“…One particular type of endurance sport is ultramarathon (UM) running, which involves distances longer than 42.2 km ( Knechtle, 2012 ; Ferrer et al, 2015 ). Such extended physical effort is an extremely strenuous activity, both physiologically ( Millet et al, 2002 ; Knechtle, 2017 ; Zakovska et al, 2017 ; Knechtle and Nikolaidis, 2018 ) and psychologically ( Rauch et al, 1988 ; Tharion et al, 1988 ; Nicolas et al, 2011 ). Research suggests that during a UM run participants are exposed to risks of overexertion, dehydration, gastrointestinal tract problems, and the associated psychological consequences ( Bowen et al, 2006 ; Holt et al, 2014 ; Chlíbková et al, 2018 ).…”