Nhu Q Ly, Karrie L Hamstra-Wright, Craig A Horswill
Journal: Nutrients 2023;15(22):4759
PMID: 38004153
Inadequate fluid intake during sports participation and training can lead to dehydration. Persistent dehydration at or beyond 2% of body mass negatively impacts performance during subsequent efforts and increases the risks of heat illness. Prompt and adequate rehydration between training sessions and competitions is crucial, especially when the period for rehydration is brief before returning to physical and environmental challenges. The study aimed to compare the effects of varying sodium (Na) and carbohydrate (CHO) content in oral rehydration solutions (ORS) and sports drinks (SD) for rehydration following exercise-induced dehydration. This study was a placebo-controlled, randomised, double-blind clinical trial. The study recruited twenty-six athletes who underwent three 90-minute interval training sessions without drinking fluids to induce a 2.6% body mass loss. Results showed that fluid retention was superior in male athletes consuming 100% of fluid needs when beverages contained Na and CHO compared to drinking only water. Varying the CHO and Na within the typical range of sports drinks did not seem to vary for benefit by the end of the 3.5 h period. However, the ORS might be advantageous for earlier rehydration (within 2 h) based on a greater suppression of urine loss detected earlier in the recovery. Authors concluded that the association between fluid retention and Na balance further confirms the role that beverage sodium content can play in rehydration.
The effects of varying sodium (Na) and carbohydrate (CHO) in oral rehydration solutions (ORS) and sports drinks (SD) for rehydration following exercise are unclear. We compared an ORS and SD for the percent of fluid retained (%FR) following exercise-induced dehydration and hypothesized a more complete rehydration for the ORS (45 mmol Na/L and 2.5% CHO) and that the %FR for the ORS and SD (18 mmol Na/L and 6% CHO) would exceed the water placebo (W). A placebo-controlled, randomized, double-blind clinical trial was conducted. To induce 2.6% body mass loss (BML, > 0.05 between treatments), 26 athletes performed three 90 min interval training sessions without drinking fluids. Post-exercise, participants replaced 100% of BML and were observed for 3.5 h for the %FR. Mean ± SD for the %FR at 3.5 h was 58.1 ± 12.6% (W), 73.9 ± 10.9% (SD), and 76.9 ± 8.0% (ORS). The %FR for the ORS and SD were similar and greater than the W ( < 0.05 ANOVA and Tukey HSD). Two-way ANOVA revealed a significant interaction with the ORS having greater suppression of urine production in the first 60 min vs. W (SD did not differ from W). By 3.5 h, the ORS and SD promoted greater rehydration than did W, but the pattern of rehydration early in recovery favored the ORS.
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