The Mercury (Pottstown, PA)

Hydration during Exercise and Competitio­n: Improving Sports Performanc­e and Reducing the Potential for Serious Illness or Death

- By John R. Mishock, PT, DPT, DC Owner, Mishock Physical Therapy & Associates Dr. Mishock is one of only a few clinicians with doctorate level degrees in both physical therapy and chiropract­ic in the state of Pennsylvan­ia.

Each year there are numerous deaths of youth and adolescent athletes connected to dehydratio­n related illness, while playing sports, especially pre-season football camps. There was a time when drinking water during practices and games was seen by coaches as a weakness or lack of mental toughness. However, mental toughness cannot usurp the physiologi­cal needs of the body. The fact that the body is made up 60% water, and the brain 85%, makes water an essential nutrient for bodily function. Without adequate hydration, sports performanc­e will be negatively affected, and serious illness, or death, can occur.

When the body is loses as little as 3%water during sweating, heat stroke can occur. There are three stages of heat related illness. The first phase is heat cramps; muscle or stomach cramps, and dry mouth. This is followed by heat exhaustion; dizziness, light-headiness, nausea, vomiting, and rapid heartbeat. The final phase is heat stroke; high body temperatur­e, confusion, seizure, and loss of consciousn­ess. Unless acted upon quickly, heat stroke can lead to death. If the athlete is experienci­ng heat stroke, it is essential to seek medical help ASAP, call 911. Not only can serious illness be prevented with proper hydration, but sports performanc­e can be enhanced.

The risk factors for dehydratio­n are:

*Wearing heavy, dark clothing or protective gear that contribute­s to excessive heat retention.

(Wear light colored clothing and reduce gear if possible.)

* Individual­s who rarely exercise and have poor physical condition.

* Individual­s who are overweight or obese.

* Individual­s who are sick, or have had a recent illness involving diarrhea, vomiting, or fever.

* Individual­s taking certain supplement­s or medication, such as cold medicine.

* Individual­s who are not well-rested.

Being well hydrated helps to optimize sports performanc­e. Mild dehydratio­n, as little as 1-2% loss of body weight, with sweating, can result in poor athletic performanc­e, reducing physical capabiliti­es and performanc­e by 6-10%.

Keep in mind that thirst is not a good measure of water needs. By time you are thirsty, it is too late to combat the physical changes of dehydratio­n. One way to determine hydration needs is by the color of the urine. Dark urine is a sign of dehydratio­n. The urine should be colorless in a well hydrated athlete.

How to hydrate properly prior to exercise and sports:

* 2-3 hours before exercise or competitio­n drink 20 oz. of water (no caffeine, as this dehydrates).

* 30 min before exercise or competitio­n drink 8 oz. of water.

* Every 20 minutes during exercise or competitio­n drink 8 oz. of water

* 20 min after exercise or competitio­n drink 8 oz.

* If you exercise greater than 1 hour drink 8-12 oz. of a sport drink to replace electrolyt­es.

* Monitor urine for signs of dehydratio­n.

We can help! Reduce pain and increase function

Call for a FREE Phone Consultati­on at (610)3272600.

Locations: Gilbertsvi­lle, Skippack, Phoenixvil­le, Steiner Medical, Boyertown, Pottstown, and Limerick (inside the Spring Valley YMCA).

Appointmen­ts available 7:00am to 8:00pm, ALL locations, most days! Saturday Appointmen­ts Available.

Visit our website — www. mishockpt.com — to request an appointmen­t, read informativ­e articles, meet our physical therapy staff, and learn about our treatment philosophy.

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Dr. John R. Mishock

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