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HISTORIC: USA's Simone Biles during the Women's Floor Exercise final at the Olympic Games in Rio, Brazil

AMERICAN GYMNAST Simone Biles has become the first woman to win four all-round World Gymnast Championship titles.

The 21-year-old was awarded gold today for her performance in Doha.

Biles had a few uncharacteristic falls on the balance beam and vault but despite these she finished with a score of 57.491. It is her biggest margin of victory at the event to date.

Japan’s Mai Murakami came in at second place, 1.693 points behind Biles.

Biles’ fellow US gymnast, Morgan Hurd, landed in third place with the bronze medal. When Biles was taking time off last year, Hurd took the top spot at the event.

On the eve of the start of the World Championships, Biles was admitted to hospital due to a kidney stone.

She wrote on Twitter: “Nothing like a late night ER visit less than 24 hours before World Championships. This kidney stone can wait...doing it for my team!”

The Olympic champion said that the kidney stone did not impact on her final performance and if it did, she would not have completed at all.

USA TODAY columnist Nancy Armour tweeted Biles said: “It’s not the gymnast that I am, to go out there and kind of bomb a meet like this...You have to earn it, and I’m not sure I earned it tonight.”

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