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Incidence and characteristics of severe exercise-associated collapse at the world's largest half-marathon
Univ Gothenburg.
Univ Gothenburg.
Univ Gothenburg.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences (from 2013).ORCID iD: 0000-0002-6928-0683
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2019 (English)In: PLoS ONE, E-ISSN 1932-6203, Vol. 14, no 6, article id e0217465Article in journal (Refereed) Published
Abstract [en]

Background Whilst many health benefits are associated with regular exercise, medical complications may occur during higher-intensity activities, such as long distance running contests. The most common complication is collapse. However, the incidence and characteristics of these collapses are not very well studied. Method This is a retrospective study of severe collapse, defined as a patient in need of advanced medical care after a collapse, during the large Gothenburg's half marathon, Goteborgsvarvet. The study included 230,501 competitors during the study-period of 5 years (20132017) with data being collected from medical race tents and using ambulance data. Vital signs, treatment and blood gas samples were noted and analyzed. Results The incidence of severe collapse was 1.53 per 1000 starting runners. The average age for patients was 34 years old and no difference in incidence were seen between male and female runners. The typical collapsed runner presented with tachycardia, normal systolic blood pressure, elevated body temperature and metabolic acidosis. The most common medical encounter was exercise-associated collapse. Conclusion The incidence of severe collapse was similar to findings in other studies, even though this study was set in different part of the world. Typical characteristics of a collapsed runner were identified providing new information which could be beneficial in the medical planning of larger running competitions and future preventative interventions. Importantly, life threatening conditions seem uncommon; no case of hyponatremia and only two cases of hypoglycemia were seen.

Place, publisher, year, edition, pages
PUBLIC LIBRARY SCIENCE , 2019. Vol. 14, no 6, article id e0217465
National Category
Social Sciences Interdisciplinary Health Sciences
Research subject
Risk and Environmental Studies
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URN: urn:nbn:se:kau:diva-73211DOI: 10.1371/journal.pone.0217465ISI: 000470658500015PubMedID: 31173596OAI: oai:DiVA.org:kau-73211DiVA, id: diva2:1333637
Available from: 2019-07-01 Created: 2019-07-01 Last updated: 2020-01-16Bibliographically approved

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