FLUID INTAKE STRATEGIES FOR OPTIMAL HYDRATION AND PERFORMANCE: PLANNED DRINKING VS. DRINKING TO THIRST
KEY POINTS In humans, thirst tends to be alleviated before complete rehydration is achieved. When sweating rates are high and ad libitum fluid consumption is not sufficient to replace sweat losses, a cumulative loss in body water results. Body mass losses of 2% or greater take time to accumulate. Dehydration of > 2% body mass and greater is associated with impaired thermoregulatory function, elevated cardiovascular strain, and in many conditions impaired aerobic exercise performance (e.g., warmer, longer, more intense). Circumstances where planned drinking is optimal include: longer duration activities > 90 min, particularly in the heat; higher intensity exercise with high sweat rates; exercise where performance is a concern; when carbohydrate intake of 1 g/min is desired. Circumstances where drink to thirst may be sufficient include: short duration exercise < 60 to 90 min; exercise in cooler conditions; lower intensity exercise. NEVER drink so much t...
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