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HEALTH Strings Under the Big Sky - Explore Big Sky

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Electrolyte (salt), carbohydrate (sugar) and water<br />

replacement during aerobic exercise lasting greater<br />

than one hour can improve athletic performance and<br />

decrease <strong>the</strong> risk of dehydration or hyponatremia<br />

(low sodium concentration).<br />

The American College of Sports Medicine recommends<br />

that in general, athletes should consume<br />

about 500 – 700mg of sodium for every liter of<br />

fluid and 30 – 60mg of carbohydrates per hour during<br />

sustained aerobic activity. Water replacement<br />

during exercise depends on a variety of factors but<br />

most athletes should consume about .4 – .8 liters per<br />

hour during sustained exercise, with higher rates<br />

for warmer environments and lower rates for cooler<br />

environments. A variety of products are available to<br />

help an athlete obtain <strong>the</strong> recommended balance of<br />

salt, sugar and water during exercise.<br />

Here, I’ve reviewed one type of carbohydrate and<br />

electrolyte replacement product that’s popular<br />

among triathletes, cyclists and runners: <strong>the</strong> carbohydrate<br />

gel.<br />

58 June 29, 2012<br />

noun: wild or rough terrain<br />

adjacent to a developed area<br />

origin: shortened form of<br />

“back 40 acres”<br />

explorebigsky.com<br />

Carbohydrate gels are an excellent way to fuel your<br />

body and replace lost electrolytes during aerobic<br />

exercise. Most come in single serving packages<br />

and contain a carbohydrate source and electrolytes<br />

(mainly sodium and potassium). These gels are also<br />

available with varying levels of caffeine. In addition,<br />

some brands also contain a protein source, calcium<br />

or antioxidants. The data is not as convincing<br />

for o<strong>the</strong>r products often included in carbohydrate<br />

gels, with <strong>the</strong> exception of caffeine.<br />

Caffeine is known as <strong>the</strong> most commonly used<br />

drug in <strong>the</strong> world and has been used by athletes to<br />

improve athletic performance for many years. Specifically,<br />

caffeine improves performance during prolonged<br />

moderate-to-high intensity exercise lasting<br />

greater than 30 minutes. Most studies have shown<br />

that <strong>the</strong> optimal dose of caffeine for improving performance<br />

during exercise is 3 – 6mg per kilogram of<br />

body weight. However, more recent data has shown<br />

a performance benefit with caffeine doses as low as<br />

1mg per kilogram of body weight. So, a 175-pound<br />

individual (about 80 kgs) would have to consume<br />

about 80 – 480mg of caffeine during exercise to<br />

obtain a performance-enhancing effect.<br />

explorebigsky.com<br />

For <strong>the</strong> big sky weekly, <strong>the</strong> back 40 is a resource: a<br />

place where we can delve into subjects and ask experts<br />

to share <strong>the</strong>ir knowledge. topics include regional<br />

history, profiles of local artists and musicians, snow and<br />

avalanche education, how-to pieces for traditional or<br />

outdoor skills, and science.<br />

big sky weekly<br />

a review of <strong>the</strong> most popular carbohydrate and caffeine gels for endurance athletes<br />

by eriC anderson, m.d.<br />

big <strong>Sky</strong> weekly contributor<br />

"Carbohydrate gels are an<br />

excellent way to fuel your body<br />

and replace lost electrolytes<br />

during aerobic exercise."<br />

If you choose to use caffeine during exercise,<br />

begin with <strong>the</strong> lowest dose for your weight to<br />

minimize <strong>the</strong> chance of side effects. Levels of<br />

caffeine in <strong>the</strong> blood usually stay high for about<br />

three to four hours after ingestion and are mostly<br />

gone within six to seven hours. Intake should<br />

be about 30 – 60 minutes prior to exercise to<br />

ensure levels are high when <strong>the</strong> exercise begins.<br />

During longer events, consumption of caffeine<br />

during regular intervals has a similar performance<br />

enhancing effect to taking <strong>the</strong> entire dose prior<br />

to exercise. Contrary to popular belief, caffeine<br />

consumption during exercise has not been shown<br />

to have a negative effect on hydration status or<br />

heat tolerance.<br />

All gels are not <strong>the</strong> same, so read nutrition labels<br />

to make sure <strong>the</strong> product is in line with your<br />

nutrition and electrolyte replacement plan.<br />

Eric Anderson is a sports medicine physician with<br />

Rockwood Clinic in Spokane, Wash. A competitive<br />

Category 1 cyclist and avid alpine and nordic<br />

skier, he lives in Spokane with his wife and two<br />

daughters.

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