Microsoft word - fluids on race day.doc
Fluids On Race Day
Water and sports drinks provide you with fluid. Follow these recommendations and
you will remain healthy! BUT DON'T OVER-DRINK! Remember, too much is as bad
as too little. Use your urine color as a guide (see below):
• Drink at least 16 ounces of fluid 1-2 hours before the race.
• Drink another 16 ounces of fluid in the hour before the race.
• Check your urine 1/2 hour before the race…if clear to dark yellow…you are well
pre-hydrated…if dark and concentrated…drink more fluids!
• During the race drink no more than 1 cup (8-10 ounces)
of fluid every 15-20
minutes along the way - that does not mean a cup at EVERY water station! Water/Sports Drink stations are usually located throughout the course much closer than the 15-20 minute rule.
• DO NOT
take any product with ephedra in it. Ephedra increases your risk of
"heat illness." It should not be used while training or on race day!
Too Much Fluid Can Be Harmful
Most athletes understand the importance of drinking fluids, but some don't understand
that drinking too much can be harmful as well. Over-hydrating can lead to a dangerous
condition known as hyponatremia (low blood sodium). Runners or walkers out on the
course for long periods, losing lots of sodium in sweat, are at risk. Overzealous
drinkers who drink lots of water in the days prior to the race and then stop at every
fluid station along the course, and /or drink quarts after finishing also may risk
hyponatremia. This condition can lead to nausea, fatigue, vomiting, weakness,
sleepiness, changes in sensorium and in the most severe instances, seizures, coma and
To avoid hyponatremia follow these easy guidelines:
• Try not to drink more than you sweat.
• Include pretzels or a salted bagel in your pre-race meal.
• Favor a sports drink that has some sodium in it over water, which has none.
• In the days before the race, add salt to your foods (provided that you don't have
high blood pressure or your doctor has restricted your salt intake).
• Eat salted pretzels during the last half of the race.
• Carry a small salt packet with you, and during the last half of the race, if you feel
that you have been sweating a lot or that it's a warm/hot day, consume that single packet.
• After the race, drink a sports drink that has sodium in it and eat some pretzels or a
• Stop taking non-steroidal anti-inflammatories 24 hours before your race and do
not start again until a minimum of 6 hours after finishing the race.
Weigh In Daily during the hot months of summer
Step out of bed every morning and onto the scale.
• If you're anywhere from 1% to 3% lighter than yesterday, re-hydrate by
drinking 8 ounces of fluid for each pound lost before training again.
• Between 3% and 6% lighter, re-hydrate and back off that day's training
Drink During Workouts
Two hours before your workout, drink about half a quart. Drink again as early as 15
minutes into the session, but keep the doses small - 4 to 7 ounces.
And After Workouts?
Weigh yourself right before and after workouts. For every pound you lost, drink a pint
of electrolyte replacement fluid watered down to whatever strength you like.
Recent medical research has shown that non-steroidal anti-inflammatories (NSAIDs) like
Advil, Motrin, Aleve, ibuprofen, naproxen, etc. may be harmful to runners' kidney
function if taken within 24 hours of running; acetaminophen (Tylenol®) has been shown
to be safe. These NSAIDs are thought to increase the possibility of hyponatremia while
running long distances due to their decreasing blood flow to the kidneys and interfering
with a hormone that helps the body retain salt. Therefore it is recommended that on race
day (specifically beginning midnight before you run) you do not use anything but
acetaminophen (Tylenol®) if needed until 6 hours after you have finished the race, are
able to drink without any nausea or vomiting, have urinated once, and feel physically and
mentally back to normal. Then, an NSAID would be of benefit in preventing post-event
Anunt de atribuire numarul 154338/22.06.2012 Data transmiterii in SEAP: 21.06.2012 13:47 Data acceptarii ANRMAP: 22.06.2012 15:25 Observatii ANRMAP: Transmis dupa intrarea in vigoare a Legii 279/2011, publicata in Monitorul Oficial nr.872/09.12.2011. Data publicarii in SEAP: 22.06.2012 15:25 Adresa: STR. SPITALULUI, NR. 2 , Localitatea: Aiud , Cod postal: 515200 , Alba , Romania , Email: aiud
Gemeinsame Jahrestagung der Deutschen, Österreichischen und Schweizerischen Gesellschaften für Hämatologie und Onkologie, 02. - 06. Oktober 2009, Heidelberg/Mannheim Management von therapierefraktären Knochenschmerzen mit Bondronat®-„Loading Dose“ beim ossär metastasiertem Mammakarzinom im Endstadium H.-B. Sittig Schmerztherapie & Palliativmedizin am MVZ Buntenskam