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Hew-Butler Named WSER Medical Research Director

Dr. Tamara “Tami” Hew-Butler has been named Medical Research Director for the Western States Endurance Run, WSER President Topher Gaylord announced.

Hew-Butler succeeds Dr. Emily Kraus and Dr. Megan Roche, who had served as Co-Medical Research Directors for WSER since 2022.

“Tami brings an impressive array of professional achievement as a clinician and scientist, having been published extensively  in some of the world’s most important exercise science journals,” Gaylord said, noting that Hew-Butler was the lead author and organizer of three International Exercise-Associated Hyponatremia Consensus Guidelines and previously was awarded two WSER research grants, as Principal Investigator/PI, which in turn generated 18 scientific publications. “Tami knows our race intimately, having been a leader in several research studies at our run, as well as lending her expertise as part of our medical team in years past.

“Medical research has always been one of our foundational pillars at WSER. We feel that Tami will help elevate the awareness, application and understanding of the medical research that is conducted every year at our run.

“On behalf of our board, I wish to thank Emily and Megan for their tremendous service over the past three years. Both Emily and Megan are unwavering proponents of the value of science-based inquiry for endurance sports. Their work represented a highly productive and memorable chapter in our medical research story.”

“I am beyond grateful and honored to continue WSER’s scientific legacy of cutting-edge medical research aimed at improving the health, safety and performance of ultramarathon runners across the globe,” Hew-Butler said. “I believe that WSER is THE greatest field laboratory in the world, and look forward to working closely with the WSER Board, Medical Team, and running community at-large to expand WSER’s scientific collaborations, funding network, and dissemination of evidenced-based information which best serves the growth and safety of our sport.”

Added WSER Medical Director Andy Pasternak: “What became obvious during our search for a new medical research director was how incredibly well-rounded Tami is. She is an excellent communicator, and has an impressive track record of involvement with WSER medical research projects. She has made it very clear that her goals are to ensure that every WSER medical research project should in some way enhance the experience of runners at WSER as well as the ultrarunning community at large.

“In addition to being a highly organized and strategic thinker, Tami is very much a ‘hands-on,’ type of leader who over the years has contributed in numerous ways to WSER. Our search committee as well as the WSER board were deeply impressed with how Tami was able to communicate that the timeless human qualities that help a person run 100 miles will be at the core of her vision for our medical research effort.”

Hew-Butler, who is a Fellow of the American College of Sports Medicine, is a recently retired Associate Professor at Wayne State University in Detroit, Michigan. Previously, she was an Associate Professor at Oakland University in Rochester, Michigan, as well as a Research Assistant Professor at Arizona State University. She received her Doctor of Podiatric Medicine degree from Temple University, and has been a clinician for more than three decades. She received her Ph.D. in exercise science from the University of Cape Town, South Africa.

For more than 40 years, medical research activity has played an important role at the Western States Endurance Run. WSER’s late Medical Director Dr. Robert Lind welcomed and encouraged researchers from throughout the country and the world to come to WSER and study its runners. One of the earliest studies that established the connection between the body’s release of endorphins and physical activity was conducted at WSER in 1981 by Dr. Walter Bortz of Stanford University. Since 2006, nearly 100 research publications or abstracts in human performance have been produced by researchers from throughout the world based on studies conducted on WSER runners.

KRAUS AND ROCHE NAMED WSER MEDICAL RESEARCH DIRECTORS

Emily Kraus and Megan Roche have been named Medical Research Directors for the Western States Endurance Run, WSER President Diana Fitzpatrick announced.

Kraus and Roche succeed John Diana, who had served as Medical Research Director for WSER since 2016.

“Emily and Megan both bring impeccable professional credentials as well as a deep understanding of our sport to their new post,” Fitzpatrick said. “We have always viewed our medical research director position as one that needs to constantly evolve as runners in the sport increasingly turn to science-based information for the best practices in enhancing human performance. With Emily and Megan, we have two individuals who have proven track records in understanding the value of collaborative approaches in research, catalyzing that research and making it available for the betterment of the running community.

“They are both incredibly dynamic individuals who we feel will help take our medical research effort to the next level. I wish to thank Dr. John Diana for his incredible record of service to WSER over the past few years. Dr. Diana brought his own personal brand of collegiality, professional sense of collaboration and a strong sense of cohesiveness to our medical research effort. We are extremely grateful for all of the work he did in furthering our research agenda.”

Added WSER Medical Director Andy Pasternak: “Emily and Megan have all of the professional experience and personal qualities necessary to lead WSER’s medical research enterprise. Their insight into what the position needs to do in the coming years is very exciting. They truly wish to see our medical research endeavors continue the impactful legacy that has already been established by our previous medical research directors, while also positioning our future research studies so that they can help re-define how science-based discovery and translational research is being used to further our sport.”

Kraus is a Clinical Assistant Professor in the Department of Orthopedic Surgery at Stanford University School of Medicine. She received her M.D. from the University of Nebraska Medical Center in Omaha, Nebraska, in 2012 and her B.S. in Nutrition Science from the University of Nebraska, Lincoln, in 2008. She has produced more than 20 peer-reviewed original research papers on a variety of topics. In 2018-2020, she served as principal investigator for a study at Western States on “Genetic and Serologic Determinants of Bone Health in Ultramarathoners,” which was renewed for further study in 2021.

Roche is the Research Lead for the Stanford Lifestyle Medicine Program as well as Research Lead for FASTR (Female Athlete Science and Translational Research). She is a Ph.D. candidate in the Department of Epidemiology and Population Health at the Stanford University School of Medicine. She received her M.D. from Stanford University School of Medicine in 2018, earned her M.M.S. in Management from Duke University in 2013 and her B.S. in Neuroscience from Duke in 2012. Her more than a dozen research publications include studies on bone stress and mental health of athletes, among many others.

For more than 40 years, medical research activity has played an important role at the Western States Endurance Run. WSER’s late Medical Director Dr. Robert Lind welcomed and encouraged researchers from throughout the country and the world to come to WSER and study its runners. One of the earliest studies that established the connection between the body’s release of endorphins and physical activity was conducted at WSER in 1981 by Dr. Walter Bortz of Stanford University. Since 2006, more than 80 research publications or abstracts in human performance have been produced by researchers from throughout the world based on studies conducted on WSER runners.

2013 Research Studies

The research studies for the 2013 WSER have just been determined and are now posted on the research page.

Six studies will be taking place that will examine a variety of issues including a couple areas receiving considerable recent media attention – potential cardiac damage from high volume exercise, and potential benefits of different foot strike patterns. To learn more about the first issue, our colleagues from the United Kingdom will be returning to the Run after completing studies here in 2007, 2008 and 2009. Regarding the later, we will expand upon our foot strike analysis at the 2012 WSER, where we saw indication that those who used a forefoot or midfoot pattern had higher blood creatine phosphokinase concentrations at the end of the race compared with heel strikers. Other studies will further examine the extent and causes of gastrointestinal distress during the Run, the frequency and underlying cause of vision cloudiness that sometimes occurs during ultramarathons, and types and frequency of injuries in those training for a 100-mile run.

There will be more to come on how you can participate in the various studies and contribute to our advancement of science.

Marty Hoffman, MD