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From the Medic

05/18/2012, 10:01am CDT
By Tod Sweeney, MD

Dialing in proper hydration and nutrition for your event is no simple feat. Start and finish strong with these guidelines from Tod Sweeney, MD, with the Sports and Family Medicine of Colorado, P.C.

Fluid and Electrolyte Recommendations

Before exercise

  • At least 4 hours before exercise, individuals should drink @ 2-3 ml per pound of body weight (roughly ½ liter for a 150 pound person) of water or a sports beverage.  This allows enough time to optimize hydration status and for excretion of any excess fluid as urine.
  • No need to over hydrate.

During exercise

  • Drinking fluids containing electrolytes and carbohydrates can help sustain fluid and electrolyte balance and endurance exercise performance.
  • Fluids containing 6%-8% carbohydrate are recommended for exercise events lasting longer than 1 hour.

After exercise

  • Rapid and complete recovery from fluid losses can be accomplished by drinking at least 16-24 oz of fluid for every pound of body weight lost during exercise.
  • Consuming rehydration beverages and salty foods at meals/snacks will help replace fluid and electrolyte losses.

Diet recommendations

Pre-Exercise Meal

  • Eating before exercise has been shown to improve performance.
  • The pre-exercise meal should leave the individual neither hungry nor with undigested food in the stomach.
  • Larger meals should be consumed at least 4 hours prior to the event and smaller meals near the event.
  • Foods should be low in fat and fiber, high in carbohydrate , moderate in protein and familiar to the athlete.
  • Athlete’s individual needs must be emphasized and the athlete should always ensure that they know what works best for themselves by experimenting during practice sessions.

During Exercise

  • Research supports the benefits of carbohydrate consumption in amounts typically provided in sports drinks (6%-8%) to endurance performance in events lasting 1 hour or less.
  • For longer events, consuming @ 30-60 grams of carbohydrates per hour has been shown to extend endurance performance.
  • Consuming carbohydrates is especially important in situations when athletes have not carbohydrate-loaded.
  • Carbohydrate intake should begin shortly after the onset of activity and at 20-minute intervals.

Recovery

  • The timing and composition of the post-competition or post-exercise meal or snack depend on the length and intensity of the exercise and when the next intense workout will occur.
  • Consumption of a carbohydrate meal (>65%) within 30 minutes after exercise will help replace glycogen stores.
  • Including protein in a post-exercise meal may provide needed amino acids for muscle protein repair.


References

  1. American College of Sports Medicine position stand: Exercise and fluid replacement. Med Sci Sports Exerc 39(2):377-390, 2007. Review
  2. American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine position stand: Nutrition and athletic performance. Med Sci Sports Exerc  41(3):709-731, 2009. Review
     

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