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REMAIN HYDRATED TO PREVENT INJURY


REMAIN HYDRATED TO PREVENT INJURY
DR.Titto Cherian
Faculty in Physical Education, Patriarch Ignatius Zakka-I Training College, Puthencruz, Mahatma Gandhi University, Kerala.
Abstract
Drinking enough fluids is important to prevent dehydration and keep your body functioning properly. But staying well hydrated is also essential in order to prevent injuries and treat sickness. Staying well hydrated not only reduces your chances of developing heat-related illnesses, such as heat cramps and heat exhaustion, but it can also prevent injuries. Muscle tissue is made up of about 75% water. Since water plays a part in the proper functioning of muscles, joints and blood vessels, it makes sense that adequate fluid is needed to prevent injuries. When dehydration occurs, a loss of coordination and muscle fatigue can develop, both of which can lead to injuries. Exercise, even small amounts of fluid loss can affect your athletic performance, and exercising while dehydrated can increase your risk of injuries.
Key words: Dehydration, heat cramps, heat exhaustion, muscle fatigue,
Introduction
Sport, whether recreational or competitive is now one of the most widespread forms of physical activity in the world. People of all ages with widely different conditions and aspirations undertake some kind of sport for their physical, mental, social, and cultural well being and for their health. Although the positive benefits of sports are clear, it can pose a risk of injury. Therefore we should initiate to prevent injury by reducing possible risk factors. (Renstrom, 1977).  In today’s age of health and fitness, more and more kids are involved in sporting activities. Although being part of a football, soccer or Little League team is an important rite of passage for many children, parents and their children could be overlooking the importance of proper nutrition and body-conditioning needed for preventing injuries on and off the playing field. Without proper preparation, playing any sport can turn into a bad experience. There are structural and physical developmental issues that need to be taken into consideration before children undertake certain sports.
            Highly competitive sports such as football, gymnastics and wrestling follow rigorous training schedules that can be potentially dangerous to an adolescent or teenager. The best advice for parents who have young athletes in the family is to help them prepare their bodies and to learn to protect themselves from sports related injuries before they happen. Parents need to work with their kids and make sure they receive the proper sports training. Young athletes should begin with a slow jog as a general warm-up, followed by a sport-specific warm-up. They should then stretch all the major muscle groups. Kids need to be instructed in appropriate exercises for each sport to prevent injuries. Proper nutrition and hydration are also extremely vital. While an ordinary person may need to drink eight to 10 ounce glasses of water each day, athletes need to drink even more than that for proper absorption and perspiration. Breakfast should be the most important meal of the day. Also, eating a healthy meal two to four hours before a practice or a game and another within one to two hours after a game or practice allows for proper replenishment and refuels the body.
Proper warm up, stretching and strength-training exercises are essential for kids involved in sports, but many kids learn improper stretching or weight-lifting techniques, making them more susceptible to injury. Hydration is a key element to optimal fitness. Teenage athletes should drink at least eight 8-ounce glasses of water a day. Younger athletes should drink five to eight 8-ounce glasses of water. Sports drinks are a good source of replenishment for those kids engaged in long duration sports, such as track and field. But avoid sugar-loaded, caffeinated and carbonated drinks. ( Timothy Ray, 2014)
Summer is a time to be outside and get active. In fact, each year, millions of people in the United States participate in summer sports — from swimming, biking, and waterskiing to kayaking, rock climbing, and volleyball. These sports are thrilling and fun for all ages, but come with risks that sometimes lead to serious injuries. Doctors may describe concussions as "mild" because they are usually not life threatening, but the effects can be serious and you should know when to seek medical attention.
Stay hydrated
Sports injuries are often a sign of nutrition imbalance. Just as proper physical techniques should be part of every athlete's safety routine, maintaining adequate nutrition and hydration is also important. By following basic nutrition and hydration tips, athletes can stay at peak performance before, during, and after activity. Drink water before, during and after exercise. Avoid carbonated, highly sugared and alcoholic beverages. If exercising strenuously for more than an hour, drink liquids with electrolyte replacements. One sure way to know if you're well-hydrated: clear urine. Hence encourage your child to drink water before, during and after all physical activity. ( Hergenroeder,1998).
 Athletes must drink fluids to stay adequately hydrated, as even a loss of 1 percent body weight can reduce athletic performance. Water is a sufficient fluid for hydration. Athletes should consume at least 16 ounces of fluid two hours prior to exercise, and 5 to 10 ounces during exercise, taken every 15 to 20 minutes. Athletes should get into the habit of weighing themselves before and after exercise to determine how much water weight they lose through activity—and consume 16 to 24 ounces of water for every pound lost. Sports drinks are appropriate for athletes involved in endurance activities (e.g., marathon, triathlon) or stop-and-go sports (e.g., soccer, sprinting) to replace lost fluids, carbohydrates, and electrolytes. The most effective sports drinks consist of 6 percent to 8 percent carbohydrates (14 to 19 grams carbohydrates per 8 ounce serving). Diluting sports drinks lowers the carbohydrate concentration, thus providing too few carbohydrates for replenishing those lost.
Water is vital to keep the body going, and this is especially true when you are active and exercising. If you are exercising in heat or in sunny weather, it is especially important to keep your body hydrated as dehydration can significantly reduce mental and physical fitness.
Hydration should begin before the exercise period. Drinking 16 ounces of water or a sports drink is recommended one hour before exertion. Hydration should continue with 4-8 ounces of fluid every 15-20 minutes as long as exertion continues. The type of fluid replacement depends on the duration of the event. Plain water is adequate for events lasting less than one hour. However, for events that last more than one hour or multiple bouts of exercise in the same day, the replacement fluid should contain carbohydrates, sodium and potassium, which are standard components of commercial sports drinks. Weighing oneself before and after activity provides good feedback on the level of hydration. If the athlete is lighter after an activity, then it is likely a fluid deficit has occurred and it's necessary to replace the weight loss by drinking more during the next practice to approximate sweat losses. An athlete who loses more than two percent to three percent of body weight during exercise may be at a point of compromising performance and physiological function. If the athlete gains weight after an activity, then the quantity of rehydration fluid during activity should be reduced. (Armstrong, 1996).
Hydration not only involves providing the body with enough fluids to function during exercise but also to prevent subsequent injuries and illnesses. Adequate fluid replacement helps maintain hydration and, therefore, promotes the health, safety, and optimal physical performance of individuals participating in regular physical activity. Dehydration is defined as a dynamic loss of body water or the transition from euhydration to hypo-hydration, otherwise known as dehydration. During exercise, hypo-hydration is associated with an increase in core body temperature and cardiovascular strain and a decrease in stroke volume and serum sodium levels (Volpe, Kristen, & Bland, 2009).
Conclusion
Dehydration influences several aspects of exercise in a negative way. Rises in core temperature, early fatigue, and decreased performance are some factors that are present in a dehydrated athlete. Understanding the signs and symptoms of dehydration and managing it early will stop any further injury or illness to the athlete. Trainers’ and physical Education teachers must promote hydration before exercise but must also be knowledgeable of the signs and symptoms of dehydration in the event that it occurs. Although water is the primary method of rehydration, sports drinks can be incorporated before, during, and after exercise in order to maintain fluid balance. Proper hydration during exercise is known to have benefits that aid in athletic performance and preventing injuries. Overall hydration is beneficial not only to exercise and athletic performance but also physiologic functions.
References
Albert, C. (1998). Prevention of Sports Injuries, Pediatrics, Volume 101 / Issue VI.
Anderson, et al., (2000). Climatic heat stress and the exercising child and adolescent. Pediatrics, p106:1.
 Armstrong, L. et al., (1996). Medicine and Science in Sports and Exercise, 28(1):i-vii.
Brouns, Fred. (2002). Effect of high and low rates of fluid intake on post-exercise rehydration.    International Journal of Sport Nutrition and Exercise Metabolism, 12, 14-23.
Helen, C. (2002). American Journal of Preventive Medicine, Volume 23, Issue 1, Supplement 1, p.21–54.
Renstrom. (1977). Sports Injuries: Prevention, Treatment and Rehabilitation, IVth Edition; Lars Peterson, p.43
Volpe, Stella L., & Bland, Erica G. (2009). Estimation of pre-practice hydration status of National Collegiate Athletic Association division 1 athletes. Journal of Athletic Training, 44(6), 624-629.
Wexler, RK. (2002). Evaluation and treatment of heat-related illnesses. American Family Physician.p.65:11.


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