PMID- 15707379 OWN - NLM STAT- MEDLINE DCOM- 20050901 LR - 20181113 IS - 0112-1642 (Print) IS - 0112-1642 (Linking) VI - 35 IP - 2 DP - 2005 TI - Nutritional considerations in triathlon. PG - 163-81 AB - Triathlon combines three disciplines (swimming, cycling and running) and competitions last between 1 hour 50 minutes (Olympic distance) and 14 hours (Ironman distance). Independent of the distance, dehydration and carbohydrate (CHO) depletion are the most likely causes of fatigue in triathlon, whereas gastrointestinal (GI) problems, hyperthermia and hyponatraemia are potentially health threatening, especially in longer events. Although glycogen supercompensation may be beneficial for triathlon performance (even Olympic distance), this does not necessarily have to be achieved by the traditional supercompensation protocol. More recently, studies have revealed ways to increase muscle glycogen concentrations to very high levels with minimal modifications in diet and training. During competition, cycling provides the best opportunity to ingest fluids. The optimum CHO concentration seems to be in the range of 5-8% and triathletes should aim to achieve a CHO intake of 60-70 g/hour. Triathletes should attempt to limit body mass losses to 1% of body mass. In all cases, a drink should contain sodium (30-50 mmol/L) for optimal absorption and prevention of hyponatraemia.Post-exercise rehydration is best achieved by consuming beverages that have a high sodium content (>60 mmol/L) in a volume equivalent to 150% of body mass loss. GI problems occur frequently, especially in long-distance triathlon. Problems seem related to the intake of highly concentrated carbohydrate solutions, or hyperosmotic drinks, and the intake of fibre, fat and protein. Endotoxaemia has been suggested as an explanation for some of the GI problems, but this has not been confirmed by recent research. Although mild endotoxaemia may occur after an Ironman-distance triathlon, this does not seem to be related to the incidence of GI problems. Hyponatraemia has occasionally been reported, especially among slow competitors in triathlons and probably arises due to loss of sodium in sweat coupled with very high intakes (8-10 L) of water or other low-sodium drinks. FAU - Jeukendrup, Asker E AU - Jeukendrup AE AD - Human Performance Laboratory, School of Sport and Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. A.E.Jeukendrup@bham.ac.uk FAU - Jentjens, Roy L P G AU - Jentjens RL FAU - Moseley, Luke AU - Moseley L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - New Zealand TA - Sports Med JT - Sports medicine (Auckland, N.Z.) JID - 8412297 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Proteins) RN - 9005-79-2 (Glycogen) SB - IM MH - *Bicycling MH - Dietary Carbohydrates/*administration & dosage MH - Dietary Proteins/*administration & dosage MH - Drinking Behavior MH - Endotoxemia/prevention & control MH - Fluid Therapy/methods MH - Gastrointestinal Diseases/prevention & control MH - Glycogen/biosynthesis MH - Humans MH - Hyponatremia/prevention & control MH - *Running MH - *Swimming MH - Time Factors MH - Water-Electrolyte Balance RF - 181 EDAT- 2005/02/15 09:00 MHDA- 2005/09/02 09:00 CRDT- 2005/02/15 09:00 PHST- 2005/02/15 09:00 [pubmed] PHST- 2005/09/02 09:00 [medline] PHST- 2005/02/15 09:00 [entrez] AID - 3525 [pii] AID - 10.2165/00007256-200535020-00005 [doi] PST - ppublish SO - Sports Med. 2005;35(2):163-81. doi: 10.2165/00007256-200535020-00005.