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Problems with PlasticWater (and other foods) stored in plastic containers may not be as safe to drink as once thought. For many years, plastic has been suspect regarding the possibility that harmful chemicals contained in many plastic materials can leach into water. Research continues to show this as a real hazard. Here are some recommendations:
A healthy endurance athlete should be able to properly regulate significant amounts of water consumed during a race—even up to a gallon an hour in extreme conditions (although there is usually no need for this amount of water intake). This is because the body has effective mechanisms to regulate water. In addition to brain and adrenal hormones, both the kidneys (which remove excess water from the blood) and an effective sweating mechanism prevent water from accumulating in the body. Even water loss through the intestines and lungs contributes slightly to this regulation.
The fact is, however, that athletes can weigh more after a race due to abnormal holding of water. This can result in abnormally (sometimes seriously) low sodium as previously discussed. The problem of low sodium associated with excess water has been called exertional hyponatremia. In my experience, many, if not most, of these athletes are in Stage 1 or 2 of the overtraining syndrome.
Generally, athletes who gain weight during endurance events—typically about 10 percent of all those in a race—may be those individuals with some type of health problem, often one of a functional nature. Of these, about 30 percent develop hyponatremia.
This issue is complex and very individual. Rather than suggesting that athletes restrict water consumption (which may only be treating the symptoms) and risk further dehydration, addressing potential health problems that could affect how the body regulates water and sodium should be a priority. Many of these potential health problems, including adrenal dysfunction, can be evaluated at rest in athletes, while others may be very subtle and appear only following long training. The right health-care professional can be a valuable asset in helping to resolve these cases.
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