Future Directions in Exercise Science

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Acclimation, Hydration & Recovery A guide to competing in hot environments Dr. David Bailey Physiologist English Institute of Sport Loughborough University Preparation & Recovery Preparation • environment (knowledge, acclimation) • training (volume, duration, time of day) • travel (jet lag) • competition (time of day, duration) Recovery • Hydration • Nutrition • Recovery strategies Overview • Acclimation to hot/humid conditions – Environmental conditions – Exercise in a hot/humid environment – Maximising adaptations • Importance of water – Affect of dehydration on performance & recovery – Monitoring hydration status • Recovery strategies in hot environments – Nutritional strategies – Non-nutritional strategies Environmental Conditions London Nagoya Temperature 21°C (6-33°C) Humidity 76% am / 62% pm Temperature 32°C (16-38°C) Humidity 92% am / 66% pm Maintaining heat balance Heat loss in hot environments 30°C, 70%rh 32°C, 20%rh E E R+C R+C REST Heat loss in hot environments 30°C, 70%rh 32°C, 20%rh E E R+C R+C EXERCISE Heat & Performance • Type of exercise – decreased endurance – limited affect on maximal strength • Hyperthermia – Shift towards non-aerobic metabolism – Faster rate of muscle/liver glycogen usage (carbohydrate) – Increased cardiovascular strain (venous pooling) Heart Rate x Stroke Volume = Cardiac Output • Dehydration – Decrease in body weight (2 – 8%) – Increase sweating (0.8 – 1.4 L/h, maximum recorded 3.7L/h) – Rate of water absorption (0.8 – 1.2L/h) • Hypohydration – dehydration >4h without rehydration Heat Acclimatisation • Preparation for competition in a hot environment • What are the beneficial adaptations? • Regular exposure to heat/humidity over 10-14days; ↓ Cardiovascular strain (3-6 days) ↓ Perceived exertion (3-6 days) ↑ Blood volume (3-6 days) ↓ Body temperature (4-8 days) ↑ Sweat Rate (8-14 days) ↓ Electrolyte loss (5-10 days) • Improved heat transfer from core to the skin • Improved cardiovascular function (dehydration & blood pooling) Physiological adaptations to heat 39.5 180 1.5 170 39.0 1.4 Body temperature (°C) Heart Rate (b/min) 38.5 150 1.3 140 38.0 130 1.2 37.5 0 2 4 6 8 10 12 14 120 1.1 Days Sweat loss (l/min) 160 Maximising Adaptations • Exercising in similar conditions (± 2°C) – – – – – – – >50% VO2max (60-90% HRmax) Between 90-100min Gradual exposure over 10-14days Exercise in groups or pairs Exercise in environmental chamber Wear more insulated clothing Monitor physiological responses • Exercise at competition venue – Adapt training programme (high intensity work at cooler times) – Train at similar time to competition – Monitor physiological responses Monitoring Acclimation • Assess changes in body weight – – – – – Weigh pre & post-exercise (calculate difference) Add weight of clothing if wet Add weight of fluid consumed during exercise (1litre = 1kg) Subtract urine loss during exercise Sweat rate can be calculated • Example Pre-exercise = 70kg Post-exercise (60mins) = 69kg Clothing weight 1.0kg 1.5kg Drank 500ml = 0.5kg Change in weight = 2kg Fluid replacement = 2 litres Importance of Hydration • Virtually impossible to maintain euhydration during exercise in hot/humid conditions Not uncommon to experience 2-8% loss in body weight Small body weight losses (2-4%) can result in reduced exercise capacity/tolerance Dehydration leads to; ↓ blood volume/blood flow ↓ waste removal ↑ cardiovascular strain > risk of heat illness • • • • Maintaining hydration minimises these detrimental responses Dehydration & Performance Monitoring Hydration Status Consider fluid loss during exercise + whole day – Mild climate – 2.5L/day – Hot climate – 10L/day Monitor physiological changes; – – – – Body weight Body temperature (difficult) Urine osmolality (very difficult) Urine colour (colours 1,2 & 3) Continual monitoring is important – Rehydration isn’t instantaneous – Monitor urine colour >2 times post hydration – Consider food intake Hydration Strategies ACSM stand point (1996) • • • • • >2h pre-exercise consume 500ml water During exercise drink early Drink at rates equal to your sweat rate Practice drinking at these rates Try to consume cooled fluids General advice • • • • • • Be realistic Avoid gastrointestinal distress Consider event duration >1h hydration during exercise is essential Greater emphasis on rehydration Maximise recovery Fluid Replacement Beverages? Water vs. Sports Drinks; • Much debate (commercial interests) • Depends on; – – – – Duration Intensity Urgency Recovery time • Plain water haemodilution • Sports drinks contain; – Electrolytes (Na+, K-, Cl-) – Carbohydrate • Maximise recovery Recovery Strategies Nutritional • Hydration is essential • Repletion is as important • Source of electrolytes • Consider recovery period • Amount of carbohydrate • Type of carbohydrate • Carbohydrate & protein mixtures 1 2 3 4 5 6 7 8h Muscle Glycogen Alternative Recovery Strategies Non-nutritional Cryotherapy; Cold water immersion ↑ ↓ ↑ ↓ Cooling Muscle soreness Muscle function Muscle damage Contrast therapy ↑ Blood flow ↑ Waste product removal Cooling (pre vs. post) Warning Signs of Heat Disorders Key Points to Remember • • • • • • • • Preparation is key Allow sufficient time for acclimation Maintain good hydration both during exercise & at rest Monitor hydration status regularly Continually assess tolerance to hot/humid condition Replace lost fuel as well as fluid Support fellow competitors/training partners Be aware of signs of hyperthermia Thanks & good luck in Japan! Any questions? (David.Bailey@eis2win.co.uk)

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