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It star­ted with a despe­ra­te U.S. col­lege foot­ball coach and his col­le­ague, che­mis­try pro­fes­sor Robert Cade. In Florida’s tro­pi­cal con­di­ti­ons, the Flo­ri­da Gators› play­ers repea­ted­ly show­ed signs of fati­gue and cram­ping, so spe­cial atten­ti­on was paid to ener­gy & hydra­ti­on. Che­mist Cade mixed sugar and table salt into the player’s drink, brief­ly crea­ting «Gator-ade» – later the world’s first com­mer­cial sports drink.

Today, 58 years later, sports nutri­tion has out­grown its infan­cy as a serious sci­ence. Know­ledge of ener­gy sup­p­ly and flu­id or elec­tro­ly­te repla­ce­ment during exer­cise has grown signi­fi­cant­ly. But bet­ween eupho­nious mar­ke­ting and com­pli­ca­ted sci­ence, it has beco­me dif­fi­cult to iden­ti­fy its effec­ti­ve needs. An attempt to get to the heart of the matter:

Carbs Carbs Carbs!

Sport needs car­bo­hy­dra­tes (CHO). A lot of sport needs more of it – espe­ci­al­ly during exer­cise. The tar­get amounts are not neces­s­a­ri­ly to be achie­ved exclu­si­ve­ly by a drink, but the more inten­se the exer­ti­on, the more liquid the car­bo­hy­dra­te sup­p­ly – thus redu­cing tole­rance pro­blems and acce­le­ra­ting ener­gy absorp­ti­on. Here’s how:

  • Easy effort under 90 minu­tes: Water or 30g of car­bo­hy­dra­tes per hour (simp­le sugar, syrup, sports drink pow­der, maxi­mum 8% con­cen­tra­ti­on = 80g/​L).
  • Easy efforts 90 – 180min: 60g CHO/​h (see above).
  • Easy effort >180min: 80 – 120g CHO/​hour (glu­co­se: fruc­to­se mix­tu­re = 1:0.8 or star­ches and glucose/​fructose; max 12%).
  • Inten­si­ve effort (hard training/​competition) >60′: 80 – 120g CHO/​hour (see above).

Elec­tro­lytes: Real­ly neces­sa­ry and, if so, which ones?

Gatora­de, to once again invo­ke the mother of all sports drinks, had always boas­ted to work best becau­se they would effi­ci­ent­ly replace sweat. Sweat, ever­yo­ne knows that, is sal­ty. This makes it obvious that we lose elec­tro­lytes (all mine­rals that car­ry an elec­tri­cal char­ge in their dis­sol­ved form) when we sweat.

For far too long, howe­ver, many elec­tro­lytes have been over­ra­ted. In a healt­hy, balan­ced diet, the only thing we need is sodium in sports drinks (i.e. table salt, che­mi­cal­ly: sodium chloride).

Sodium has many, important roles in our bodies, but at near­ly 70g, we also have ple­nty of it. For the ath­le­te, what mat­ters most is its role in intesti­nal KH absorp­ti­on and its osmo­tic acti­vi­ty (flu­id balance).

In a recent work it was loo­ked, when we need effec­tively abo­ve avera­ge sodium sup­p­ly and thus, the fairy tale of the threa­tening salt defi­ci­en­cy some­what the tooth pul­led. Whe­ther you need to con­ti­nue to swal­low salt tablets in series or whe­ther the 500 – 700 mg sodium per liter of a modern sports drink is suf­fi­ci­ent should be explai­ned brief­ly here:

Effort dura­ti­on < 4 hours:

Nor­mal salt inta­ke is suf­fi­ci­ent (no addi­tio­nal salt neces­sa­ry due to abo­ve-avera­ge addi­ti­on, salt tablets or similar)

Effort > 4 hours:

  • < 70% sweat loss repla­ced (most training/​competition con­di­ti­ons!); no addi­tio­nal sodium needed.
  • > 70% sweat loss repla­ced (ultra events, mul­ti-day for­mats); know­ledge of sodium con­cen­tra­ti­on in sweat hel­pful (labo­ra­to­ry ana­ly­sis). If this is <1g/​L (pre­su­ma­b­ly 80% of all ath­le­tes) no addi­tio­nal sodium is neces­sa­ry, whoe­ver is on top of this should replace 30 – 65% of the abso­lu­te sodium loss (cal­cu­la­ted from the avera­ge amount of sweat, the avera­ge Na con­cen­tra­ti­on and the dura­ti­on of exertion).

Long sweat sto­ry short:

With gene­ral­ly ade­qua­te ener­gy and hydra­ti­on levels and a good sports drink, extra sodium is rare­ly nee­ded. Ath­le­tes who are in extre­me for­mats and/​or extre­me con­di­ti­ons would do well to deter­mi­ne their sweat rate accu­ra­te­ly or even to ana­ly­ze the sodium sweat con­cen­tra­ti­on. Howe­ver, this cle­ar­ly con­cerns a distinct minority.

PS: Cramps are rare­ly a sign of elec­tro­ly­te defi­ci­en­ci­es! In this case, an insuf­fi­ci­ent flu­id balan­ce or sim­ply an unac­cus­to­med load for the body is the cau­se – an effec­ti­ve reme­dy is to drink pick­le juice or to bite into a very hot chi­li pep­per – have fun!

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Swea­ting in the Cham­pi­ons League Final:

A recent exam­p­le from the Cham­pi­ons League final of a Man­ches­ter City play­er, for exam­p­le, shows that in the warm and humid cli­ma­te of the Bos­pho­rus, a who­le 1.2 liters are swea­ted in one hour and thus 780mg of sodium (that would be 650mg/​L).

Sin­ce in a pro­fes­sio­nal game with few inter­rup­ti­ons the fluid­loss is hard to com­pen­sa­te, said play­er does not need extra sodium and his nor­mal sports drink and pos­si­bly solid food during the half-time break are sufficient.

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Dani Hof­stet­ter –
Per­for­mance Nutrition
Mas­ter of Food Sci­ence ETH,
Nut­ri­tio­nist and Long distance tri­ath­lon world champion