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Exercise and Dehydration
by: Lynn Van Ost, PT, ATC, RN
Water is a necessary element for the body to function properly. We need it for energy production, the transport of nutrients, oxygen, and by-products to and from cells, and as a joint lubricant.  Without an adequate amount of water during intense exercise, your body can have a difficult time regulating its core temperature , and as a a result heat exhaustion or heat stroke can occur.  This is why it is imperative that you stay hydrated while exercising.  Avoiding dehydration in the cold, winter months is just as important.

How do we lose water in the first place?  On a daily basis, the body loses water through normal bodily functions such as sweating (350-700mL), breathing (100-200mL), and urination (1000-2000mL). As you exercise,  the rate at which you sweat increases and has a dramatic effect on how rapidly the body can be depleted of water. 

Depending on the rate your body is sweating, it is actually possible to lose up to 12 oz. of fluid every 20 minutes of running!!  

Factors Affecting Sweat Rates:

  • environmental temperature and humidity
  • type of clothing worn
  • intensity of exercise
  • fitness level
  • acclimation of athlete to the environment

Most people aren't as aware of the threat of dehydration when exercising in cold weather than when exercising in hot weather conditions.  In the cold,  water is lost via perspiration and respiration.  The cold, dry air needs to be warmed and humidified while breathing.  This results in a greater water loss through respiratory passages and the mouth, and the development of dry mucous membranes in the mouth and lips.

How much and what should I drink to prevent dehydration?
The Road Runner's Club of America's Sports Medicine Committee and American College of Sports Medicine (ACSM) recommend that a runner should hyper-hydrate themselves before running.  Drink 16oz.(2 cups) of water approximately 2 hours before activity, 10-16oz. 15 minutes before running, and 4-8oz. water every 15-20 minutes during exercise.  It is also suggested that you weigh yourself before and after you run and drink 1 pint of of water for every pound you lose during exercise. 

What are the signs of dehydration?
Both novice and experienced athletes should be aware of the danger signs of dehydration.

What to look for:

  • pale, clammy skin
  • dark colored and decreased output of urine
  • rapid pulse and breathing rate
  • decrease in sweat rate
  • nausea and vomiting
  • disorientation

If the athlete is not attended to in these conditions, full heat stroke can occur!  DO NOT wait until you feel thirsty to drink fluids!! The sensation of thirst is triggered by the hypothalamus, indicating a reduction in blood volume.  By this time it is too late and you are already in the early stages of dehydration.  It is best to prevent the sensation of thirst by following the guidelines above.  Also, monitor the color and volume of your urine during intense exercise.  As a general rule, urine should be light in color, relatively odorless, and voided in large amounts.

Remember to be smart and safe while you exercise!  Proper hydration will not only keep you feeling energized and improve performance, but can also prevent a potential medical emergency.  So follow the above tips and have a great workout!!   

 

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