
resistance to infection, an athlete might consider an
increased intake of these vitamins during periods of
intense training and competition. (See Ascorbic Acid:
Physiology; Retinol: Physiology; Tocopherols: Physi-
ology.)
Additional Carbohydrate
0026 With heavy training, it is essential that an athlete eats
sufficient carbohydrate. Studies of the effects of daily,
2-h, 70% of Vo
2max
training runs on leg muscle
glycogen contents have shown that a standard 40–
45% carbohydrate diet is not sufficient to maintain
body carbohydrate stores. For the last 4 or 5 days’
intensive training, the subjects’ preexercise muscle
glycogen contents progressively declined from around
22 to 5–6gkg
1
.
0027 Even a high-carbohydrate (70%) diet failed to
replenish completely the subjects’ muscle glycogen
stores between exercise bouts. With the ingestion of
560 g of carbohydrate per day, muscle glycogen levels
still fell from approximately 22 to 17 g kg
1
.
0028 Three days before an endurance race, therefore, an
athlete should stop training and follow what is known
as a ‘carbohydrate-loading’ regime. During carbohy-
drate loading, the optimum strategy is to eat 500–
600 g of simple carbohydrates for the first 24 h and
then consume the same quantity of mainly complex
carbohydrates on the following 2 days. By ingesting
large amounts of carbohydrate and not exercising,
athletes can increase their muscle glycogen content
from 22 to 36 g kg
1
and their liver glycogen stores
from 70 to 90 g kg
1
.
0029 As mentioned above, it is also important for an
athlete to drink carbohydrate solutions during pro-
longed exercise to prevent hypoglycemia. Provided
that the volumes described below are ingested, it
does not matter whether the carbohydrate is glucose,
sucrose, maltose or a commercial 7–22-chain-length
glucose polymer. In each case, peak rates of exogen-
ous carbohydrate oxidation occur 75–90 min after
ingestion and are 0.7–0.9 g min
1
.(See Carbohy-
drates: Metabolism of Sugars.)
0030 The exception to this pattern is fructose. Because
ingested fructose is (1) slowly absorbed from the
intestine and (2) converted to glucose in the liver
before being oxidized, its maximum rate of use is
only 0.4–5 g min
1
.
Maintaining Water and Electrolyte
Balance
0031 Interestingly, the first evidence that carbohydrate
ingestion can enhance performance during prolonged
exercise was published in the 1930s but was ignored
by athletes, coaches, and scientists until the mid-
1980s. Even the idea that fluids should be ingested
by athletes during prolonged exercise is of recent
origin. Prior to the early 1970s, the prevailing opinion
was that any fluid ingested during exercise, including
marathon running, adversely affected performance.
This fact is frequently overlooked by today’s athletes
and their advisors who have emphasized the per-
ceived value of fluid replacement during exercise,
sometimes to excess.
Factors Influencing Fluid Loss
0032The important principles underlying fluid and elec-
trolyte balance during exercise are that the rate at
which sweat is lost is determined principally by the
athlete’s rate of energy expenditure (metabolic rate)
which is largely determined by his or her mass and
speed of movement. Thus sweat rate is highest in
activities of short duration and high intensity, such
as competitive running over distances of 3–10 km,
and is slower in prolonged, lower-intensity exercise,
such as marathon and ultramarathon running or
ultratriathlon events. Sweat rate also tends to be
greater in heavier than in lighter athletes. At the
same speed, the heavier cyclist or runner has to expend
more energy in moving a larger mass.
0033When cyclists and runners exercise at the same
metabolic rate, the sweat rate of cyclists is lower
than that of runners. Cyclists travel faster than
runners and therefore lose more heat by convection
to the passing air than by sweat evaporation.
0034Sweat rate is also influenced by the ambient tem-
perature but, in practice, environmental conditions
may affect sweat rates less than expected. When
forced to exercise in severe heat, athletes usually
choose to exercise at a lower exercise intensity. Ath-
letes are well aware that they will fatigue rapidly
when exercising in the heat, and a lower metabolic
rate reduces their sweat rates.
0035Contrary to popular opinion, however, ‘heat ex-
haustion’ is not caused by excessive body heat accu-
mulation. In very severe environmental conditions,
the rate of energy expenditure appears to be regulated
specifically to prevent the development of high sweat
rates, severe dehydration, and heat injury.
0036There is also some uncertainty as to whether or not
all the fluid lost during exercise must be replaced if
serious dehydration is to be prevented. Up to 1.8 l of
fluid can be stored in association with the glycogen
contained in a carbohydrate-loaded athlete’s working
muscle and liver. Thus, in activities that largely de-
plete liver and muscle glycogen contents, a mass loss
of up to 1.8 kg can be incurred without the athlete’s
fluid status being seriously compromised.
2220 EXERCISE/Metabolic Requirements