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Doctors: Marathoner Died From Too Much Water

Hyponatremia A Danger In Long-Distance Sports

POSTED: 4:20 pm EDT August 13, 2002

Doctors said a runner who collapsed and died in the Boston Marathon developed a rare condition caused by drinking too much.

Video
Cynthia Lucero
Watch Heather Unruh's Report
HYPONATREMIA
NewsCenter 5's Heather Unruh reported that Cynthia Lucero, 28, suffered from hyponatremia, or water intoxication, a condition complicated by stress hormones.

"You can get too much of a good thing," said Dr. Arthur Siegel, of McLean Hospital. "With prolonged, strenuous exercise, the combination of too much water plus the muscle injury that shuts down the ability of the kidney to excrete the water produces this dangerous, life-threatening problem."

The longer the event, the greater the risk, whether athletes drink water or sodium-laden sports drinks. Siegel said that Lucero's tragedy was preventable if scales were used to monitor marathoners' weight.

"The way to prevent this is for a runner to weigh themselves before the race and write the weight down on a bib," Siegel said.

Siegel said runners who feel bad could be weighed again, and if the weight is down, they could be treated for dehydration.

"If their weight is up, however, as Cynthia's would have been shown to be, then the problem is water intoxication," Siegel said. "And the important approach then is no fluids."

Siegel said anyone out for a 30- to 45-minute workout can drink without risk. But athletes in long-distance sports, such as marathoners, should be aware of the dangers of drinking too much.

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