{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/f3fb5c75-b943-4f5d-bd87-27c91611dd24/667ad31fa2475610ca71add6?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"The Real Science Of Hydration During Exercise","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/6100856531fd81f125b34dac/1719325364492-3cb8fb24071526db70b6996cb91ce109.jpeg?height=200","description":"<p>Dr Tamara Hew-Butler is the Queen of Hyponatremia (<a href=\"https://x.com/hyponaqueen\" rel=\"noopener noreferrer\" target=\"_blank\">@hyponaqueen on X</a>). What's hyponatremia, you may be wondering? It is a condition that is far more dangerous than dehydration, and which can develop when we drink too much fluid during exercise, with potentially lethal and often tragic consequences. We have been conditioned to fear the health and performance risks of dehydration during exercise, to believe that we cannot afford to lose fluid, and that by the time we are thirsty, it's too late. But Hew Butler, a world authority on fluid requirements during exercise, is here to set the record straight, to explain how exquisitely our bodies regulate our sodium and fluid levels, and why we <strong>can and should</strong> trust our physiology instead of the marketing messages of sports drinks and water companies. This is an episode that will challenge beliefs, and set the record straight on exercise hydration.</p><p><br></p><p><strong><u>Show notes</u></strong></p><p><br></p><p><a href=\"https://www.patreon.com/thescienceofsport\" rel=\"noopener noreferrer\" target=\"_blank\"><strong>Become a Patron and join the Discourse community</strong></a></p><p><br></p><p><strong>Links to articles on the subject matter of the podcast</strong></p><p><br></p><ul><li>Tami is lead author on a series of consensus statements on Exercise Associated Hyponatremia. <a href=\"https://pubmed.ncbi.nlm.nih.gov/26102445/\" rel=\"noopener noreferrer\" target=\"_blank\">This is the most recent version of that consensus</a></li><li>The <a href=\"https://www.menshealth.com/health/a60249105/how-much-water-to-drink-water-obsession/\" rel=\"noopener noreferrer\" target=\"_blank\">Men's Health article mentioned on the show, discussing overhydration </a>and quoting Tami</li><li>A <a href=\"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2017.00021/full\" rel=\"noopener noreferrer\" target=\"_blank\">review article by Tami, published in 2017, with details on the physiology, treatment and prevention of hyponatremia</a></li><li>A <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682940/\" rel=\"noopener noreferrer\" target=\"_blank\">2022 paper by Tami, on the Physiology, Psychology and pathophysiology of overhydration</a></li><li>A <a href=\"https://pubmed.ncbi.nlm.nih.gov/30678725/\" rel=\"noopener noreferrer\" target=\"_blank\">study Tami was involved in looking at soldiers doing a 40km march, showing that drinking to thirst avoided the dangers of both hyponatremia and dehydration</a></li><li>In the show, we spoke about research we did at the Comrades Ultramarathon. <a href=\"https://pubmed.ncbi.nlm.nih.gov/18469570/\" rel=\"noopener noreferrer\" target=\"_blank\">Here is one of the papers from those studies in the medical tent</a></li><li>Two papers on what typically happens during ultra-endurance exercise, <a href=\"https://pubmed.ncbi.nlm.nih.gov/15562165/\" rel=\"noopener noreferrer\" target=\"_blank\">first in Ironman athletes, by Sharwood et al</a></li><li>A <a href=\"https://pubmed.ncbi.nlm.nih.gov/16344476/\" rel=\"noopener noreferrer\" target=\"_blank\">second paper describing over 2000 endurance athletes and the changes in body weight, sodium levels and hydration status</a></li><li>The <a href=\"https://journals.sagepub.com/doi/full/10.1580/1080-6032(2005)16%5B221:WIAPCD%5D2.0.CO;2\" rel=\"noopener noreferrer\" target=\"_blank\">first case series of hyponatremic athlete in the Comrades</a>, going all the way back to the 1980s</li><li>Tami's X handle: <a href=\"https://x.com/hyponaqueen\" rel=\"noopener noreferrer\" target=\"_blank\">@hyponaqueen</a></li></ul>","author_name":"Professor Ross Tucker and Mike Finch"}