Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38.

dc.contributor.authorDugas, J P
dc.contributor.authorNoakes, T D
dc.date.accessioned2017-11-24T08:59:04Z
dc.date.available2017-11-24T08:59:04Z
dc.date.issued2005
dc.date.updated2017-11-08T09:09:32Z
dc.description.abstractObjective: To report a case of exertional hyponatraemic encephalopathy that occurred despite a modest rate of fluid intake during a 109 km cycling race. Methods: Men and women cyclists were weighed before and after the race. All subjects were interviewed and their water bottles measured to quantify fluid ingestion. A blood sample was drawn after the race for the measurement of serum Na+ concentration. Results: From the full set of data (n  =  196), one athlete was found to have hyponatraemic encephalopathy (serum [Na+] 129 mmol/l). She was studied subsequently in the laboratory for measurement of sweat [Na+] and sweat rate. Conclusions: Despite a modest rate of fluid intake (735 ml/h) and minimal predicted sweat Na+ losses, this female athlete developed hyponatraemic encephalopathy. The rate of fluid intake is well below the rate currently prescribed as optimum. Drinking to thirst and not to a set hourly rate would appear to be the more appropriate behaviour.
dc.identifierhttp://dx.doi.org/10.1136/bjsm.2005.018820
dc.identifier.apacitationDugas, J. P., & Noakes, T. D. (2005). Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38. <i>British Journal of Sports Medicine</i>, http://hdl.handle.net/11427/26421en_ZA
dc.identifier.chicagocitationDugas, J P, and T D Noakes "Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38." <i>British Journal of Sports Medicine</i> (2005) http://hdl.handle.net/11427/26421en_ZA
dc.identifier.citationDugas, J. P., & Noakes, T. D. (2005). Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British journal of sports medicine, 39(10), e38-e38.
dc.identifier.ris TY - AU - Dugas, J P AU - Noakes, T D AB - Objective: To report a case of exertional hyponatraemic encephalopathy that occurred despite a modest rate of fluid intake during a 109 km cycling race. Methods: Men and women cyclists were weighed before and after the race. All subjects were interviewed and their water bottles measured to quantify fluid ingestion. A blood sample was drawn after the race for the measurement of serum Na+ concentration. Results: From the full set of data (n  =  196), one athlete was found to have hyponatraemic encephalopathy (serum [Na+] 129 mmol/l). She was studied subsequently in the laboratory for measurement of sweat [Na+] and sweat rate. Conclusions: Despite a modest rate of fluid intake (735 ml/h) and minimal predicted sweat Na+ losses, this female athlete developed hyponatraemic encephalopathy. The rate of fluid intake is well below the rate currently prescribed as optimum. Drinking to thirst and not to a set hourly rate would appear to be the more appropriate behaviour. DA - 2005 DB - OpenUCT DP - University of Cape Town J1 - British Journal of Sports Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2005 T1 - Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38 TI - Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38 UR - http://hdl.handle.net/11427/26421 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/26421
dc.identifier.vancouvercitationDugas JP, Noakes TD. Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38. British Journal of Sports Medicine. 2005; http://hdl.handle.net/11427/26421.en_ZA
dc.language.isoeng
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceBritish Journal of Sports Medicine
dc.source.urihttp://bjsm.bmj.com/
dc.titleHyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. British Journal of Sports Medicine, 39(10): e38.
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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