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The American Journal of Sports Medicine 19:389-391 (1991)
© 1991 SAGE Publications

Fluid and electrolyte replacement in the ultramarathon runner

Stephen R. Newmark, MD

Humana Diabetes Center of Excellence, Sunrise Hospital, Las Vegas, Nevada

Frank R. Toppo, MD

Oiram International, Newport Beach, California

Gary Adams, PhD

Nevada Community Cardiac Rehabilitation, Las Vegas, Nevada

We studied three male runners during three separate ultramarathon races. Serial blood samples were tested for electrolytes, renal function, albumin, calcium, phos phorus, and magnesium. Two runners had aldosterone levels measured during the race and one runner had blood lactate levels measured. All runners ingested an isotonic fluid and electrolyte solution during the race. The runners consumed the solution without medical complications and maintained prerace body weights and hydration levels. Each runner maintained normal endocrine/metabolic parameters. We concluded that it is possible to maintain normal hydration and electrolyte states during a prolonged race, provided that sufficient fluid and electrolyte solutions are ingested.







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Copyright © 1991 by the American Orthopaedic Society for Sports Medicine.