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Unit IV · Micronutrients, water and the female athlete
9 min readConcept sheetOften a 10-mark answer; heat illness as a 5-mark answer

Water, electrolytes and temperature regulation; dehydration and hyperhydration

Working muscles make heat, which the body loses mainly by evaporating sweat. Losing more than 2% of body weight as sweat hurts performance; drinking far too much causes hyponatraemia.

Body waterAbout 50-60% of body weight; more in lean, muscular people
Heat from exerciseAbout 75-80% of the energy muscles use becomes heat
Sweat rateCommonly about 0.3-2.4 L per hour (ACSM 2007), higher in heat
Sweat sodiumVaries widely, roughly 10-70 mmol/L (ACSM 2007)

Roles of water and electrolytes in exercise

ItemRole
WaterCarries glucose and oxygen to muscle and removes CO2 and lactate; keeps up blood volume for the heart; cools the body through sweat; cushions joints
SodiumMain mineral outside cells; holds water in the blood; drives thirst; the main mineral lost in sweat
ChlorideTravels with sodium; also lost in sweat
PotassiumMain mineral inside cells; nerve and muscle function; small sweat loss
Calcium and magnesiumMuscle contraction and relaxation

How the body controls temperature during exercise

  1. 1
    Working muscles release heat: about 75-80% of the energy they use.
  2. 2★
    Core temperature rises; the hypothalamus senses it.
  3. 3
    Skin blood vessels widen (vasodilation) and carry heat to the skin.
  4. 4★
    Sweat glands release sweat; evaporation removes heat (about 580 kcal for each litre that evaporates).
  5. 5
    Radiation, conduction and convection help only when the air is cooler than the skin.
  6. 6
    In humid coastal cities such as Chennai, Mumbai and Kolkata, sweat drips off instead of evaporating, so cooling is poor.
  7. 7
    Heat acclimatisation over about 10-14 days: earlier and more sweating, more dilute sweat, bigger plasma volume, lower heart rate.

★ one-way, controls the pace

Effects of dehydration on performance

Fluid lost (% of body weight)Typical effects
About 1%Thirst; body temperature starts to rise faster
Over 2%Aerobic performance, concentration and decision-making fall (ACSM)
About 3-5%Endurance falls further; skill drops; strength and power fall a little; headache, cramps, nausea; risk of heat exhaustion
Higher lossesRisk of heat stroke and collapse; can be life-threatening

Heat illness

TypeSignsFirst aid
Heat crampsPainful muscle cramps; heavy, salty sweatingStop, stretch, drink fluid with salt
Heat exhaustionTiredness, dizziness, headache, nausea, pale clammy skin, fast pulseShade, lie down with legs raised, cool the body, give fluids with salt
Heat strokeCore temperature above about 40 °C with confusion or collapse; a medical emergencyCall for help; cool at once (cold-water immersion or ice towels); then hospital

Hyperhydration vs hyponatraemia

Planned hyperhydrationDrinking extra fluid, sometimes with sodium, before an event in heat so the athlete starts well hydrated. Benefits are small; costs are extra urine, weight and stomach discomfort.
Exercise-associated hyponatraemiaBlood sodium below 135 mmol/L from drinking more than is sweated, so body weight rises during the event; often slower runners or walkers in long races. Bloating, headache, confusion, seizures. Prevent by drinking to a plan or to thirst, never gaining weight, and including sodium.
For the athlete

Indian summers make hydration planning essential: a fast bowler in Chennai or a kabaddi player in a hall without air-conditioning can lose more than a litre an hour. Teach athletes to check urine colour and body weight, and to use salted nimbu pani, buttermilk or a sports drink in long, sweaty sessions.

Exam angle

2 marks: “What is exercise-associated hyponatraemia?” Blood sodium below 135 mmol/L during or after exercise, usually from drinking more than sweat losses; causes headache, confusion and seizures.

5 marks: “Explain heat illness in athletes.” Heat cramps, heat exhaustion and heat stroke: signs and first aid for each; prevention by acclimatisation, fluids and timing of training.

10 marks: “Discuss the role of water and electrolytes in temperature regulation and the effects of dehydration and hyperhydration on performance.” Roles of water and electrolytes, steps of temperature control, dehydration effects by % loss, heat illness, hyperhydration and hyponatraemia.

Remember it

2% rule: lose more than 2% of body weight and performance drops; gain weight during exercise and you drank too much.