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Exercise-associated muscle cramping (EAMC) in Ironman triathletes

Includes bibliographical references (leaves 73-77).

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Bibliographic Details
Main Author: Drew, Nichola
Other Authors: Schwellnus, Martin
Format: Thesis
Language:English
Published: MRC/UCT RU for Exercise and Sport Medicine 2014
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access_status_str Open Access
author Drew, Nichola
author2 Schwellnus, Martin
author_browse Drew, Nichola
Schwellnus, Martin
author_facet Schwellnus, Martin
Drew, Nichola
author_sort Drew, Nichola
collection Thesis
description Includes bibliographical references (leaves 73-77).
format Thesis
id oai:open.uct.ac.za:11427/7428
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:35:05.073Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher MRC/UCT RU for Exercise and Sport Medicine
publisherStr MRC/UCT RU for Exercise and Sport Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/7428 Exercise-associated muscle cramping (EAMC) in Ironman triathletes Drew, Nichola Schwellnus, Martin Collins, Malcolm Sports Medicine Includes bibliographical references (leaves 73-77). Exercise-associated muscle cramping (EAMC) is a common condition of spontaneous, painful skeletal muscle spasms that occur in exercising muscles during exercise or in the immediate post-exercise period. There is a high prevalence in endurance athletes, including ultra-distance triathletes. The exact cause for this condition has not been defined but various hypotheses have been proposed. Over the last decade the ""fatigue hypothesis"" has received most of the support in the scientific literature. Evidence from animal experiments, clinical studies on endurance athletes and situational information, suggest that neuromuscular fatigue may precede the increased neuromuscular excitability leading to EAMC. The objective of this research study was to identify factors associated with EAMC in endurance triathletes in an attempt to further elucidate the aetiology. Triathletes competing in the 2006 South African lronman triathlon were recruited as subjects in a prospective cohort study. A total of 44 triathletes made up the cramping group and 166 the non-cramping group. A detailed questionnaire, including information on training, personal best performances and a cramping history was completed by both groups of triathletes. Full clinical data was also collected from both groups. This included pre-and post race body weights, and pre- and post-race serum electrolyte concentrations. The main findings of the study were that the two independent risk factors for EAMC in these triathletes were a faster overall race time (and cycling time), and a past history of cramping (in the last 10 races). Results showed that EAMC was correlated with faster overall and cycle section times. The athletes who had experienced cramps in this event not only achieved taster race times but also predicted faster times, despite similarly matched preparation and performance histories as those who did not cramp. A higher intensity of racing would thus be required by these athletes, predisposing them to premature fatigue. The results thus agree with the ""fatigue hypothesis"" as an aetiological mechanism for EAMC. This study also showed no correlation between EAMC and changes in hydration status or changes in serum electrolyte concentration. This study thus adds to the evidence against disturbances in hydration and electrolyte balance as causes for cramping in exercise and further focuses attention on neuromuscular fatigue as a possible primary factor. 2014-09-12T07:00:33Z 2014-09-12T07:00:33Z 2006 Master Thesis Masters MPhil http://hdl.handle.net/11427/7428 eng application/pdf MRC/UCT RU for Exercise and Sport Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Sports Medicine
Drew, Nichola
Exercise-associated muscle cramping (EAMC) in Ironman triathletes
thesis_degree_str Master's
title Exercise-associated muscle cramping (EAMC) in Ironman triathletes
title_full Exercise-associated muscle cramping (EAMC) in Ironman triathletes
title_fullStr Exercise-associated muscle cramping (EAMC) in Ironman triathletes
title_full_unstemmed Exercise-associated muscle cramping (EAMC) in Ironman triathletes
title_short Exercise-associated muscle cramping (EAMC) in Ironman triathletes
title_sort exercise associated muscle cramping eamc in ironman triathletes
topic Sports Medicine
url http://hdl.handle.net/11427/7428
work_keys_str_mv AT drewnichola exerciseassociatedmusclecrampingeamcinironmantriathletes