Facharzt FMH für Allgemeinmedizin, St. Gallen, Switzerland.
J Sports Sci. 2012;30(11):1131-40. doi: 10.1080/02640414.2012.692479. Epub 2012 Jun 6.
In 219 recreational male runners, we investigated changes in body mass, total body water, haematocrit, plasma sodium concentration ([Na(+)]), and urine specific gravity as well as fluid intake during a 100-km ultra-marathon. The athletes lost 1.9 kg (s = 1.4) of body mass, equal to 2.5% (s = 1.8) of body mass (P < 0.001), 0.7 kg (s = 1.0) of predicted skeletal muscle mass (P < 0.001), 0.2 kg (s = 1.3) of predicted fat mass (P < 0.05), and 0.9 L (s = 1.6) of predicted total body water (P < 0.001). Haematocrit decreased (P < 0.001), urine specific gravity (P < 0.001), plasma volume (P < 0.05), and plasma [Na(+)] (P < 0.05) all increased. Change in body mass was related to running speed (r = -0.16, P < 0.05), change in plasma volume was associated with change in plasma [Na(+)] (r = -0.28, P < 0.0001), and change in body mass was related to both change in plasma [Na(+)] (r = -0.36) and change in plasma volume (r = 0.31) (P < 0.0001). The athletes consumed 0.65 L (s = 0.27) fluid per hour. Fluid intake was related to both running speed (r = 0.42, P < 0.0001) and change in body mass (r = 0.23, P = 0.0006), but not post-race plasma [Na(+)] or change in plasma [Na(+)] (P > 0.05). In conclusion, faster runners lost more body mass, runners lost more body mass when they drank less fluid, and faster runners drank more fluid than slower runners.
在 219 名男性业余跑步运动员中,我们研究了 100 公里超级马拉松比赛期间体重、总体水、血细胞比容、血浆钠浓度([Na+])、尿比重以及液体摄入的变化。运动员体重减轻了 1.9 公斤(s = 1.4),相当于体重的 2.5%(s = 1.8)(P < 0.001),预测骨骼肌质量减少 0.7 公斤(s = 1.0)(P < 0.001),预测脂肪质量减少 0.2 公斤(s = 1.3)(P < 0.05),预测总体水量减少 0.9 升(s = 1.6)(P < 0.001)。血细胞比容(P < 0.001)、尿比重(P < 0.001)、血浆容量(P < 0.05)和血浆[Na+](P < 0.05)均增加。体重变化与跑步速度相关(r = -0.16,P < 0.05),血浆容量变化与血浆[Na+]变化相关(r = -0.28,P < 0.0001),体重变化与血浆[Na+]变化(r = -0.36)和血浆容量变化(r = 0.31)相关(P < 0.0001)。运动员每小时摄入 0.65 升(s = 0.27)液体。液体摄入量与跑步速度(r = 0.42,P < 0.0001)和体重变化(r = 0.23,P = 0.0006)相关,但与赛后血浆[Na+]或血浆[Na+]变化无关(P > 0.05)。总之,跑得更快的人失去的体重更多,跑得更慢的人喝水越少,体重减轻越多,跑得更快的人比跑得更慢的人喝更多的水。