Boston Marathon

Marathoners are ‘obsessed’ with weather. These doctors have advice on how to cope with race-day conditions.

Dehydration, heat stroke, even hypothermia. The Boston Marathon has seen it all. So have doctors.

A line of runners in wheelchairs wait to get in the medical tent after the Boston Marathon. Boston Globe staff Photo by John Tlumacki(sports)

Dr. Adam Tenforde, the director of running medicine and a sports medicine physician at Mass General Brigham, says a well-tuned marathoner is also tuned into the forecast.

Depending on weather conditions — which can change dramatically during a run that lasts longer than two hours — runners might see tailwinds that push them to personal records, or suffer from a myriad of health conditions, including dehydration and hypothermia.

During the 2018 Boston Marathon, more than 2,700 runners, including 25 elite athletes, received medical treatment due to “dangerously cold” weather, according to the Boston Athletic Association. Ninety-one runners were taken to the hospital. According to the BAA, 4.2% of the runners who started the 2018 race did not finish it.

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