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While
Exercising--To Drink or not to Drink?
"A
recent report of a female participant in 'last year's] Boston Marathon dying
from 'a form of] encephalopathy 'a brain disease] because she ingested
excessive volumes of
a sports drink
before and during the race, exposes a...debate that has raged for more than
a decade. At issue is how much should athletes drink during exercise.
"From antiquity to the late 1960's, athletes were advised not to drink
during exercise since it was believed that fluid ingestion impaired athletic
performance. The publication in 1969 of an incorrectly titled article, "The
dander of an inadequate water intake during marathon running,..," provided
the impetus for change, even though the study neither examined a marathon
race nor did it identify any danger. Rather, the most dehydrated athletes
won those...races, as is usually the case. This article's incorrect title
provided the ...incentive for numerous studies, many funded by a
fledgling sports drinks industry...
There were four assumptions made. "Firstly, that all the weight lost during
exercise must be replaced if health is to be protected and performance is to
be optimized... Secondly, that the sensations of thirst underestimate the
real fluid requirements during exercise. Thus athletes must be told how much
to drink during exercise. Thirdly, that the fluid requirements of all
athletes are always similar so that a universal guideline is possible.
Fourthly, high...fluid intake can do no harm. Thus athletes 'were] advised
to replace all the water lost through sweating (that is, loss of body
weight), or consume the maximal amount that can be tolerated...
"But none of these ideas
is evidence based...'not
scientific]
"To
protect all exercisers from this preventable condition 'encephelopathy],
rational and evidence based advice must be provided...Recent
adoption of...guidelines by
USA Track and Field (www.usatf.org)
provides the hope that this sad scientific aberration has finally run its
course."
Emphasis added.
In:
British Medical Journal, vol. 327, 2003. By: Timothy David Noakes, Discovery
Health Chair of Exercise & Sports Med., Dept. of Human Biology, U. of Cape
Town, S. Africa.
back to Exercise index

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