The authors EAH, TBA, AOM, ARA and THM have made substantial contributions to the concept and design of the study, the acquisition, analysis and interpretation of data, and in drafting the manuscript or critically revising it for important intellectual content.
Various strategies have been proposed to reduce the occurrence of EAH, but the primary preventive strategy remains avoidance of overdrinking during a race.
More importantly, information on fluid balance should be disseminated to the runners to educate them on the current recommendations and increase the awareness of EAH.
The incidence of EAH was found only in the 42-, 84-, and 100-km categories.
A negative linear relationship between serum sodium levels and changes in body mass has been established, substantiating the growing evidence that increasing body mass gain could potentially increase the risk of EAH [9].
SWS participated in study design and coordination, analyzed and interpreted the data and drafted the manuscript, GLG participated in study design and coordination, assisted in drafting the manuscript, and EAH and PB participated in study design and coordination, read and interpreted the MRIs and X-rays.
Eating in the absence of hunger (EAH), studied in the context of laboratory paradigms, has been associated with obesity and is predictive of excess weight gain in children.
Reducing the availability of fluid stations at more than 3 km apart was also shown to be effective in reducing the incidence of EAH [3, 33].
However, Almond et al. [11] demonstrated that even though the incidence of EAH is higher in women, there were no statistical significance differences after adjusting for race time and BMI.
