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How Important is Hydration For Exercise

In normal temperatures, the average sedentary person should drink at least 8 glasses of non-caffeinated, non-alcoholic beverages daily. Warm summer weather and exercise place even higher demands on the body for fluid. If you start an exercise session well hydrated, you'll go a long way towards maintaining performance and personal safety. Water is a great beverage choice, but fruit juices, smoothies, seltzer waters, lemonade, soft drinks, milk and herbal teas are also good. Remember that beer and wine (and other alcoholic drinks), coffee and caffeinated soda pop draw fluid out of the body due to the effects of the alcohol and the caffeine.

Don't rely on thirst as an indicator of your body's need for fluids. By the time you're thirsty, you're already dehydrated! If your urine is dark and there's not much of it, you're dehydrated and should increase your fluid intake. Drink fluids until your urine is pale yellow/clear and plentiful. In general, drink as much fluid as you can comfortably tolerate before, during and after exercise. Drinking small amounts frequently usually works better than drinking a large amount once or twice.

General guidelines for fluid intake are:

  • 2-3 cups about 2 hours before exercise
  • 1 cup 5-10 minutes before exercise
  • 1 cup every 15-20 minutes during exercise, especially in warm weather
  • Cool beverages are absorbed better than warm beverages.
  • Studies have shown that the stomach can only empty about 1 quart of fluid/hour during exercise. Drink more and you could feel bloated.

What about sports drinks?

To promote fluid absorption while providing energy, it's a good idea to drink a beverage with 4-8% carbohydrates (and electrolytes) during vigorous physical activity. (This level is typically about half the carbohydrate concentration of soft drinks.) Sports drinks are convenient beverages that have been formulated to contain an ideal mix of carbohydrates, sodium and water for sports participation. However, you can make your own inexpensive "sports drink" from any fruit juice or fruit drink by diluting it in half with water. Remember to read labels because fructose as the primary source of sugar appears to be absorbed more slowly and may cause stomach distress in some people. Experiment to see what works for you.

Do the fluid recommendations change after I'm through exercising?

Some athletes find it helpful to weigh themselves both before and after a workout. For every pound of weight you lose during a workout, drink 2.5 - 3 cups of fluid. Rehydration occurs faster in the presence of sodium (salt), regardless of whether this sodium is provided in a sports drink or in food.

To replace muscle glycogen stores and speed recovery from the workout, you should start replenishing carbohydrates within 15 minutes after exercise. You may not feel like eating so soon after a workout, but a sweetened beverage will often hit the spot.

What about heat cramps?

Heat cramps are brief, often excruciating muscle contractions that can occur in athletes who sweat a lot, particularly when exercising in a hot environment. Usually this happens because the person has lost a large amount of sodium chloride through sweating and hasn't consumed sufficient sodium when replacing fluid losses. Mild heat cramps can be treated by drinking 1 liter (about 1 quart) of water with about 1/4 to 1/2 teaspoon salt dissolved in it. Salt tablets should definitely be avoided because they are a gastric irritant.

Heat acclimatization appears to reduce the incidence of heat cramps. Heat cramps can often be prevented by following the above suggestions for fluid intake, having adequate sodium in your diet and gradually progressing your training.

Adapted from content written by The Hospital for Special Surgery.

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