An increased fluid intake leads to feet swelling in 100-km ultra-marathoners - an observational field study

BACKGROUND: An association between fluid intake and changes in volumes of the upper and lower limb has been described in 100-km ultra-marathoners. The purpose of the present study was (i) to investigate the association between fluid intake and a potential development of peripheral oedemas leading to an increase of the feet volume in 100-km ultra-marathoners and (ii) to evaluate a possible association between the changes in plasma sodium concentration ([Na(+)]) and changes in feet volume. METHODS: In seventy-six 100-km ultra-marathoners, body mass, plasma [Na(+)], haematocrit and urine specific gravity were determined pre- and post-race. Fluid intake and the changes of volume of the feet were measured where the changes of volume of the feet were estimated using plethysmography. RESULTS: Body mass decreased by 1.8 kg (2.4%) (p < 0.0001); plasma [Na(+)] increased by 1.2% (p < 0.0001). Haematocrit decreased (p = 0.0005). The volume of the feet remained unchanged (p > 0.05). Plasma volume and urine specific gravity increased (p < 0.0001). Fluid intake was positively related to the change in the volume of the feet (r = 0.54, p < 0.0001) and negatively to post-race plasma [Na(+)] (r = -0.28, p = 0.0142). Running speed was negatively related to both fluid intake (r = -0.33, p = 0.0036) and the change in feet volume (r = -0.23, p = 0.0236). The change in the volume of the feet was negatively related to the change in plasma [Na(+)] (r = -0.26, p = 0.0227). The change in body mass was negatively related to both post-race plasma [Na(+)] (r = -0.28, p = 0.0129) and running speed (r = -0.34, p = 0.0028). CONCLUSIONS: An increase in feet volume after a 100-km ultra-marathon was due to an increased fluid intake.