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73

Exercise-associated hyponatremia in marathon runners: a two-year experience

This study was conducted to better define the pathophysiology, risk factors, and therapeutic approach to exercise-associated hyponatremia. Medical records from all participants in the 1998 Suzuki Rock ‘N’ Roll Marathon® who presented to 14 Emergency Departments (EDs) were retrospectively reviewed to identify risk factors for the development of hyponatremia. Hyponatremic patients were compared to other runners with regard to race time and to other marathon participants seen in the ED with regard to gender, clinical signs of dehydration, and use of nonsteroidal anti-inflammatory drugs (NSAIDs). An original treatment algorithm incorporating the early use of hypertonic saline (HTS) was evaluated prospectively in our own ED for participants in the 1999 marathon to evaluate improvements in sodium correction rate and incidence of complications. A total of 26 patients from the 1998 and 1999 marathons were hyponatremic [serum sodium (SNa) ≤135 mEq/L] including 15 with severe hyponatremia (SNa ≤ 125 mEq/L). Three developed seizures and required intubation and admission to an intensive care unit. Hyponatremic patients were more likely to be female, use NSAIDS, and have slower finishing times. Hyponatremic runners reported drinking “as much as possible” during and after the race and were less likely to have clinical signs of dehydration. An inverse relationship between initial SNa and time of presentation was observed, with late presentation predicting lower SNa values. The use of HTS in selected 1999 patients resulted in faster SNa correction times and fewer complications than observed for 1998 patients. It is concluded that the development of exercise-associated hyponatremia is associated with excessive fluid consumption during and after extreme athletic events. Additional risk factors include female gender, slower race times, and NSAID use. The use of HTS in selected patients seems to be safe and efficacious.  
sciencedirect.com
over 5 years ago
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1
6

Experts call for new focus on physical activity - BBC News

Experts warn of "major" public health cost of ignoring guidelines on physical activity.  
BBC News
about 5 years ago
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2
21

Pediatric Cardiology-Exercise and Congenital Heart Disease

This Pediatric Cardiology Teaching,lecture conducted by Dr Sangeetha Vishwanath. The topic is - Sports and CHD.  
YouTube
about 5 years ago
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2
9

Forearm Supination from Neutral With Resistance

http://www.kinesiologyprep.com - In this video, the action of controlled lowering of the weight is an eccentric muscle contraction. The motion of moving from...  
YouTube
about 5 years ago
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1
13

Forearm Supination to Neutral With Resistance

http://www.kinesiologyprep.com - In this video, the motion of moving the forearm from palm down to a neutral position is called concentric supination. Supina...  
YouTube
about 5 years ago
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2
18

Forearm Pronation With Resistance

http://www.kinesiologyprep.com - In this video, the action of controlled lowering of the weight is an eccentric muscle contraction. The motion of the forearm...  
YouTube
about 5 years ago
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1
4

Forearm Supination

http://www.kinesiologyprep.com - In this video, the motion of turning the forearm outward or laterally is called supination. Supination is demonstrated from ...  
YouTube
about 5 years ago
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1
30

Copy of THE LIPITOR LAB EXERCISE by Professor Fink

Check-out professor fink's web-site or additional resources in Biology, Anatomy, Physiology & Pharmacology: www.professorfink.com Lecture Outlines by Profess...  
YouTube
about 5 years ago
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1
10

Benefits of Exercise for your Health

This is the best online medical lectures site, providing high quality medical and nursing lectures for students across the globe. Our lectures are oversimpli...  
YouTube
about 5 years ago
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1
8

Physical activity level and prognosis in patients with coronary heart disease

Stream Physical activity level and prognosis in patients with coronary heart disease by BMJ talk medicine from desktop or your mobile device  
SoundCloud
about 5 years ago
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45

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Stream Prof Stuart Biddle – Mythbusting Sports Medicine Australia Keynote Presenter: Physical Activity by BMJ talk medicine from desktop or your mobile device  
SoundCloud
about 5 years ago
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1
15

Exercise advice unrealistic, say experts - BBC News

Researchers say current exercise guidelines are unrealistic and argue doctors should promote small increases in activity instead.  
BBC News
almost 5 years ago
Www.bmj
1
10

Recommendations for physical activity in older adults

Older adults find it difficult to meet moderate and vigorous exercise targets. Given that a dose-response exists for physical activity and health benefits, Phillip B Sparling and colleagues argue that a change in message to reduce sedentary time and increase light activities may prove more realistic and pave the way to more intense exercise  
bmj.com
almost 5 years ago
Www.bmj
1
24

Global health agenda on non-communicable diseases: has WHO set a smart goal for physical activity?

Philipe de Souto Barreto argues that, to reduce premature mortality, policies should focus on getting fully inactive people to do a little physical activity rather than strive for the entire population to meet current physical activity recommendations  
bmj.com
almost 5 years ago
Www.bmj
1
5

Pedometers for older people can increase physical activity, research shows

A sustained increase in physical activity among older people can be achieved by consultations with a practice nurse and the use of a pedometer, research published in the journal PLOS Medicine has shown.1  
bmj.com
over 4 years ago
Www.bmj
1
3

NICE recommends small improvements to help people stay at healthy weight

Making any improvements, however small, to physical activity or dietary habits is likely to help individuals stay at a healthy weight or prevent further weight gain, guidelines from the National Institute for Health and Care Excellence have said.  
bmj.com
over 4 years ago
Www.bmj
1
27

Brain training, exercise, and healthy eating slow cognitive decline in elderly people at risk, study finds

A comprehensive programme incorporating individual support for healthy eating, regular exercise, and brain training in addition to managing metabolic and vascular risk factors reduced cognitive decline in older people at risk for dementia, results reported in the Lancet have shown.1  
bmj.com
over 4 years ago
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22

Exercise interventions to prevent sports injuries – what you need to know

Stream Exercise interventions to prevent sports injuries – what you need to know by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 4 years ago
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1
15

Training tomorrow’s doctors, in exercise medicine, for tomorrow’s patients

Stream Training tomorrow’s doctors, in exercise medicine, for tomorrow’s patients by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 4 years ago