DOCSLIB.ORG

Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015 CONSENSUS STATEMENT Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015 Tamara Hew-Butler, DPM, PhD,* Mitchell H. Rosner, MD,† Sandra Fowkes-Godek, PhD, ATC,‡ Jonathan P. Dugas, PhD,§ Martin D. Hoffman, MD,¶ Douglas P. Lewis, MD, Ronald J. Maughan, PhD,** Kevin C. Miller, PhD, ATC,†† Scott J. Montain, PhD,k ‡‡ Nancy J. Rehrer, PhD,§§ William O. Roberts, MD, MSc,¶¶ Ian R. Rogers, MBBS, Arthur J. Siegel, MD,*** Kristin J. Stuempfle, PhD,††† James M. Winger, MD,‡‡‡kk and Joseph G. Verbalis, MD§§§ training, exercise physiology, sports medicine, water/sodium Key Words: EAH, exercise-associated collapse, hydration metabolism, and body fluid homeostasis. The primary goal of (Clin J Sport Med 2015;25:303–320) the panel was to review the existing data on EAH and update the 2008 Consensus Statement.1 This document serves to replace the second International EAH Consensus Development Conference Statement and launch an educational campaign INTRODUCTION designed to address the morbidity and mortality associated The third International Exercise-Associated Hyponatre- with a preventable and treatable fluid imbalance. mia (EAH) Consensus Development Conference convened in The following statement is a summary of the data Carlsbad, California in February 2015 with a panel of 17 synthesized by the 2015 EAH Consensus Panel and represents international experts. The delegates represented 4 countries and fi an evolution of the most current knowledge on EAH. This 9 medical and scienti c sub-specialties pertaining to athletic document will summarize the most current information on the prevalence, etiology, diagnosis, treatment and prevention of Submitted for publication April 30, 2015; accepted May 10, 2015. From the *Exercise Science Program, Oakland University, Rochester, Mich- EAH for medical personnel, athletes, athletic trainers, and the igan; †Division of Nephrology, University of Virginia Health System, greater public. The EAH Consensus Panel strove to clearly Charlottesville, Virginia; ‡Department of Sports Medicine, West Chester articulate what we agreed upon, did not agree upon, and did not University, West Chester, Pennsylvania; §The Vitality Group, Chicago, know, including minority viewpoints that were supported by Illinois; ¶Department of Physical Medicine and Rehabilitation, VA Northern California Health Care System and University of California clinical experience and experimental data. Further updates will Davis, Sacramento, California; Family Medicine Residency Program, be necessary to both: (1) remain current with our understanding Via Christi Hospitals Wichita, Inc,k Wichita, Kansas; **Department of and (2) critically assess the effectiveness of our present Sport and Exercise Nutrition, Loughborough University, Leicestershire, recommendations. Suggestions for future research and educa- United Kingdom; ††Athletic Training Program, Central Michigan Uni- tional strategies to reduce the incidence and prevalence of EAH versity, Mount Pleasant, Michigan; ‡‡Military Nutrition Division, United States Army Research Institute of Environmental Medicine, Na- are provided at the end of the document as well as areas of tick, Massachusetts; §§School of Physical Education, Sport and Exercise controversy that remain in this topic. Science, University of Otago, Dunedin, New Zealand; ¶¶Department of Family Medicine and Community Health, University of Minnesota, Min- neapolis, Minnesota; Department of Emergency Medicine, St John of God Murdoch Hospitalkk and University of Notre Dame, Perth, Western CONSENSUS METHODOLOGY Australia; ***Department of Internal Medicine, Harvard Medical The third International Exercise-Associated Hyponatre- School, Boston, Massachusetts; †††Health Sciences Department, Gettys- burg College, Gettysburg, Pennsylvania; ‡‡‡Department of Family Med- mia Consensus Development Conference utilized National icine, Loyola University Chicago Stritch School of Medicine, Chicago, Institutes of Health guidelines, amended for a more holistic Illinois; and §§§Department of Endocrinology and Metabolism, George- approach to fit the needs of both the group and the topic. town University Medical Center, Washington, District of Columbia. Twenty-two individuals (17 accepted) were invited to partic- R.J.M. has received research funding and consulting fees from the food and ipate in the consensus conference who: (1) have made beverage industry. He is currently Chair of the Science Advisory Board of fi the European Hydration Institute. The remaining authors report no scienti c and/or clinical contributions to the topic of water conflicts of interest. and sodium homeostasis and/or hyponatremia and (2) repre- Corresponding Author: Tamara Hew-Butler, DPM, PhD, School of Health sented a specific group (eg, nephrology, endurance medicine, Science, Oakland University, Rochester, MI 48309-4482 ([email protected]). etc.) or had unique topical expertise (eg, cystic fibrosis, Copyright © 2015 Hew-Butler T, Rosner MH, Fowkes-Godek S, Dugas JP, fl Hoffman MD, Lewis DP, Maughan RJ, Miller KC, Rehrer NJ, Roberts WO, muscle cramps, uid balance, etc.). The present document is Rogers IR, Siegel AJ, StuempfleKJ,WingerJM,VerbalisJG,Allrights intended to serve as the scientific record of the conference reserved. with intent to widely disseminate this information to achieve Clin J Sport Med Volume 25, Number 4, July 2015 www.cjsportmed.com | 303 Hew-Butler et al Clin J Sport Med Volume 25, Number 4, July 2015 maximum impact on both current health care practice and closed session and guiding the panel’s deliberations. Using future medical research. the previous 2 EAH consensus statements as a starting point, The methodology governing the conduct of this con- each work-group was asked to: (1) incorporate new data into sensus development conference is summarized below: each assigned section and (2) update any outdated informa- tion. All recommendations were graded based on clinical 1. A broad based expert panel was assembled. Panel members strength, using the grading scale described by the American included researchers and clinicians in endocrinology (J.G.V.), College of Chest Physicians (Table 1).2 Particular emphasis nephrology (M.H.R.), emergency medicine (I.R.R.), family was placed on creating more generalized recommendations so medicine (W.O.R., J.M.W., D.P.L.), internal medicine as to prevent and treat EAH across a wider variety of athletic (A.J.S.), physical medicine and rehabilitation (M.D.H.), events, rather than the endurance sports focus of the 2 prior sports medicine (W.O.R., J.M.W., D.P.L.), athletic train- EAH Consensus Statements. ing (S.F.-G., K.C.M.) and exercise physiology (J.P.D., S.F.-G., T.H.-B., M.D.H., R.J.M., S.J.M., N.J.R., K.J.S.). 2. These experts presented data on EAH in a day long public Sponsorship session, followed by open question/answer and discussion The travel (except R.J.M. and I.R.R., who supported periods with the audience. The panel members met the their own travel), hotel and meal expenses for the participants following day in a closed session to prepare the consensus were funded by CrossFit, Inc (Solana Beach, CA). The open statement. conference was also sponsored by CrossFit, Inc. However, no 3. Workgroups were created 3 months prior to the February members from CrossFit, Inc participated in any of the closed 2015 meeting to update the following EAH target areas: discussions or contributed to the development of the consen- epidemiology, etiology and pathophysiology, diagnosis, sus guidelines. Furthermore, no members from CrossFit, Inc treatment, and prevention. Each workgroup was asked to had access to the consensus document prior to publication. present updated drafts for discussion during the closed session. 4. A systematic, comprehensive and updated literature review RESULTS AND DISCUSSION was shared by the panel members prior to the February 2015 meeting, using a cloud storage service that was orga- Definition nized into workgroup categories (epidemiology, etiology EAH is used to describe hyponatremia occurring during or up to 24 hours after physical activity. It is defined by and pathophysiology, diagnosis, treatment and preven- + tion). All panel members had unlimited access to the cloud a serum, plasma or blood sodium concentration ([Na ]) below the normal reference range of the laboratory performing the storage service and could add digital versions of published + manuscripts to the EAH manuscript section at any time. test. For most laboratories, this is a [Na ] less than 135 mmol/L.1 The main determinants of the serum [Na+] are The panel chairperson (MHR) was responsible for the total content of exchangeable body sodium and potassium monitoring the progress of each work group, directing the relative to total body water and thus hyponatremia can result TABLE 1. American College of Chest Physicians Classification Scheme for Grading Evidence and Recommendations Utilized in This Statement2 Methodological Quality of Grade Description Benefits vs Risks and Burdens Supporting Evidence 1A Strong recommendation, high-quality Benefits clearly outweigh risks and RCTs without important limitations evidence burdens or vice versa or overwhelming evidence from observational studies 1B Strong recommendation, moderate- Benefits clearly outweigh risks and RCTs with important limitations or quality evidence burdens or vice versa exceptionally strong evidence from observational studies 1C Strong recommendation, low-quality Benefits clearly outweigh risks and Observational studies
Load more

Recommended publications
  • Issue Number 2 Welcome to Issue Number 2 of the “New Look” Metro Mouthpiece
    The newsletter for Metro Aberdeen Running Club members Issue 2 January 2008 www.metroaberdeen.co.uk Issue Number 2 Welcome to Issue Number 2 of the “New Look” Metro Mouthpiece. Once again I would like to apologise for the lateness of this issue, I was aiming to get out 4 editions in 2007 but several factors (excuses) meant that this plan went “t**s up”. I will be endeavouring to get back on schedule for 2008, so get those articles, race reports, jokes, funny stories, pictures and results to me for inclusion as soon as possible at [email protected] Hopefully everyone had a successfull and injury free year of running in 2007? Personally I had a decent enough year, running small personal best times at all distances raced and, most importantly, I managed to avoid serious injury. However, how I managed to avoid hurting myself never mind how I got home in one piece after Bjoern Reiss’ leaving night drinks (pictured right) I’ll never know. My excuse is that I’d been in the pub all day, without food watching the Scotland v Ukraine match so by the time I’d met up with the others I was a wee bit cumbersome on my feet. Thanks to Bjoern for the photographic evidence. Inside this issue On the back page you will find a membership renewal form for 2008. Please complete this as soon as possible and send along with your payment of £12 to: Colin MacKay, 15 Fare View, Torphins, Aberdeenshire, AB31 4DZ. Thanks for everyone who submitted race reports etc, I hope everyone enjoys reading them as much as I did.
    [Show full text]
  • Issue 173 • 7 February 2007
    reporter www.imperial.ac.uk Issue 173 • 7 February 2007 Lift off for Centenary! Imperial celebrates the launch of its Centenary year centre pages WOLVES ON A KNIGHT’S TALE THE PROWL Dr Martin Knight COO Could Scotland see the discusses our recent return of wild wolves? financial performance PAGE 2 PAGE 13 in brief Reintroduction of wild wolves a Imperial MBA second in London possibility for Scottish Highlands The Financial Times published its annual ranking of the world’s best MBA programmes on 29 January. The Impe- Reintroducing wild wolves to the Scottish rial MBA taught by Tanaka Business Highlands could have a positive impact School was ranked 56th in the world, on local conservation, says new research and 17th in Europe. The programme is published in Proceedings of the Royal Society now the second highest ranked MBA programme in London. The ranking B: Biologial Sciences, on 31 January, 2007. The highlighted the successful work of the study suggests that the return of wolves, School’s careers team, with the School which were eradicated from the Scottish placed third in the UK for placement landscape in 1769, would benefit the local success and third for the percentage of students economy and could aid efforts to reforest the who have accepted job offers within three months highlands and increase bird biodiversity in of graduation. At the same point in their careers the region. graduates from the School also had the ninth The primary benefit of reintroducing highest average salaries in Europe. Data for the wolves, say Imperial researchers, would ranking was drawn from several different sources, be controlling the population of red deer, including recent alumni.
    [Show full text]
  • Issue 175 • 21 March 2007
    reporter www.imperial.ac.uk Issue 175 • 21 March 2007 Supporting a healthy outcome A key step forward for UK’s first Academic Health Science Centre centre pages early years grows darling pays a call up! Secretary of State for 44 new places for Trade and Industry visits Imperial children Imperial PAGE 3 PAGE 5 Sponsor Ben Support the Student in brief Opportunities Fund One for all and all for one! Imperial as One, the College’s black and minority ethnic race equality advisory group, was estab- lished in 2005 with the aim of promoting good race relations and supporting good practice throughout London Marathon the organisation. All staff are welcome to join. If you are interested in being involved or wish to Running for Opportunity receive further details, register your interest at [email protected]. Or why not have a taste of a paradise island by going along to their Ben Ryall is Imperial College’s first ever themed ‘Splash’ party this Friday 23 March? A London Marathon runner. He will be running buffet and entertainment will be provided. Contact Sunday 22 April to raise money for the Student Opportunities Fund. The Fund Clive Mendes on 020 7585 7809 to order your enables students from all over the world to tickets. receive a scholarship to support them for the duration of their course at Imperial. Established in 2003, the Student Opportunities Fund has awarded 60 scholarships. Visit Ben’s website to keep track of his weekly blog and training diary, see photos of Ben’s training, and keep him Research grant on the up on his toes by sending him good luck messages.
    [Show full text]
  • Junglee Phd Thesis 2015.Pdf
    Bangor University DOCTOR OF PHILOSOPHY Physical activity, kidney function and kidney injury Junglee, Naushad Ali Award date: 2015 Awarding institution: Bangor University Link to publication General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Download date: 07. Oct. 2021 PHYSICAL ACTIVITY, KIDNEY FUNCTION AND KIDNEY INJURY Dr Naushad Ali Junglee PhD supervisors Dr Jamie Macdonald, Dr Mahdi Jibani and Professor Andy Lemmey Submitted in fulfilment of the requirements for the degree of PhD School of Sport, Health and Exercise Sciences Bangor University November 2015 SUMMARY OF FINDINGS This PhD sought to exploit the acute effects of exercise upon the kidneys to make tenable links to pathological states such as acute kidney injury (AKI) and chronic kidney disease (CKD). It is surprising that such associations with their potential clinical implications have received limited attention so far despite the ever-increasing number of healthy individuals participating in vigorous and physiologically challenging activities.
    [Show full text]
  • Womenʼs 100 Metres 51 Entrants
    IAAF World Championships • Biographical Entry List (may include reserves) Womenʼs 100 Metres 51 Entrants Starts Sunday, August 11 Age (Days) Born 2013 Best Personal Best 112 BREEN Melissa AUS 22y 326d 1990 11.25 -13 11.25 -13 Won sprint double at 2012 Australian Championships ... 200 pb: 23.12 -13. sf WJC 100 2008; 1 Pacific Schools Games 100 2008; 8 WSG 100 2009; 8 IAAF Continental Cup 100 2010; sf COM 100 2010; ht OLY 100 2012. 1 Australian 100/200 2012 (1 100 2010). Coach-Matt Beckenham In 2013: 1 Canberra 100/200; 1 Adelaide 100/200; 1 Sydney “Classic” 100/200; 3 Hiroshima 100; 3 Fukuroi 200; 7 Tokyo 100; 3ht Nivelles 100; 2 Oordegem Buyle 100 (3 200); 6 Naimette-Xhovémont 100; 6 Lucerne 100 ʻBʼ; 2 Belgian 100; 3 Ninove Rasschaert 200 129 ARMBRISTER Cache BAH 23y 317d 1989 11.35 11.35 -13 400 pb: 53.45 -11 (55.28 -13). 200 pb: 23.13 -08 (23.50 -13). 3 Central American & Caribbean Champs 4x100 2011. Student of Marketing at Auburn University In 2013: 1 Nassau 400 ʻBʼ; 6 Cayman Islands Invitational 200; 4 Kingston ”Jamaica All-Comers” 100; 1 Kingston 100 ʻBʼ (May 25); 1 Kingston 200 (4 100) (Jun 8); 2 Bahamian 100; 5 Central American & Caribbean Champs 100 (3 4x100) 137 FERGUSON Sheniqua BAH 23y 258d 1989 11.18 11.07 -12 2008 World Junior Champion at 200m ... led off Bahamas silver-winning sprint relay team at the 2009 World Championships 200 pb: 22.64 -12 (23.32 -13). sf World Youth 100 2005 (ht 200); 2 Central American & Caribbean junior 100 2006; 1 WJC 200 2008 (2006-8); qf OLY 200 2008; 2 WCH 4x100 2009 (sf 200, qf 100); sf WCH 200 2011; sf OLY 100 2012.
    [Show full text]
  • TCI V1 I2.Pdf
    33 Heart & Vascular Update President’s Message A publication from Welcome to the second issue of the Thoracic and Cardiovascular Institute’s Heart & Vascular Update. You may find some very use- ful, interesting, and perhaps surprising information among the variety of articles in this magazine. This issue reports on “natural” and prescription substances for lowering your cholesterol levels, how heart disease can affect the dynamic power and endurance of the human heart, and studies indicat- WWW.TCIHEART.COM ing that anger can be a dangerous risk factor contributing to cardiovascular Thoracic and Cardiovascular Institute problems and even heart attacks. An article on sudden cardiac death explains the Ingham Professional Building cause of about half of all deaths from heart disease. Another article details the 405 West Greenlawn Avenue, complications of congestive heart failure, a progressive syndrome and serious Suite 400 threat to your health. Lansing, Michigan 48910 We hope that you find these articles helpful. We also plan to present similar (517) 483-7550 reports in future issues of Heart & Vascular Update. We welcome your suggestions for future topics to help us provide medical information most pertinent to the Mid-Michigan’s communities we serve. Heart & Vascular TCI strives to provide the highest quality service and up-to-date technol- ogy for our patients. Each of our eight convenient locations provides the highest Specialists standard of patient care available. And our cardiologists are very well trained T. Michael Brown, DO, FACC and dedicated to deliver excellence in diagnosis and treatment of cardiovascular Mark D. Castellani, MD, FACC conditions. These are just a few of the reasons our practice continues to grow.
    [Show full text]
  • Annual Report 2007 Annual Enabling the Future the Morgan Crucible Company Plc Crucible Company the Morgan
    THE MORGAN CRUCIBLE COMPANY PLC QUADRANT, 55–57 HIGH STREET, WINDSOR BERKSHIRE SL4 1LP TEL: +44 (0)1753 837000 FAX: +44 (0)1753 837008 ENABLING THE FUTURE THE MORGAN CRUCIBLE COMPANY PLC CRUCIBLE COMPANY THE MORGAN ANNUAL REPORT 2007 ANNUAL THE MORGAN CRUCIBLE COMPANY PLC ANNUAL REPORT 2007 THE GROUP AT A GLANCE CARBON TECHNICAL CERAMICS INSULATING CERAMICS Dedicated to providing engineering solutions Innovative design and application If your business involves materials heated built on advanced materials technology, engineering, underpinned by customer to very high temperatures, there is a strong our Carbon Division utilises its unparalled focused research and development, chance that Insulating Ceramics products expertise in carbon, graphite, silicon carbide are the drivers that have kept Technical or solutions are involved. We are a world and related materials to serve a global Ceramics at the forefront of so many rapidly leader in the production of insulating customer base. Carbon’s leading edge developing markets. From scratch-resistant materials such as fibres and firebricks, technology solutions are applied to a wide coatings for MP3 players to the latest as well as heating vessels such as range of products including; body armour, advances in pioneering medical technology, crucibles and furnaces. Our continuously petrochemical processing plants, synthetic we work closely with our customers developing expertise ensures close, diamonds, windmills, cars, computers, to provide engineered, manufacturing long-term relationships with customers photovoltaics and railway networks, solutions that add-value to the end product. across a range of global markets from among many others. Our base materials include ceramic, automotive, to iron and steel making, glass, precious metals, piezoelectric the chemical processing industries, and dielectric materials.
    [Show full text]
  • Nailsworth News Team Are a Bunch Nailsworth of Dedicated Volunteers Who Take Pleasure in Bringing You the Local News Each Month
    July 2013 Don’t Forget! No. 133 The Nailsworth News Team are a bunch Nailsworth of dedicated volunteers who take pleasure in bringing you the local news each month. The Team take a break after this News issue for a month, so there will be no A free monthly community paper August paper, as is usual. We hope you for the parish of Nailsworth, look forward to your own summer respite, available in colour on our website and we will be back through your letter www.nailsworthnews.org.uk box at the beginning of September. Queen’s Birthday Honours in Nailsworth! t is not said a few words of grateful thanks and appreciation of just Margaret and her great efforts and presented a bouquet of Isport flowers. Also, Angela Endacott, also received a bouquet in where appreciation of her support and help towards Margaret. Nailsworth The British Empire Medal should be awarded here in has some Nailsworth by the Lord Lieutenant of Gloucestershire fame, but sometime in the autumn. also in other (Ed. - Our apologies if we have missed anyone out from important the recent Queen’s Honours - please let us know and will roles as rectify things!) well. At the recent Queen’s Birthday Honours, the following have been honoured for their services - David Carter - (Knight Batchelor) Exec. Principal, Cabot Learning Federation. “Services to Education.” Photo above left. Margaret Marshall - (British Empire Medal) “Services to the communities in Forest Green and Nailsworth.” Steve Webb - (Order of the British Empire) Hon. Vice President of the Nat. Assc. of Clubs of Young People.
    [Show full text]
  • The Role of an Ingestible Telemetric Thermometer in Preventing Exertional Heat Stroke, for a Patient with Healed Massive Burns Running the 2007 London Marathon
    JBUR-3302; No. of Pages 7 burns xxx (2010) xxx–xxx available at www.sciencedirect.com journal homepage: www.elsevier.com/locate/burns Case report The role of an ingestible telemetric thermometer in preventing exertional heat stroke, for a patient with healed massive burns running the 2007 London marathon Ryckie G. Wade a, Peter Dziewulski b, Bruce M. Philp b,* a University of East Anglia, Norwich, United Kingdom b St. Andrew’s Centre, Broomfield Hospital, Chelmsford, United Kingdom article info external fixator. He required multiple surgical procedures to heal his burn wounds including free flap reconstruction of his Article history: forehead, and later free flap nasal reconstruction. He was Accepted 12 May 2010 discharged from hospital after 150 days. As a previous Ironman triathlete, the patient was deter- mined to return to competitive sports and began training for the London marathon 2007, 12 months after his initial injuries. 1. Introduction He was fitted with an Otto Bock Hydraulic Knee and O˝ ssur Flex-Foot to run. In addition, he used a lightweight below- Adequate thermoregulation relies upon an intact dermis and elbow prosthesis with a body powered split-hook terminal epidermis [1,2]. Cutaneous vessels dilate to dissipate heat device. However, the inability to sweat in burn injured and (‘‘dry heat loss’’ via conduction, convection and radiation) and grafted areas meant that he required a method of monitoring constrict in order to retain heat. Dermal sweat glands are vital his core temperature whilst exercising, in order to take adnexal structures required for heat loss during exercise via appropriate action to avoid hyperthermia.
    [Show full text]
  • Final Instructions
    01 Section title Final Instructions Please read these instructions very carefully. In the following pages you will find all the information you need to have an enjoyable Race Day on Sunday 28 April. We will do our utmost to look after you all the way through the 26.2 miles of the 2019 Virgin Money London Marathon. All you need to do is follow the simple guidelines here… ASK THE CHATBOT! The Virgin Money London Marathon ChatBot is now live. The Bot is able to answer your questions about this year’s race and give advice to runners and spectators ahead of the 39th edition of the world’s greatest marathon. Scan the image on the left using the camera within Facebook Messenger to get started. Just line up the image and tap and hold the middle of the screen. CONTENTS Before Race Day Important Timings Registering for the race and What time you need to arrive at your 02 collecting your Race Pack 10 Start Assembly Area Visiting the Virgin Money London The Course Marathon Running Show Everything you need to know 04 Everything you need to know 11 about the course to plan your visit The Finish On Race Day Howtofindyourfamilyand Essential advice to ensure you 13 friends after the race 05 have an amazing race Medical Advice Where and when to start Please read our medical advice Everything you need to know about 14 carefully before Race Day 06 the Start Areas Getting to the Start Assembly Areas Thanks to our Sponsors and Partners How to get to the Start Assembly Areas A big thank you to the Virgin Money 07 on Race Day 17 London Marathon Sponsors and Partners 02 Before Race Day FINAL INSTRUCTIONS Before Race Day The following pages will explain how to plan your Race Day – on Sunday 28 April – and collect your Race Pack from the Virgin Money London Marathon Running Show Collecting your you, authorising that person – by name – Race Pack to collect your Race Pack.
    [Show full text]
  • July 2007 Issue No. 284
    July 2007 Issue No. 284 GREAT OCCASION – BUT NO GREAT CROWDS – AS RECORDS ARE BROKEN After over 3 years of hard planning and preparation the EUROPEAN CUP OF RACE WALKING took centre stage on the compact 1 Kilometre circuit at Victoria Park in ROYAL LEAMINGTON SPA in Warwickshire. The venue showed our many overseas guests – from 29 federations – the very best of England. Leamington Spa has many fine Georgian, Regency and early-Victorian houses which are laid out in impressive terraces and squares. The impressive 19th century Church of All Saints was built in neo-Gothic style. Salty underground springs feed baths in the famous Pump Room, where 50,000 people a year receive treatment. Visitors can taste the waters from free fountains in the Pump Room and from a drinking tap on the pavement outside. However those racing in the Park were wisely offered bottled spring water from Tesco! Queen Victoria herself visited the town and bestowed the title of “Royal” in 1838 – at the height of the town’s fame as a spa. Day One saw a ‘Health Walk’, a kids one lap event and as a build-up to the opening ceremony, an all-comers 3K. These were un-judged, leaving it to individuals sense of fair play. Welsh champion MARK WILLIAMS moved clear over the closing stages to emphatically win in 12.41 from Ireland’s MICK DOYLE in exactly 13 minutes. From GB, SCOTT DAVIS completed the frame in 13.14, just ahead of JIMMY BALL. Those representing ESSEX clubs were 15th placed STEVE UTTLEY in 14.56 and 30th placed DAVE AINSWORTH in 20.40.
    [Show full text]
  • Should Gebrselassie Say Goodbye?
    Saturday 3rd March, 2012 13 “Sunday night we had a conversation, and I suggested to him it’s better to stop,” Hermens said in a phone inter- view. “I suggested to him to take 2013 as a sort of kind of year for goodbyes, like a pop star would do.” But this is a tough one. Gebrselassie isn’t short of other things to do. He builds offices and schools in Ethiopia. He has his family. He receives visitors. This week, British comedian Eddie Izzard, who ran 43 marathons in 7 weeks in 2009, trained with him in Addis Ababa. But running has been Gebrselassie’s life’s goal since he borrowed his dad’s radio as a 7-year-old to listen to a broadcast of distance runner Miruts Yifter win gold for Ethiopia at the Moscow Olympics in 1980. Running got Gebrselassie to school — 12 miles (19 kilometers) there and back every day — and all the fame and fortune he has accumulated since. It is easy to imagine that Gebrselassie might feel, as other athletes have done, that retirement is, in Hermens’ words, “the big black hole.” “He’s addicted to the schedule, getting up at 5 o’clock on the morning, training, in the office until 4 o’clock, then another training, and then go home in the evening,” Hermens said. “I didn’t expect him to hold onto it. My feeling is that’s also a little bad — holding on to something you really like.” “He just wants to be the 21-year-old boy that could do everything he wants, with all his talents, to enjoy it, and go back to those days,” he said.
    [Show full text]