypernatremia or hyponatremia were reported in 19 of 88 (21.6%) and 24 of 87 (27.6%) in "drinking to thirst" and "non-drinking to thirst" participants, respectively (P = 0.20). The incidence of adverse events was not different between the groups. This study observed no impact of hydration strategy on the change in capillary sodium concentrations before and after UTMB 2015.

Identifiants

pubmed: 39158497
doi: 10.1097/JSM.0000000000001266
pii: 00042752-990000000-00226
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

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Auteurs

Rémy Coulomb (R)

Orthopedic Surgical Department, University of Montpellier, Nimes University Hospital, Nîmes, France.

Patrick Basset (P)

DOKEVER, Nîmes, France.

Myriam Mezzarobba (M)

UR-UM103 IMAGINE, University of Montpellier, Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, Nîmes, France.
Department of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nimes, IDESP, INSERM, University of Montpellier, Nîmes, France.

Christophe Masseguin (C)

Direction of Clinical Research Department, University of Montpellier, Nimes University Hospital, Nîmes, France; and.

Jean-Yves Lefrant (JY)

UR-UM103 IMAGINE, University of Montpellier, Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, Nîmes, France.

Thibault Mura (T)

Department of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nimes, IDESP, INSERM, University of Montpellier, Nîmes, France.

Jason A Roberts (JA)

UR-UM103 IMAGINE, University of Montpellier, Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, Nîmes, France.
Faculty of Medicine, The University of Queensland, University of Queensland Centre for Clinical Research, Brisbane, Australia.

Olivier Mares (O)

Orthopedic Surgical Department, University of Montpellier, Nimes University Hospital, Nîmes, France.

Classifications MeSH