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Lead Stories: Saturday, November 22, 2008

Hyponatremia …
… Too much water

Posted May 7th, 2007 at 10:18 AM by Martha Jones

Section: Nutrition, Hydration

For the last 40 years, sports medicine experts have told athletes in endurance events that they should take fluids frequently during events lasting more than one hour. However, three years ago, a 28-year-old woman collapsed and died after finishing the Boston Marathon. Her blood salt levels were extremely low and she died from a condition called hyponatremia.

A few weeks ago, a policeman training for bicycle duty died of the same condition. On July 26, 2005, sports medicine experts issued a warning to all athletes from the First International Exercise-Associated Hyponatremia Consensus Development Conference.

I have never seen this syndrome in well-conditioned athletes. It has been reported almost exclusively in very thin, less-fit, slower and novice athletes, and is far more common in women. This condition is caused by drinking too much fluid and is not caused by excessive loss of salt in sweat or by exercising. When people with psychiatric problems force themselves to drink huge amounts of water while sitting still, they also can die of hyponatremia, only in this case, it is called water intoxication.
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