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A detail shot of a volunteer as he hads a Gatorade refreshment cup to a runner as he passes through a water station in the town of Natick during the Boston marathon
Scientists and athletes are still debating what role the salt in sports drinks plays in athletic performance. (Photo: Al Bello/Getty)
Sweat Science

The Salt in Sports Drinks May Not Be As Crucial As You Think

Replacing lost salt is a pillar of sports nutrition, but new research suggests more isn鈥檛 always better

Published: 
A detail shot of a volunteer as he hads a Gatorade refreshment cup to a runner as he passes through a water station in the town of Natick during the Boston marathon
(Photo: Al Bello/Getty)

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In the mid-1960s, a researcher at the University of Florida named Robert Cade went to a bank and borrowed $500 to buy sugar and salt. The homemade drink he鈥檇 devised for the university鈥檚 football team, dubbed Cade鈥檚 Cola鈥攐r Gatorade鈥攚as attracting widespread attention, and he wanted to mix a big batch of it to sell. The sugar provided crucial fourth-quarter energy for the players, and the salt鈥攚ell, scientists and athletes are still debating what role the salt in sports drinks plays in athletic performance.

The question lurks in the background of published in the European Journal of Sport Science, by sports nutrition researcher Alan McCubbin of Monash University in Australia. The study uses a mathematical model to determine exactly how much sodium is required during exercise of varying intensities and durations, depending on how much a person sweats, how salty that sweat is, how much they drink, and other factors. The answers depend on the assumptions we make about why athletes need salt. But in the vast majority of real-world situations, McCubbin concludes, we don鈥檛 need to worry about it.

There鈥檚 no doubt that sodium鈥攖he key electrolyte in salt鈥攈as a number of crucial responsibilities in the body. It helps muscles contract, conducts nerve signals, and keeps internal fluid levels balanced. It鈥檚 also true that we lose sodium through sweat. In the 1930s, after at least 13 workers died of heat exhaustion during the first year of construction on the Hoover Dam, in Nevada, tests conducted by Harvard physiologist D.鈥塀. Dill revealed that the workers were sweating out large quantities of sodium. The solution: in the dining hall, alongside a sign that read, DRINK PLENTY OF WATER, Dill鈥檚 team added, AND PUT PLENTY OF SALT ON YOUR FOOD.

But taking in salt during exercise is another matter. There are three principal reasons you might want to do this. The most frequently cited is to ward off muscle cramps, but scientific evidence largely contradicts this idea. Studies involving runners and triathletes have found no significant difference in sodium levels between those who experience cramping during exercise and those who don鈥檛, and deliberately lowering those levels appears to have no effect one way or the other. There are many reasons why we cramp, and sodium may be involved in some of them. But when it comes to exercise-related cramping, increasing our salt consumption doesn鈥檛 appear to be the solution.

The second reason to boost salt intake while exercising is to avoid hyponatremia (literally, low blood sodium)鈥攁 dangerous and occasionally fatal condition. On paper, drinking something salty would seem like a good way to ensure healthy sodium levels. But sports drinks are less salty than blood, so the more you chug, the more diluted your blood becomes. As a result, the main risk factor for hyponatremia is actually taking in too many fluids鈥攂e it water or sports drinks鈥攏ot too little salt. That鈥檚 why advise drinking when thirsty rather than following an aggressive hydration plan.

The third reason is the one McCubbin considers legit: regulating fluid concentrations. The human body is replete with fluids鈥攊n the blood, in the cells, and in the spaces between cells. Your body monitors sodium levels to decide how to allocate fluid stores among these three areas. That means you鈥檝e got a buffer when you start exerting yourself; even though you鈥檙e sweating, water from other localities can shift into your blood plasma to maintain sodium concentration. However, if prolonged sweating depletes sodium levels too much and you鈥檙e only drinking water, the opposite happens: fluid shifts out of your plasma to keep concentrations from dropping elsewhere, leaving you with lower blood volume to ferry oxygen to muscles and dissipate heat. That, in theory at least, is a problem.

The relevant question, then, isn鈥檛 how much sodium you need in order to replace what鈥檚 lost to sweat. It鈥檚 how much you need to keep your blood concentration from dropping, taking into account that your body is moving fluid around internally. Crucially, the answer doesn鈥檛 just depend on how much sodium you sweat out; it also depends on how much fluid you take in.

鈥淭here鈥檚 a big difference between losing four liters of salty sweat in a marathon and replacing two liters of that with plain water, and losing 20 liters in a 100-miler and replacing it with 18 liters of plain water,鈥 McCubbin explains. In both cases, you鈥檝e lost the same quantity of fluid: two liters, or 4.4 pounds of body weight. But it鈥檚 really the turnover that matters. In the latter instance you鈥檝e sweated out far more sodium, and are therefore more likely to exceed your body鈥檚 ability to compensate for the loss.

For his study, McCubbin used to calculate blood-sodium concentration. Among soccer players and marathoners, he concluded, making a deliberate effort to replace sodium beyond what taste preferences dictate is 鈥渦nnecessary in all realistic scenarios.鈥 In 100-mile ultramarathons, where longer duration results in far greater salt loss, the picture is more nuanced. For runners whose sweat is saltier than average and who aim to drink aggressively enough to limit fluid losses to 2 percent of their starting weight, drinking water alone would leave them short on sodium. (These ultras are so taxing that runners also lose weight from the carbohydrate and fat reserves they burn, so they may be 3 to 5 percent lighter on the scale by the time their fluid losses hit 2 percent. That鈥檚 about what current hydration advice for ultramarathoners recommends.)

The sodium content of your sweat can be roughly inferred from the amount of dried salt left on your clothes and skin after a workout, or it can be determined with greater accuracy through testing offered by companies like . But even if you鈥檙e a salty sweater, mainlining sodium tablets is a risky proposition. Overdoing salt intake can make you thirstier, increasing the chances that you鈥檒l drink too much and, paradoxically, perhaps even putting you at risk of hyponatremia, according to Martin Hoffman, an ultra-endurance researcher at the University of California at Davis. Instead, Hoffman recommends taking in salt with food as dictated by your cravings, rather than following a predetermined salt-intake regimen. 鈥淚t鈥檚 realistic to say don鈥檛 worry about it or don鈥檛 listen to the so-called experts who have a product to sell as long as one is attuned to one鈥檚 body,鈥 he says.

In fact, sodium needs during a 100-miler may be even lower than McCubbin鈥檚 calculations suggest, according to Hoffman. There鈥檚 some evidence that the body contains that gets released into circulation with prolonged sweating, although the idea is controversial among scientists.

Both Hoffman and McCubbin agree that a small minority of people with unusually salty sweat might run into problems in a multi-hour event like an ultra. For those individuals, sweat testing to determine exactly how much salt they鈥檙e losing might have value. At a minimum, they鈥檒l benefit from a deliberate plan to restock lost sodium through food, sports drinks, and perhaps even salt tablets. For the rest of us, McCubbin鈥檚 advice mirrors the shift in thinking about hydration over the past few decades, from the hard-nosed 鈥淒rink to replace what you lose鈥 to the more subjective 鈥淒rink when you鈥檙e thirsty.鈥 When it comes to salt, McCubbin says, the new rule is: 鈥淪eason to taste.鈥

Lead Photo: Al Bello/Getty

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