Hydration Strategies for Physical Activity and Endurance Events at High (>2500 m) Altitude: A Practical Management Article.


Journal

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300

Informations de publication

Date de publication:
01 07 2022
Historique:
received: 28 09 2020
accepted: 11 01 2021
pubmed: 15 4 2021
medline: 1 7 2022
entrez: 14 4 2021
Statut: ppublish

Résumé

A growing number of adventurous athletes are seeking new challenges through endurance events or physical activities held at high altitude (>2500 m). This coincides with a significant increase in the numbers of trekkers who ascend into the world's mountains. Altitude itself influences and complicates the athlete's effective and safe hydration. This article considers the physiology of adaptation to altitude and the effects on hydration at altitude compared with sea level, reviews the "ad libitum versus programmed hydration" controversy in conventional endurance event hydration, examines the evidence for extrapolation of sea level hydration strategies to the high-altitude environment, and synthesizes these disparate factors into a set of practical recommendations for hydration management during high-altitude physical activity. The guidelines will be relevant to participants of physical activity at altitude and health care staff who may care for them in the preparation or performance phases of their adventure.

Identifiants

pubmed: 33852437
doi: 10.1097/JSM.0000000000000919
pii: 00042752-202207000-00012
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

407-413

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

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Auteurs

Larissa Trease (L)

University of Tasmania, School of Medicine, Healthcare in Remote and Extreme Environments (HREE) Program, Tasmania, Australia.
Orthopaedics ACT, Woden, Australia.

Glenn Singleman (G)

University of Tasmania, School of Medicine, Healthcare in Remote and Extreme Environments (HREE) Program, Tasmania, Australia.

Jeremy Windsor (J)

Chesterfield Royal Hospital, Chesterfield Derbyshire, United Kingdom.

Stuart Allan (S)

Faculty, Diploma in Mountain Medicine, United Kingdom; and.

Edi Albert (E)

University of Tasmania, School of Medicine, Healthcare in Remote and Extreme Environments (HREE) Program, Tasmania, Australia.
Alice Springs, Northern Territory, Australia.

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