Abstract
Previous studies have noted consequences of ultra-distance trail running on health, but few studies are available regarding the temporal variations of renal biomarker injury during the running. The aim of this study was to assess the of kidney function parameters temporal variation during and on short-term after an ultra-distance race. We performed an observational study with 47 subjects participating in an ultra-distance race (80 km). Urine (47 subjects) and blood (21 subjects) samples were serially collected before (baseline-km 0), during (21 and 53 km), on arrival (80 km), and 9 days after the race (d9). Mean serum creatinine increased during the race from 90±14 μmol/L (km0) to 136±32 μmol/L (km 80-p<0.0001) corresponding to a 52% increase. Mean creatininuria progressively increased from 4.7±4.5 mmol/L (km 0) to 22.8±12.0 mmol/L (km 80) (p<0.0001). Both urinary biomarkers (Neutrophil Gelatinase Associated Lipocalin and Kidney Injury Molecule-1) of acute kidney injury (AKI) progressively increased during the race (p<0.05 vs baseline). However, after adjustment to urine dilution by urine creatinine, no significant changes remained (p>0.05). On day 9, no significant difference remains in blood and urine biomarkers compared to their respective baseline levels. During an ultra-distance race, despite an acute and transient increase in the serum creatinine levels, urinary biomarkers of AKI displayed only limited changes with a complete regression on day 9. These results suggest the absence of the short-term impact of an ultra-distance race kidney function.
Highlights
Practice of high-endurance sports, especially running, has increased in the last two decades
Mean serum creatinine increased during the race from 90±14 μmol/L to 136±32 μmol/ L corresponding to a 52% increase
Mean creatininuria progressively increased from 4.7±4.5 mmol/L to 22.8±12.0 mmol/L (p
Summary
Practice of high-endurance sports, especially running, has increased in the last two decades. In 2016, in the United States, more than 64 million runners participated in a marathon [1]. The beneficial effects of regular physical activity, especially on cardiovascular health, are wellestablished [2]. Physical activity prevents lifestyle-related metabolic diseases [3] and results in colorectal cancers occurrence [4]. Very little data exist on the health-related effects of ultra-endurance running, mainly focused on the cardiovascular field [5,6,7,8]. Trail running is a running race taking place in the wild (forest, plain, mountain) on a long-distance, on a generally marked course with positive and negative denivelation.
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