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Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report

Author

Listed:
  • Miguel Lecina

    (Faculty of Health and Sports Sciences, University of Zaragoza, 22001 Huesca, Spain)

  • Isaac López

    (Faculty of Health and Sports Sciences, University of Zaragoza, 22001 Huesca, Spain)

  • Carlos Castellar

    (ENFYRED Research Group, University of Zaragoza, 22001 Huesca, Spain)

  • Francisco Pradas

    (ENFYRED Research Group, University of Zaragoza, 22001 Huesca, Spain)

Abstract

A case study involving a healthy trained male athlete who completed a 786 km multi-stage ultra-trail race. Several markers were analyzed in blood and urine samples: creatinine (SCR) for kidney damage, sodium ([Na + ]) for hyponatremia, creatine kinase (CK) for exertional rhabdomyolysis, as well as other hematological values. Samples were taken before and after the race and during the recovery period (days 2 and 9 after the race). Results showed: SCR = 1.13 mg/dl, [Na + ] =139 mmol/l and CK = 1.099 UI/l. Criteria for the determination of acute kidney damage were not met, and [Na+] concentration was above 135 mEq/L, indicating the absence of hyponatremia. Exertional rhabdomyolysis was suffered by the athlete (baseline CK increased fivefold), though this situation was reverted after 9 days of recovery. Ultra-trail races cause biochemical changes in athletes, which should be known about by healthcare professionals.

Suggested Citation

  • Miguel Lecina & Isaac López & Carlos Castellar & Francisco Pradas, 2021. "Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report," IJERPH, MDPI, vol. 18(21), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11323-:d:666873
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    Citations

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    Cited by:

    1. Victoria Tidmas & Jon Brazier & Lindsay Bottoms & Daniel Muniz & Terun Desai & Janine Hawkins & Sivakumar Sridharan & Ken Farrington, 2022. "Ultra-Endurance Participation and Acute Kidney Injury: A Narrative Review," IJERPH, MDPI, vol. 19(24), pages 1-21, December.
    2. Miguel Lecina & Carlos Castellar & Francisco Pradas & Isaac López-Laval, 2022. "768-km Multi-Stage Ultra-Trail Case Study-Muscle Damage, Biochemical Alterations and Strength Loss on Lower Limbs," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    3. Jakub Ryszard Stempień & Magdalena Dąbkowska-Dworniak & Małgorzata Stańczyk & Marcin Tkaczyk & Bartłomiej Przybylski, 2022. "Particular Dimensions of the Social Impact of Leisure Running: Study of Poland," Sustainability, MDPI, vol. 14(18), pages 1-17, September.

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