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Nutrients · 2019

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Luke N Belval, Yuri Hosokawa, Douglas J Casa, William M Adams, Lawrence E Armstrong, Lindsay B Baker, Louise Burke, Samuel Cheuvront, George Chiampas, José González-Alonso, Robert A Huggins, Stavros A Kavouras, Elaine C Lee, Brendon P McDermott, Kevin Miller, Zachary Schlader, Stacy Sims, Rebecca L Stearns, Chris Troyanos, Jonathan Wingo

Practical Hydration Solutions for Sports

MDPI AG. 11(7). 1550.

DOI PMID: 31324008 Open original source
Study type
Expert review and practical guidance
Review basis
Full text reviewed

A useful hydration plan depends on the exercise being done and the conditions around it. Sweat losses vary with effort, duration, weather, clothing, and the individual, while sports differ in when drinking is possible. Typical losses discussed range from about 0.5 to 1.9 liters per hour, illustrating variation rather than providing a drinking target. The authors organize practical decisions around an athlete's starting hydration, the structure of exercise, the environment, and access to fluids. Their approach aims to avoid both excessive fluid loss and the problems that can come from drinking too much.

A change on the scale can help estimate fluid loss during exercise, but it needs interpretation. Drinks consumed and urine passed affect the calculation, and very long events introduce other changes in body mass. Similarly, thirst or urine color alone cannot provide a complete hydration assessment. The proposed approach combines several observations with the circumstances of exercise rather than treating one sign as a precise measurement of water needs.

How Does This Show Up in Real Life?

The authors recommend developing a plan during training under conditions resembling competition. A session in cool weather and light clothing may not reveal the needs of a hot event with heavier equipment. They also suggest using morning body mass, thirst, and urine color together to follow day-to-day changes, and using measurements around shorter exercise sessions to estimate sweat losses. Those estimates inform planning; they are not instructions to replace every lost gram immediately. Practical access matters too. A player limited to scheduled breaks faces a different problem from a cyclist carrying drinks. During prolonged, slower events, drinking beyond need can increase the risk of exercise-associated hyponatremia, a dangerously low blood sodium concentration. The useful question is therefore how the available drinking opportunities fit the athlete's likely losses, rather than how to consume the largest possible volume of fluid.

This is a practical synthesis informed by an expert meeting, not a trial proving that one complete hydration plan works across sports. The sport categories represent typical situations and may not fit a particular event. The meeting received beverage-industry support, and several authors disclosed industry relationships. These disclosures are relevant context when weighing the recommendations; they do not independently establish whether a recommendation is correct.

The paper is most useful as a way to organize decisions and recognize why a universal drinking rule can fail. Its estimates require context and adjustment. The strongest takeaway is to consider both physiological needs and the real opportunities to drink during the activity.

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