N Engl J Med April 2005 PMID 15829535

Hyponatremia among runners in the Boston Marathon.

Christopher S D Almond, Andrew Y Shin, Elizabeth B Fortescue, Rebekah C Mannix, David Wypij, Bryce A Binstadt, Christine N Duncan, David P Olson, Ann E Salerno, Jane W Newburger, David S Greenes

Mentions

77
Peak: 6 in Jun 2020
across 9 sources since Jul 2011

Extended reach

281,306
potential audience

Total likes

81

Video views

3,410

Mentions per month

Jul 2011 – Oct 2025

Where it's discussed

  • X / Twitter30 posts
  • Reddit16 posts
  • Facebook11 posts
  • News9 articles
  • Instagram4 posts
  • YouTube2 videos
  • TikTok2 posts
  • Blogs2 articles
  • Bluesky1 posts

AI synopsis

What people are saying

The discussions demonstrate a strong consensus on the seriousness of hyponatremia, with examples including mentions of research findings like the 13% prevalence in past marathons and debates on hydration practices. The tone varies from factual sharing to concern, which underscores the high interest and impact of the publication on the community.

AgreementStrong agreement

Most participants agree that hyponatremia is a serious yet often overlooked issue among marathon runners, emphasizing the importance of proper hydration strategies.

InterestHigh interest

The discussions reveal high interest, with many posting facts, study references, and concerns about the health risks and implications for runners, showing active engagement with the topic.

EngagementHigh engagement

Several posts delve into detailed explanations, cite research studies, and express concern or surprise about the prevalence and causes of hyponatremia, indicating deep engagement.

ImpactHigh impact

The discourse highlights the significant influence of this publication, with references to changing hydration advice and raising awareness about the risks associated with overhydration in endurance sports.

Abstract in brief

  • Hyponatremia, a dangerous drop in blood sodium levels, is a significant health issue among marathon runners, especially in the Boston Marathon, with 13% experiencing it and 0.6% having severe cases.
  • The study found that risk factors for hyponatremia include gaining too much weight during the race, running for over 4 hours, and having very low or high body mass index (BMI), while gender and the amount of fluids ingested were not directly linked.
  • Runners who gained substantial weight, took longer to complete the race, or had extreme BMI values are more likely to develop hyponatremia, highlighting the importance of proper hydration and managing race pace to prevent this condition.

Top posts

Most liked on X and Bluesky
Dr. Beto CoGa
@BetoCortesGale1 · X

⚠️ Hiponatremia en corredores Complicación poco frecuente pero grave: niveles de sodio <135 mmol/L

Aug 28, 2025 · 23 likes · 1 share · 2,670 followers View post →
kidneybros
@kidneybros · X

@JonathanNefro El correr un MARATÓN te da SED en un 528% y ganas de orinar 283.5ml antes de la META en un 354%.

Aug 18, 2019 · 5 likes · 4 shares · 79 followers View post →
Cikgu_Anep
@Cikgu_Anep · X

@rizwanhafiz91 Saya perlukan bantuan doktor untuk mengesahkan maklumat dalam artikel ini : https://t.co/jZqqiIvRDN Dan juga dalam kertas kajian ini : https://t.co/zQTz65TlvA Mohon bantuan doktor jika berkelapangan

Mar 12, 2023 · 3 likes · 29,359 followers View post →
Tim Noakes
@ProfTimNoakes · X

@TruePrimal @_karen_thomson_ @CrossFit @Gatorade @PepsiCo Yes. Drinking (some) Gatorade did not protect Dr Cynthia Lucero from fatal EAHE in the 2002 @bostonmarathon (see https://t.co/iltKb4pCFK). In same race, drinking Gatorade did not influence risk for developing EAH https://t.co/H9HRSlpVrM as we had predicted https://t.co/bGurOKW8Fy

Apr 19, 2019 · 2 likes · 2 shares · 157,865 followers View post →
Tom Forsyth (TODO: fix my heart or die)
@tom_forsyth · X

@MissQuickstep It's funny, but DHMO poisoning is a real thing, especially in marathon runners: https://t.co/KmFRgOtzDi CO2 poisoning - yeah no, no it's not (it's actually the thing your lungs sense that makes you breathe)

Nov 16, 2020 · 2 likes · 18,181 followers View post →
(((Dr Aust)))
@Dr_Aust_PhD · X

The dangers of over-hydration... I always associate this with the famous 2005 study of finishers in the Boston Marathon that appeared in the @NEJM: https://t.co/FaL23ePYkg https://t.co/HwvDjDGJoR

Mar 11, 2021 · 2 likes · 2,422 followers View post →

All mentions

Carlos Barrios
@CarlB75 · X

RT @BetoCortesGale1: ⚠️ Hiponatremia en corredores Complicación poco frecuente pero grave: niveles de sodio <135 mmol/L

Aug 28, 2025 · 1 share · 138 followers View post →
Dr. Beto CoGa
@BetoCortesGale1 · X

⚠️ Hiponatremia en corredores Complicación poco frecuente pero grave: niveles de sodio <135 mmol/L

Aug 28, 2025 · 23 likes · 1 share · 2,670 followers View post →
kimitakatajimi
@kmtktjm226 · X

Hyponatremia among Runners in the Boston Marathon | New England Journal of Medicine https://t.co/oi31we9P1Z

May 6, 2025 · 1 like · 46 followers View post →
edouriez.bsky.social
@edouriez.bsky.social · Bluesky

Hyponatremia among Runners in the Boston Marathon www.nejm.org/doi/full/10....

Nov 18, 2024 View post →
Gunnar Henrik Heine
@gunnar_heine · X

Heute ausnahmsweise zur Prime Time 20 Uhr! @ChristCrain von der @UniBasel @UniSpitalBasel Syndrom der inappropriaten Antidiurese (SIAD) mit @AntMarlies Insa Emrich Caro Schneppe Akademische Partner: @dgfn_ev @com_SFNDT @oegnephro https://t.co/ggh0HNVrGm via @YouTube

Nov 8, 2024 · 1 like · 2,415 followers View post →
Bob Pusateri
@SQLBob · X

13% of finishers tested at the 2002 Boston Marathon were suffering from hyponatremia, caused by overconsumption of fluids. #BobFacts https://t.co/Und4qSVaMa

Aug 13, 2024 · 3,913 followers View post →
Parislive
@eatinParis · X

@prochiantza ton pauvre chat a eu ça hyponatremia Il a gonfle gonfle https://t.co/mSmDxGUHZ5

Jul 30, 2024 · 802 followers View post →
Abraham Marín-Pérez
@AbrahamMarin · X

@Sharat_Chander Not to mention the fact that excessive water drinking can lead to hyponatremia, a condition more common than people might think. In the Boston marathon up to 13% had it. More water is not always better. https://t.co/7bpAZUnu9D

Mar 16, 2024 · 879 followers View post →
Mike Menkes
@REVMikeMenkes · X

@jskinforte @resilient333 See Boston Marathon study 2002 https://t.co/Jt9Q6LrGdC https://t.co/1Ju2WCEcdJ

Sep 16, 2023 · 1,813 followers View post →
Kevin Grierson
@kgrierson · X

@ravenscimaven Thanks for sharing this. I’m a little surprised, with rising temperatures, that hyponatremia hasn’t gotten more attention. The need for electrolytes is something that’s been impressed upon distance runners for years. See, e.g., https://t.co/5iB6HgQXXx

Aug 12, 2023 · 1 like · 534 followers View post →
Alicja Rosołowska
@alunieczka · X

@Ewa36009830 @old_chemist Niestety się da. Często prowadzą do tego zalecenia, aby spożywać dużo płynów podczas wysiłku https://t.co/LQt8DlGviQ. Napoje izotoniczne niekoniecznie chronią przed hiponatremią https://t.co/VwGXa5MTxL

Jul 12, 2023 · 1 like · 1,247 followers View post →
Philippe Abu Juja
@LejeuneProf · X

@V_ronique Hyponatremia is a thing, people: https://t.co/eIWLahKeMi

Jul 11, 2023 · 34 followers View post →
Cikgu_Anep
@Cikgu_Anep · X

@rizwanhafiz91 Saya perlukan bantuan doktor untuk mengesahkan maklumat dalam artikel ini : https://t.co/jZqqiIvRDN Dan juga dalam kertas kajian ini : https://t.co/zQTz65TlvA Mohon bantuan doktor jika berkelapangan

Mar 12, 2023 · 3 likes · 29,359 followers View post →
たけちゃん
@nitrotake · X

Hyponatremia among runners in the Boston Marathon https://t.co/THqKAXtBS9

Mar 6, 2023 · 1,441 followers View post →
ItsMadkip - Chris
@itsmadkip · X

@Alexalifts @jstCarry @TamponDark Woher kommt diese 1l auf 20kg These? Die stimmt einfach nicht. Auch bei Sportlern ist das nicht der Fall. Ab 3l kommt es sogar zur Hyponatriämie, dazu gibts zahlreiche Studien. (z.B. DOI: 10.1056/NEJMoa043901) Wenn Faktenbasiert dann richtig. Es wird 40ml/kg empfohlen.

Oct 20, 2022 · 419 followers View post →
David Wyant
@wyadvd · X

Hyponatremia among Runners in the Boston Marathon | NEJM https://t.co/TUktrbaVAu

May 11, 2022 · 2,691 followers View post →
(((Dr Aust)))
@Dr_Aust_PhD · X

The dangers of over-hydration... I always associate this with the famous 2005 study of finishers in the Boston Marathon that appeared in the @NEJM: https://t.co/FaL23ePYkg https://t.co/HwvDjDGJoR

Mar 11, 2021 · 2 likes · 2,422 followers View post →
Tom Forsyth (TODO: fix my heart or die)
@tom_forsyth · X

@MissQuickstep It's funny, but DHMO poisoning is a real thing, especially in marathon runners: https://t.co/KmFRgOtzDi CO2 poisoning - yeah no, no it's not (it's actually the thing your lungs sense that makes you breathe)

Nov 16, 2020 · 2 likes · 18,181 followers View post →
Gerald Russell
@grussell903 · X

#Hyponatremia among Runners in the Boston Marathon @NEJM @JAMA_current @JACCJournals @espn @BBCWorld @CNN #Sports #NWSHeatIndex #medical #running #Epidemiology #StudyPopulation #StudyDesign #Electrolytes #Sweating #NOVA #Gatorade #grussell903 #livefeeds Na https://t.co/rOheYs7lSd

Feb 13, 2020 · 1 like · 643 followers View post →
グンマーの民
@S_Sekiguchi_oog · X

@perfectliberty5 途中まで良いペースだっただけに残念でしたね 逆に給水の取りすぎで低Na血症になった可能性もあると思われます。参考↓ https://t.co/KcioleqvFU 水分補給に関しては、喉が乾く前に飲むという考え方は一昔前で、今は渇きを覚えてから飲む、という考え方が提唱されています

Feb 2, 2020 · 323 followers View post →
Prof Doug Kell CBE #FBPE #FBPA
@dbkell · X

RT @conroylab: @cshperspectives @DrMJoyner @mbeisen @DavyBrenda @dbkell Absolutely - excess water intake can even cause problems in healthy…

Oct 31, 2019 · 2 shares · 13,827 followers View post →
Richard Sever
@cshperspectives · X

RT @conroylab: @cshperspectives @DrMJoyner @mbeisen @DavyBrenda @dbkell Absolutely - excess water intake can even cause problems in healthy…

Oct 31, 2019 · 2 shares · 20,093 followers View post →
David Conroy
@conroylab · X

@cshperspectives @DrMJoyner @mbeisen @DavyBrenda @dbkell Absolutely - excess water intake can even cause problems in healthy populations (e.g., hyponatremia) https://t.co/kZMLFUQBJe

Oct 31, 2019 · 1 like · 2 shares · 2,912 followers View post →
Dacal
@dakalito · X

RT @kidneybros: @JonathanNefro El correr un MARATÓN te da SED en un 528% y ganas de orinar 283.5ml antes de la META en un 354%.

Aug 19, 2019 · 4 shares · 360 followers View post →
Allina MD
@MdAllina · X

RT @kidneybros: @JonathanNefro El correr un MARATÓN te da SED en un 528% y ganas de orinar 283.5ml antes de la META en un 354%.

Aug 19, 2019 · 4 shares · 545 followers View post →
Mastín
@DVGDAX · X

RT @kidneybros: @JonathanNefro El correr un MARATÓN te da SED en un 528% y ganas de orinar 283.5ml antes de la META en un 354%.

Aug 18, 2019 · 4 shares · 287 followers View post →
kidneybros
@kidneybros · X

@JonathanNefro El correr un MARATÓN te da SED en un 528% y ganas de orinar 283.5ml antes de la META en un 354%.

Aug 18, 2019 · 5 likes · 4 shares · 79 followers View post →
Patrick Harnett
@pharnett · X

@Fluid_Academy @JonBedford @drphiliplee1 @Wilkinsonjonny @Manu_Malbrain Strong association between weight gain in marathon runners and hyponatraemia https://t.co/vla7vOjpAT Subsequently leading to "drink to thirst" advice (not to as much as tolerated) is there evidence for filling stomach in long distance cyclists ?

Jul 28, 2019 · 177 followers View post →
Santiago Sanz PhD. in Exercise Physiology #Hypoxia
@santirun · X

Summer is here

Jun 20, 2019 · 1,402 followers View post →
Karen Thomson
@_karen_thomson_ · X

RT @ProfTimNoakes: @TruePrimal @_karen_thomson_ @CrossFit @Gatorade @PepsiCo Yes. Drinking (some) Gatorade did not protect Dr Cynthia Lucer…

Apr 19, 2019 · 2 shares · 9,884 followers View post →
Tim Noakes
@ProfTimNoakes · X

@TruePrimal @_karen_thomson_ @CrossFit @Gatorade @PepsiCo Yes. Drinking (some) Gatorade did not protect Dr Cynthia Lucero from fatal EAHE in the 2002 @bostonmarathon (see https://t.co/iltKb4pCFK). In same race, drinking Gatorade did not influence risk for developing EAH https://t.co/H9HRSlpVrM as we had predicted https://t.co/bGurOKW8Fy

Apr 19, 2019 · 2 likes · 2 shares · 157,865 followers View post →
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Newburger, M.D., M.P.H., and David S. Greenes, M.D.. N Engl J Med 2005; 352:1550-1556April 14, 2005DOI: 10.1056/NEJMoa043901. http://www.nejm.

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org/doi/full/10.1056/NEJMoa043901#article. Hyponatremia among Runners in the Boston Marathon — NEJM. NEJM.ORG. Hyponatremia among Runners in ...

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We need 8 glasses of water daily? Nonsense, says British doctor ...
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... 10.1056/NEJMoa043901" target="_blank">can be deadly. This

Jul 13, 2011 View →