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1.
Athletics is a popular sport among young people. To maintain health and optimize growth and athletic performance, young athletes need to consume an appropriate diet. Unfortunately, the dietary intake of many young athletes follows population trends rather than public health or sports nutrition recommendations. To optimize performance in some disciplines, young athletes may strive to achieve a lower body weight or body fat content and this may increase their risk for delayed growth and maturation, amenorrhoea, reduced bone density, and eating disorders. Although many of the sports nutrition principles identified for adults are similar to those for young athletes, there are some important differences. These include a higher metabolic cost of locomotion and preferential fat oxidation in young athletes during exercise. Young athletes, particularity children, are at a thermoregulatory disadvantage due to a higher surface area to weight ratio, a slower acclimatization, and lower sweating rate. An appropriate dietary intake rather than use of supplements (except when clinically indicated) is recommended to ensure young athletes participate fully and safely in athletics.  相似文献   
2.
Abstract

Hydration status is not easily measured, but acute changes in hydration status are often estimated from body mass change. Changes in body mass are also often used as a proxy measure for sweat losses. There are, however, several sources of error that may give rise to misleading results, and our aim in this paper is to quantify these potential errors. Respiratory water losses can be substantial during hard work in dry environments. Mass loss also results from substrate oxidation, but this generates water of oxidation which is added to the body water pool, thus dissociating changes in body mass and hydration status: fat oxidation actually results in a net gain in body mass as the mass of carbon dioxide generated is less than the mass of oxygen consumed. Water stored with muscle glycogen is presumed to be made available as endogenous carbohydrate stores are oxidized. Fluid ingestion and sweat loss complicate the picture by altering body water distribution. Loss of hypotonic sweat results in increased osmolality of body fluids. Urine and faecal losses can be measured easily, but changes in the water content of the bladder and the gastrointestinal tract cannot. Body mass change is not always a reliable measure of changes in hydration status and substantial loss of mass may occur without an effective net negative fluid balance.  相似文献   
3.
Rapid and complete restoration of fluid balance after exercise is an important part of the recovery process, especially in hot, humid conditions, when sweat losses may be high. Rehydration after exercise can only be achieved if the electrolytes lost in sweat, as well as the lost water, are replaced. However, the amount of electrolytes lost in sweat is highly variable between individuals and although the optimum drink may be achieved by matching drink electrolyte intake with sweat electrolyte loss, this is virtually impossible in sport settings. The composition of sweat varies considerably not only between individuals, but also with time during exercise and it is further influenced by the state of acclimatization. A moderate excess of salt intake would appear to be beneficial as far as hydration status is concerned, without any detrimental effects on health, provided that fluid intake is in excess of sweat loss and that renal function is not impaired. To achieve effective rehydration following exercise in the heat, the rehydration beverage should contain moderately high levels of sodium (at least 50 mmol l -1 ), and possibly also some potassium. The addition of substrate is not necessary for rehydration, although a small amount of carbohydrate (< 2%) may improve the rate of intestinal uptake of sodium and water. The volume of beverage consumed should be greater than the volume of sweat lost to provide for the ongoing obligatory urine losses. Therefore, the palatability of the beverage is important. Many individuals may lose substantial amounts of sweat and will therefore have to consume large amounts of replacement fluids and this is more likely to be achieved if the taste is perceived as being pleasant. Water alone is adequate for rehydration purposes when solid food is consumed, as this replaces the electrolytes lost in sweat. However, there are many situations where intake of solid food is not possible or is deliberately avoided and, in these instances, the inclusion of electrolytes in rehydration beverages is essential. Where a second exercise bout has to be performed, replacement of sweat losses is an essential part of the recovery process. Exercise performance will be impaired if complete rehydration is not achieved.  相似文献   
4.
5.
Exercise in the heat poses a formidable challenge to the body's ability to control its internal environment due to the high rates of metabolic heat production and heat gain by physical transfer from the environment. In an attempt to restrict the rise in core temperature, an increased rate of sweat secretion onto the skin is invoked. This may limit the rise in core temperature, and can prolong the time before a limiting temperature is attained, but it does so at the cost of a loss of body water and electrolytes. The effects of the diminished blood volume are offset to some extent by cardiovascular adaptations, including an increased heart rate and an increased peripheral resistance, but these are insufficient to maintain functional capacity when blood volume is reduced. Prior dehydration will impair performance in both prolonged exercise and short-term high-intensity exercise. Athletes living and training in the heat may experience chronic hypohydration due to inadequate replacement of fluid losses. The negative consequences of exercise in the heat are attenuated to some extent by a period of adaptation, and by the ingestion of water or other appropriate fluids. Optimum fluid replacement strategies will depend on the exercise task, the environmental conditions and the individual physiological characteristics of the athlete. Manipulation of pre-exercise body temperature can also influence exercise performance and may be a strategy that can be used by athletes competing in stressful environments.  相似文献   
6.
7.
Fluids and electrolytes (sodium) are consumed by athletes, or recommended to athletes, for a number of reasons, before, during, and after exercise. These reasons are generally to sustain total body water, as deficits (hypohydration) will increase cardiovascular and thermal strain and degrade aerobic performance. Vigorous exercise and warm/hot weather induce sweat production, which contains both water and electrolytes. Daily water (4-10 L) and sodium (3500-7000 mg) losses in active athletes during hot weather exposure can induce water and electrolyte deficits. Both water and sodium need to be replaced to re-establish "normal" total body water (euhydration). This replacement can be by normal eating and drinking practices if there is no urgency for recovery. But if rapid recovery (<24 h) is desired or severe hypohydration (>5% body mass) is encountered, aggressive drinking of fluids and consuming electrolytes should be encouraged to facilitate recovery for subsequent competition.  相似文献   
8.
Exercise in the heat poses a formidable challenge to the body's ability to control its internal environment due to the high rates of metabolic heat production and heat gain by physical transfer from the environment. In an attempt to restrict the rise in core temperature, an increased rate of sweat secretion onto the skin is invoked. This may limit the rise in core temperature, and can prolong the time before a limiting temperature is attained, but it does so at the cost of a loss of body water and electrolytes. The effects of the diminished blood volume are offset to some extent by cardiovascular adaptations, including an increased heart rate and an increased peripheral resistance, but these are insufficient to maintain functional capacity when blood volume is reduced. Prior dehydration will impair performance in both prolonged exercise and short-term high-intensity exercise. Athletes living and training in the heat may experience chronic hypohydration due to inadequate replacement of fluid losses. The negative consequences of exercise in the heat are attenuated to some extent by a period of adaptation, and by the ingestion of water or other appropriate fluids. Optimum fluid replacement strategies will depend on the exercise task, the environmental conditions and the individual physiological characteristics of the athlete. Manipulation of pre-exercise body temperature can also influence exercise performance and may be a strategy that can be used by athletes competing in stressful environments.  相似文献   
9.
For a person undertaking regular exercise, any fluid deficit that is incurred during one exercise session can potentially compromise the next exercise session if adequate fluid replacement does not occur. Fluid replacement after exercise can, therefore, frequently be thought of as hydration before the next exercise bout. The importance of ensuring euhydration before exercise and the potential benefits of temporary hyperhydration with sodium salts or glycerol solutions are also important issues. Post-exercise restoration of fluid balance after sweat-induced dehydration avoids the detrimental effects of a body water deficit on physiological function and subsequent exercise performance. For effective restoration of fluid balance, the consumption of a volume of fluid in excess of the sweat loss and replacement of electrolyte, particularly sodium, losses are essential. Intravenous fluid replacement after exercise has been investigated to a lesser extent and its role for fluid replacement in the dehydrated but otherwise well athlete remains equivocal.  相似文献   
10.
There are few data in the published literature on sweat loss and drinking behaviour in athletes training in a cool environment. Sweat loss and fluid intake were measured in 17 first-team members of an elite soccer team training for 90 min in a cool (5°C, 81% relative humidity) environment. Sweat loss was assessed from the change in body mass after correction for the volume of fluid consumed. Sweat electrolyte content was measured from absorbent patches applied at four skin sites. Mean (?± s) sweat loss during training was 1.69?±?0.45 l (range 1.06?-?2.65 l). Mean fluid intake during training was 423?±?215 ml (44?-?951 ml). There was no apparent relationship between the amount of sweat lost and the volume of fluid consumed during training (r 2 = 0.013, P = 0.665). Mean sweat sodium concentration was 42.5?±?13.0 mmol?·?l?1 and mean sweat potassium concentration was 4.2?±?1.0 mmol?·?l?1. Total salt (NaCl) loss during training was 4.3?±?1.8 g. The sweat loss data are similar to those recorded in elite players undergoing a similar training session in warm environments, but the volume of fluid ingested is less.  相似文献   
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