Heat Illness Prevention in Marathon Running

Runners of the Tel Aviv Marathon 2026

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Thermoregulatory study of 200 marathoners in various environmental conditions using ingestible temperature sensors. Critical core temperature thresholds identified for heat-related performance decline and medical intervention. Pre-cooling strategies, including cold water immersion 30 minutes pre-race, lowered starting core temperature by 0.8°C and improved performance in warm conditions. Hydration protocols emphasizing sodium replacement proved crucial for thermoregulation.

Photo: MoserB (CC0), via Wikimedia Commons

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