← All guides

Hydration and electrolytes for training and sport

An evidence-based guide to staying hydrated without overthinking it, or overdoing it. Hydration is one of the most personal parts of sport, because sweat losses differ enormously from one body to the next. This covers how much fluid to drink and when, how to measure your own sweat rate, the widely used keep-loss-under-2% guideline, when sodium and other electrolytes actually matter, the drink-to-thirst versus planned-drinking debate, the real and occasionally serious danger of over-drinking, and how heat changes the stakes. Practical, honest, and grounded in established sports-medicine consensus.

Here's the short answer: there's no universal number of millilitres per hour, because sweat rates vary hugely, so the goal is to replace most (not all, and not more) of what you lose, aiming to keep body-mass loss under about 2% on long efforts, drinking largely to thirst, and adding sodium when sessions get long, hot or salty. Everything below is the detail behind that sentence: where the numbers come from, how to find your sweat rate, and why drinking as much as possible is the wrong instinct.

On this page

  1. Why hydration matters (and why it's personal)
  2. How much to drink, and when
  3. Measuring your own sweat rate
  4. The under-2% body-mass guideline
  5. What mild dehydration actually costs
  6. Reading your urine colour honestly
  7. Thirst, hunger, and water before a meal
  8. Sodium and electrolytes: when they matter
  9. Drink to thirst vs planned drinking
  10. The real risk of over-drinking
  11. Heat: when the stakes rise
  12. Common questions
  13. Takeaways

A framing note before the numbers. Hydration science is well studied, but people differ enormously: body size, fitness, how much you sweat, how salty that sweat is, the weather, the intensity and your health status all shift what's right on the day. So this is written as can, tends to and around, never as a guarantee, and every specific figure is a population-level guide drawn from published consensus rather than a personal prescription. It's general education rather than medical or dietary advice, and it isn't a personalised plan.

Why hydration matters (and why it's personal)

When you train, your working muscles produce heat, and your main way of shedding it is sweating: evaporating fluid off the skin. That cooling is essential, but it comes at a cost: you're steadily losing water, and with it some salts. If you lose enough, blood volume falls, your heart has to work harder to move blood to both muscle and skin, core temperature climbs faster, and effort starts to feel higher for the same pace. Significant dehydration (commonly defined as losing more than about 2% of body mass as sweat) is associated with rising heart rate and perceived effort and, particularly in the heat, with a measurable dip in endurance performance.

The catch that makes hydration advice so slippery is that sweat losses are wildly individual. Depending on the person, the intensity and the environment, sweat rates run from well under half a litre to more than two litres an hour. Most endurance athletes sit somewhere around 0.5–1.5 litres per hour. That's a threefold-plus spread, which is exactly why a single "drink X ml every 15 minutes" rule can leave one person parched and cause another to dangerously over-drink. The whole point of a good hydration strategy is to make it yours.

Common misconception → correct it. "You need eight glasses a day, plus loads extra when you train, or you're dehydrated." The rigid daily-glasses rule isn't well supported, and it ignores the food you eat (which contains water) and your own thirst, which is a genuinely useful signal. For everyday training under about an hour, drinking normally to meals and to thirst covers most people. Hydration strategy (measuring, planning, adding sodium) earns its keep for long, hard or hot sessions, rather than for a 40-minute jog or a gym session in a cool room.

How much to drink, and when

It helps to split hydration into three windows (before, during and after) because the job is different in each. The figures below draw on the American College of Sports Medicine's position stand on exercise and fluid replacement. Treat them as starting points to personalise rather than exact doses.

Window Rough guide Sodium? The job
Before (~4 h out) ~5–7 ml/kg From food is fine Start well hydrated, with time to pee off any excess.
Before (~2 h out, if dark urine) +3–5 ml/kg Salty food helps retention Top up slowly only if you're still short.
During (<~1 h) To thirst Rarely needed Usually little or nothing required. Water is fine.
During (>~1 h) Toward your sweat rate Yes, esp. hot/long Limit losses. Replace some sodium as you go.
After ~1.5 L per kg lost Yes, aids retention Rehydrate over hours, with sodium and food.

A few plain-English notes on that table. Before, the aim is simply to start in good shape: roughly 5–7 ml of fluid per kilogram of body weight at least four hours out gives time to absorb it and pass any surplus (for a 70 kg person that's very roughly 350–500 ml). If your urine is still dark two hours before, a smaller top-up of 3–5 ml/kg helps. There's no need to "pre-load" litres beyond that: you can't bank meaningful extra water, and trying just sends you to the toilet.

During, short sessions rarely need anything. For efforts past about an hour you're trying to keep pace with your losses without overshooting, which is where knowing your sweat rate pays off. If you're taking a carbohydrate sports drink for fuel, it usually carries sodium too, so hydrating and fuelling overlap, the ACSM notes drinks used in exercise longer than an hour often contain around 0.5–0.7 g of sodium per litre. After, because you keep losing some fluid in urine as you rehydrate, replacing around 1.5 litres for every kilogram lost over the following hours (with sodium, from a drink or salty food) restores balance more reliably than matching losses litre-for-litre.

Strathlon sport-day view showing the day's targets raised after a long training session is logged, with fuelling and hydration reminders
Strathlon's sport-day view: logging a long or hot session raises the day's targets and surfaces fuelling and hydration reminders, so a hard training day is treated differently from a rest day.

Measuring your own sweat rate

Because sweat losses are so individual, the single most useful thing you can do is measure your own. It takes one session and a set of scales, and it turns "am I drinking enough?" from a guess into a number. The physics that makes it simple: one kilogram of body-mass change is roughly one litre of fluid, so the scale is a good-enough sweat gauge for a single session.

The method, step by step:

For example, if you're 1 kg lighter after an hour and drank 0.5 L during it, you sweated roughly 1.5 L that hour. Repeat the test in different conditions (a cool easy session and a hot hard one will give very different numbers, and heat can push losses up dramatically) so you end up with a small mental table rather than one figure you wrongly apply everywhere. Knowing you lose, say, closer to two litres an hour in summer heat is precisely the information that lets you plan sensibly for a long, hot event instead of guessing.

Where Strathlon fits. Strathlon won't weigh you mid-run or replace the sweat-rate test (that part is yours), but it makes the context around hydration easier to manage honestly. When you log a session through + Add activity on the Plan tab (or Add activity), the day adjusts around it, so a long or hot training day is treated differently from an easy one, and the sport-aware tips and the coach can remind you to think about fluid and sodium when it actually matters. If you're unsure whether a given session warrants electrolytes, the coach is a sensible place to ask: it knows your goal and what you logged.

The under-2% body-mass guideline

The most widely used hydration target isn't a volume: it's a limit on how much you let yourself shrink. The long-standing guidance from the ACSM is to drink enough to keep body-mass loss under about 2% over a prolonged effort, rather than following a rigid ml-per-hour schedule. Beyond roughly that 2% mark, endurance performance tends to suffer, especially in the heat, as cardiovascular and thermal strain climb.

Two honest caveats keep this from becoming dogma. First, the 2% figure comes largely from controlled and hot-weather settings. In cooler conditions, and among athletes drinking to thirst, some studies show people finishing long events several percent down on body mass with no obvious performance penalty and no harm, so it's a sensible ceiling to respect on hard, hot, performance days, rather than a red line that ruins a cool morning jog. Second, "body-mass loss" during a very long event isn't purely water. You also burn fuel, so the scale slightly overstates true dehydration. The practical takeaway holds either way: on long or hot efforts, don't let yourself drift far past about 2% down. But chasing 0% loss by over-drinking is its own, worse mistake (see below).

Common misconception → correct it. "If I've lost any weight during a workout, I was dangerously dehydrated." Not necessarily. A small drop (a percent or two) is normal and generally well-tolerated, and part of that scale change is fuel you burned, on top of the water. The 2% guideline is a ceiling to stay under on demanding days, rather than a sign that every gram lost is a problem. The number that should actually worry you is a large loss on a hot, long day, or the opposite error: gaining weight during exercise from over-drinking.

What mild dehydration actually costs

"Even mild dehydration wrecks your performance" is repeated so often that it has stopped being examined. It is worth examining, because the three things people usually list (endurance, strength and concentration) have very different amounts of evidence behind them, and one of them is not supported at mild levels at all.

Endurance is the strongest of the three, and it is conditional. The review literature supports a threshold at around 2% of body mass for impaired endurance exercise. The important qualifier comes from a meta-analysis that split the studies by how they were run. Under laboratory protocols where the intensity is fixed for you, dehydration reduced performance by about 1.9%. Under time-trial conditions, where you set your own pace as you would in a real race, dehydration produced no impairment at all, and the review concluded that losses of up to 4% of body weight are very unlikely to impair real-world endurance performance. So the 2% guideline earns its keep on long, hot, fixed-effort days. It is a much weaker prediction about a self-paced weekend ride.

Strength is weaker than advertised, and probably confounded. A meta-analysis of 28 studies found strength down about 5.5% and muscle endurance down about 8.3% with hypohydration, while anaerobic capacity and vertical jump did not change significantly. Three findings inside that same analysis take most of the weight out of the headline. There was no dose-response: the size of the performance drop did not track the size of the fluid loss. Dehydration produced by exercise and heat cost roughly 2.8 times more than dehydration produced passively, which suggests much of the effect belongs to the heat and the work rather than to the missing water. And trained people showed smaller decrements than untrained ones. An earlier review put the strength cost nearer 2%. The honest summary is that for a trained lifter, 2% down, in a normal gym, the expected effect on your working sets is close to nothing.

Concentration at mild levels is not supported. This one is worth stating plainly because the meta-analysis normally cited for the claim is the one that undoes it. Its overall effect on cognitive performance was small, and when the studies were split by severity, losses of 2% of body mass or less produced an effect whose confidence interval touched zero. Only losses above 2% reached significance, which is exactly what the authors concluded. A separate review describes the cognitive effect as small and probably related to distraction and discomfort rather than to a direct cognitive mechanism. Drinking when you are thirsty is good practice. Sharper thinking is not a documented reward for it at mild levels.

Common misconception → correct it. "A 2% fluid loss makes you noticeably weaker and foggier." At 2%, strength effects are small, poorly dose-related and confounded by the heat used to produce them, and the cognitive effect is not statistically distinguishable from zero. Real, measurable trouble arrives with prolonged efforts, hot conditions and losses well past 2%, which is precisely the situation the rest of this guide is written for.

Reading your urine colour honestly

Pale-straw urine is the field check everyone uses, and it does come from real work: a 1994 study established the urine-colour scale as a practical marker in athletic and field settings. It is worth knowing what that study also said. Urine colour, osmolality and specific gravity were not significantly correlated with plasma osmolality, plasma sodium or haematocrit, and the authors wrote that colour may be used in athletic, industrial and field settings but should not be used where greater precision is required.

A later analysis sharpens the point in a way that changes how you should use it. For a one-off reading, only plasma osmolality is a reliable marker. Urine specific gravity and body mass are valid for tracking, meaning against your own established baseline. So the useful version of the advice is not "pale means hydrated" glanced at once. It is knowing what your own normal morning colour looks like, and noticing when several days run darker than that.

One common worry can be set aside. Riboflavin, vitamin C and beetroot at ordinary supplement doses were tested against the colour scale, and only vitamin C shifted colour significantly, by an amount the authors described as not clinically meaningful. Your multivitamin is not making the check useless.

Thirst, hunger, and water before a meal

There is a very popular claim that thirst is often mistaken for hunger, usually attached to an instruction to drink a glass of water and wait ten minutes to see whether the craving passes. We went looking for the evidence and found the opposite. This section exists because we would rather correct it here than let it sit unchallenged everywhere else.

The direct free-living test recorded hourly thirst, hunger, drinking and eating in 50 adults across seven consecutive days. If thirst were routinely being misread as hunger, thirst would predict eating. It did not: the correlation between thirst ratings and energy intake was 0.08, which is not significant. Two experimental studies dehydrated people deliberately and then let them eat freely. At about 1.8% of body mass lost, thirst rose and hunger and fullness did not, and energy intake was unchanged. At 2.8% lost, participants drank roughly twice as much water and still ate the same amount.

So mild dehydration produces a specific signal for water. It does not produce a general urge to eat, and the "wait ten minutes and half the time it passes" instruction has no study behind either number. Being thirsty and being hungry are two signals your body is perfectly capable of sending separately.

What is genuinely well evidenced is simpler and more useful: water before a meal reduces what you eat at that meal. Five hundred millilitres taken 30 minutes before a meal reduced energy intake at that meal by around 13% in overweight and older adults. There is a real age catch: the same 30-minute preload worked in older adults and did not work in younger ones. Timing appears to be what rescues it, because 568 ml taken immediately before eating did reduce intake in lean young men. Over 12 weeks, drinking 500 ml before each main meal produced roughly 2 kg more weight loss than a hypocaloric diet alone in one trial, and about 1.3 kg more in a primary-care trial, though that second figure lost statistical significance once the analysis was adjusted. Separately, a systematic review found energy intake ran about 7.8% higher when a sugar-sweetened drink was taken before a meal instead of water.

Common misconception → correct it. "If you feel peckish, you're probably just thirsty." Three direct tests say otherwise: hypohydration raises thirst specifically, leaves hunger ratings alone, and does not change how much people eat. The good version of the habit survives with a different reason attached. Drinking water before a meal genuinely reduces intake at that meal, and water in place of sweet drinks genuinely reduces intake over time. Do it because it works, rather than to decode a craving.

Sodium and electrolytes: when they matter

Sweat isn't just water: it carries salts, chiefly sodium (plus smaller amounts of potassium, chloride, calcium and magnesium). Sodium is the electrolyte that matters most for athletes, because it's lost in the largest amounts and it's central to fluid balance. The important, under-appreciated fact is that how salty your sweat is varies enormously between people. In one study of marathon runners, sweat sodium averaged around 43 mmol per litre but ranged from about 7 to 95 mmol per litre, more than a tenfold spread. Anyone above roughly 60 mmol/L is sometimes described as a "salty sweater" in practical guidance.

You can spot a salty sweater without a lab: white, gritty salt marks caked on skin, cap or dark kit after a hard session, stinging eyes from sweat, or a persistently salty taste are all clues that you're losing sodium at the higher end. That matters because two people doing the same event can have very different sodium needs.

So when does sodium actually earn a place in your bottle rather than just your meals? The honest answer is: later than most marketing implies, but genuinely for the right sessions. Broadly:

Convenient overlap: most carbohydrate sports drinks already contain sodium (commonly in the region of 0.5–0.7 g per litre), so for many people the same drink handles fuelling and electrolytes together. Afterwards, sodium in a recovery drink or simply salting your food helps you hold onto the fluid you take in, which is why plain water alone can be a slightly less effective way to rehydrate after big sweat losses.

Common misconception → correct it. "Electrolyte tablets prevent cramp, so everyone should take them for every workout." Overstated. Sodium losses are real and worth replacing on long, hot or salty-sweat sessions. But muscle cramp during exercise is complex and often driven by muscle fatigue and overload as much as by electrolytes, and the evidence that tablets reliably prevent it is mixed. Electrolytes are a tool for specific situations (duration, heat, heavy sweating). They are not a daily supplement everyone needs. Reaching for them before a short indoor session is usually solving a problem you don't have.

Drink to thirst vs planned drinking

There's a long-running debate in sports science between two philosophies, and the useful news is that they mostly agree for ordinary athletes. Drinking to thirst means letting your body's own thirst signal set the pace: simple, self-limiting, and hard to get badly wrong. Planned (programmed) drinking means following a schedule based on your measured sweat rate, to match losses more precisely.

For most people in most conditions, drinking to thirst is a sound default. Field studies consistently find that athletes who drink to thirst stay adequately hydrated, perform well, and (crucially) largely avoid the over-drinking that causes the dangerous problem in the next section. Some ultra-endurance studies have seen thirst-guided runners finish safely even several percent down on body mass. Thirst isn't a perfect real-time gauge, but it's a good one, and it rarely leads you to drink too much.

Planned drinking has its place, though, precisely where thirst can lag behind losses: prolonged efforts (beyond about 90 minutes) in real heat (roughly above 30 °C), or an experienced athlete doing multiple hard sessions in a day, where starting each one already down on fluid stacks up. In those settings, using your sweat-rate knowledge to drink a little proactively can reduce strain. The best of both worlds for most: thirst as your default, informed by knowing your sweat rate, so you can top up sensibly when the conditions are genuinely demanding, without ever forcing fluid past comfort.

The real risk of over-drinking

For decades the only hydration message athletes heard was "drink more." The correction that sports medicine has spent years trying to spread is that you can drink too much, and it can be far more dangerous than being a little dehydrated. Drinking more fluid than you sweat dilutes the sodium in your blood, and if blood sodium falls far enough you develop exercise-associated hyponatraemia (EAH): a condition that ranges from nausea, bloating, headache and confusion to, in severe cases, seizures, fluid on the brain and lungs, and death.

The key facts, from the international consensus on this condition:

The consensus advice is refreshingly simple: drink according to thirst, no more, no less. Because the same thirst-led approach that guards against harmful dehydration also guards against over-drinking, it's the safest general rule for most athletes, with planned drinking reserved for the demanding cases above.

Common misconception → correct it. "Drink as much as you can so you never get dehydrated, better safe than sorry." This is the myth that sports medicine most wants to retire, because it's actively unsafe. Over-drinking causes hyponatraemia, which is more dangerous than the mild dehydration it's trying to avoid, and no amount of added electrolyte makes over-drinking safe. "Better safe than sorry" here means replacing most of what you lose and stopping when thirst is satisfied, rather than pouring in fluid on a schedule regardless of need. If you finish a long event heavier than you started, you drank too much.
Strathlon Add activity screen with a training session being logged
Logging the session itself through Strathlon's "Add activity" flow. Recording it is what lets the day (and the sport-aware tips and coach) respond to a long or hot effort rather than treating every day the same.

Heat: when the stakes rise

Everything above matters more in the heat, because heat and dehydration compound each other. When it's hot you sweat more (so losses rise), and dehydration in turn reduces your ability to sweat and shift blood to the skin, so you cool less effectively just as you need to cool more. The result is a faster climb in core temperature and heart rate, and a steeper fall in performance.

The physiology is striking even at small losses. Research shows that a body-mass deficit of only around 1% can already raise core temperature during exercise, and that being both hypohydrated and hyperthermic can reduce maximal aerobic power by roughly 6% and cut time to exhaustion meaningfully compared with being well hydrated and cool. Beyond performance, the serious end of the spectrum is heat illness (heat exhaustion and, dangerously, heat stroke), which is a medical emergency and is about far more than hydration alone.

Sensible heat practices, none of them exotic:

Common misconception → correct it. "Cramp and feeling awful in the heat always means I need more water and salt." Sometimes, but not always, and the assumption can be dangerous. Heat symptoms can stem from overheating itself, from doing too much too fast in conditions you're not acclimatised to, or (if you've been drinking heavily) from over-hydration and low blood sodium, in which case more fluid makes it worse. In the heat, cooling and easing the pace are often as important as drinking, and confusion or collapse is a reason to stop and get help, rather than to drink another bottle.

Common questions

How much should I drink during exercise?

There is no single number, because sweat rates vary enormously, from well under half a litre to more than two litres an hour, depending on the person, the intensity and the heat. Rather than a fixed schedule, the long-standing sports-medicine guidance from the American College of Sports Medicine is to drink enough to keep body-mass loss under about 2% over a long effort. In practice that means learning your own sweat rate (below) and drinking to thirst plus that knowledge. For most everyday training under an hour, plain water and thirst are plenty. You don't need to force fluids.

How do I measure my sweat rate?

Weigh yourself (ideally naked, or in dry kit) immediately before and after a representative session of around an hour, and note anything you drank. Each kilogram of body mass lost is roughly one litre of sweat. Add back any fluid you drank during the session, then divide by the hours to get your sweat rate per hour. Repeat in different conditions (heat and hard efforts push the number up a lot) so you have a realistic sense of your losses rather than one figure for all situations.

Do I need electrolytes and sports drinks, or is water fine?

For most sessions under about an hour, water and normal meals cover your electrolyte needs. Sodium starts to matter for longer efforts (beyond roughly an hour), in the heat, and for heavy or salty sweaters, where the American College of Sports Medicine notes that including sodium in fluids during exercise longer than an hour can aid palatability and fluid retention. Sweat sodium varies hugely between people (from about 7 to 95 mmol per litre in one study of marathoners), so a salty sweater who cakes white marks on their kit needs sodium sooner than someone who barely loses any. Sodium becomes most important in very long events beyond a few hours.

Can you drink too much water during exercise?

Yes, and it can be dangerous. Drinking far more than you sweat can dilute blood sodium and cause exercise-associated hyponatraemia. The 2015 international consensus statement identifies over-drinking of fluids as the primary cause, and stresses that taking extra sodium or a sports drink does not prevent it if you are still over-drinking: the driver is total fluid volume. Their headline advice is to drink according to thirst, no more and no less. More fluid is not automatically safer. The aim is to replace most of what you lose, rather than to over-fill.

Should I drink to thirst or to a set schedule?

For most people and most conditions, drinking to thirst works well and reduces the risk of over-drinking. Field studies find thirst-guided athletes stay adequately hydrated and perform well. A planned drinking approach (informed by your measured sweat rate) can help in specific cases: prolonged efforts (beyond about 90 minutes) in real heat (roughly above 30°C), or an experienced athlete training multiple hard sessions a day, where thirst can lag behind losses. The sensible middle ground is thirst as your default, backed by knowing your own sweat rate so you can top up sensibly when conditions are extreme.

Does dehydration really hurt performance, especially in the heat?

Meaningful dehydration tends to raise heart rate and perceived effort, and in hot conditions it worsens performance: losing more than about 2% of body mass is the commonly cited threshold where endurance is affected. Heat and dehydration compound each other: even around a 1% loss can nudge core temperature up during exercise, and studies show that being both hypohydrated and overheated can reduce maximal aerobic power by around 6% and shorten time to exhaustion. That's why hot-weather sessions deserve more attention to fluid (and, for longer efforts, some sodium) than a cool easy run.

Takeaways

If you take one thing away, make it this: good hydration isn't about drinking as much as possible. It's about knowing roughly how much you lose and replacing most of it, leaning on thirst, and adding sodium when sessions get long, hot or salty. Strathlon's role is to keep the context honest: logging the session so a long or hot day is treated differently, and putting the coach a tap away when you're unsure whether this is a water day or an electrolyte one.

References

Numbered sources for the specific figures and ranges above. Where a point reflects agreed guidance rather than a single trial, the citation is to the position stand or consensus statement of the body concerned, with the country or international remit named. Hydration is one of the better-served areas: several national and international bodies have published position stands, and they broadly agree.

  1. Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS. American College of Sports Medicine position stand. Exercise and fluid replacement. Medicine and Science in Sports and Exercise. 2007;39(2):377–90. ACSM position stand on exercise and fluid replacement, the primary source for the under-2% body-mass-loss guideline and for personalising intake to measured sweat rate. PubMed 17277604
  2. McDermott BP, Anderson SA, Armstrong LE, Casa DJ, Cheuvront SN, Cooper L, et al. National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active. Journal of Athletic Training. 2017;52(9):877–895. National Athletic Trainers' Association position statement on fluid replacement, the source for the weigh-before-and-after method and the 1 kg lost to 1 L convention. PubMed 28985128 · PMC5634236 full text
  3. Barnes KA, Anderson ML, Stofan JR, Dalrymple KJ, Reimel AJ, Roberts TJ, et al. Normative data for sweating rate, sweat sodium concentration, and sweat sodium loss in athletes: An update and analysis by sport. Journal of Sports Sciences. 2019;37(20):2356–2366. Normative data for sweating rate and sweat sodium concentration in athletes, the source for the roughly 0.5 to 1.5+ L/h range and for how widely sodium losses vary between people. PubMed 31230518
  4. Baker LB. Sweating Rate and Sweat Sodium Concentration in Athletes: A Review of Methodology and Intra/Interindividual Variability. Sports Medicine. 2017;47(Suppl 1):111–128. Review of sweat rate and sweat sodium methodology and variability, supporting the point that your own figure has to be measured and re-measured in different conditions. PubMed 28332116 · PMC5371639 full text
  5. Hew-Butler T, Rosner MH, Fowkes-Godek S, Dugas JP, Hoffman MD, Lewis DP, et al. Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015. Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine. 2015;25(4):303–20. Third International Exercise-Associated Hyponatremia Consensus statement, the basis for the over-drinking warning and for sodium not making over-drinking safe. PubMed 26102445
  6. Almond CS, Shin AY, Fortescue EB, Mannix RC, Wypij D, Binstadt BA, et al. Hyponatremia among runners in the Boston Marathon. The New England Journal of Medicine. 2005;352(15):1550–6. The Boston Marathon study that put numbers on hyponatraemia prevalence in a mass-participation field, showing the risk is real rather than theoretical. PubMed 15829535
  7. Klingert M, Nikolaidis PT, Weiss K, Thuany M, Chlíbková D, Knechtle B. Exercise-Associated Hyponatremia in Marathon Runners. Journal of Clinical Medicine. 2022;11(22). Review of exercise-associated hyponatraemia in marathon runners, supporting the framing that over-drinking is the more dangerous error than mild dehydration. PubMed 36431252 · PMC9699060 full text
  8. Wittbrodt MT, Millard-Stafford M. Dehydration Impairs Cognitive Performance: A Meta-analysis. Medicine and Science in Sports and Exercise. 2018;50(11):2360–2368. Meta-analysis of dehydration and cognitive performance, the source for the claim that the cost shows up in decision-making as well as physical output. PubMed 29933347
  9. Nuccio RP, Barnes KA, Carter JM, Baker LB. Fluid Balance in Team Sport Athletes and the Effect of Hypohydration on Cognitive, Technical, and Physical Performance. Sports Medicine. 2017;47(10):1951–1982. Review of fluid balance in team-sport athletes and the effect of hypohydration on cognitive, technical and physical performance, covering the stop-start case. PubMed 28508338 · PMC5603646 full text
  10. Thomas DT, Erdman KA, Burke LM. Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. Journal of the Academy of Nutrition and Dietetics. 2016;116(3):501–528. Joint ACSM / Academy of Nutrition and Dietetics / Dietitians of Canada position on nutrition and athletic performance, the source for the sodium-beyond-an-hour guidance. PubMed 26920240
  11. Bergeron MF. Heat cramps: fluid and electrolyte challenges during tennis in the heat. Journal of Science and Medicine in Sport. 2003;6(1):19–27. Heat cramps and fluid and electrolyte challenges during tennis in the heat, the evidence behind salty sweaters needing electrolytes sooner. PubMed 12801207
  12. Burke LM, Hawley JA, Wong SH, Jeukendrup AE. Carbohydrates for training and competition. Journal of Sports Sciences. 2011;29 Suppl 1:S17–27. Burke and colleagues on carbohydrate for training and competition, supporting the point that sports drinks conveniently carry sodium alongside the carbohydrate. PubMed 21660838
  13. European Food Safety Authority (EFSA, European Union) Panel on Dietetic Products, Nutrition and Allergies. Scientific opinion on dietary reference values for water. EFSA Journal. 2010;8(3):1459. EFSA dietary reference values for water, the European baseline for everyday intake as distinct from exercise replacement. doi:10.2903/j.efsa.2010.1459
  14. National Health Service (NHS, United Kingdom). Water, drinks and hydration. NHS guidance on water, drinks and hydration, the everyday UK baseline this guide's exercise advice sits on top of. NHS Live Well
  15. Judelson DA, Maresh CM, Anderson JM, Armstrong LE, Casa DJ, Kraemer WJ, et al. Hydration and muscular performance: does fluid balance affect strength, power and high-intensity endurance? Sports Medicine. 2007;37(10):907–921. The earlier review of hydration and muscular performance, which put the strength cost at roughly 2% and power at roughly 3%. PubMed 17887814
  16. Savoie FA, Kenefick RW, Ely BR, Cheuvront SN, Goulet ED. Effect of Hypohydration on Muscle Endurance, Strength, Anaerobic Power and Capacity and Vertical Jumping Ability: A Meta-Analysis. Sports Medicine. 2015;45(8):1207–1227. Twenty-eight studies, and the source for every figure and caveat in the strength paragraph: the roughly 5.5% strength and 8.3% muscle-endurance decrements, the non-significant results for anaerobic capacity and vertical jump, the absence of any dose-response, the 2.8-fold difference between actively and passively induced dehydration, and the smaller effect in trained people. PubMed 26178327
  17. Goulet ED. Effect of exercise-induced dehydration on endurance performance: evaluating the impact of exercise protocols on outcomes using a meta-analytic procedure. British Journal of Sports Medicine. 2013;47(11):679–686. The ecological-validity split behind the endurance paragraph: impairment under fixed-intensity laboratory protocols, none under self-paced time-trial conditions, and the conclusion that losses up to 4% of body weight are very unlikely to impair real-world endurance performance. PubMed 22763119
  18. Cheuvront SN, Kenefick RW. Dehydration: physiology, assessment, and performance effects. Comprehensive Physiology. 2014;4(1):257–285. The authoritative review supporting the 2% endurance threshold, and the source for the statements that no clear threshold or plausible mechanism supports the marginal strength and power effects, and that the cognitive impairment potential appears small and related primarily to distraction or discomfort. PubMed 24692140
  19. Armstrong LE, Maresh CM, Castellani JW, Bergeron MF, Kenefick RW, LaGasse KE, et al. Urinary indices of hydration status. International Journal of Sport Nutrition. 1994;4(3):265–279. The origin of the urine-colour scale, and the source for its own stated limits: the urinary indices were not significantly correlated with plasma osmolality, plasma sodium or haematocrit, and colour is offered for field and athletic use rather than where precision is required. PubMed 7987361
  20. Cheuvront SN, Ely BR, Kenefick RW, Sawka MN. Biological variation and diagnostic accuracy of dehydration assessment markers. The American Journal of Clinical Nutrition. 2010;92(3):565–573. The static-versus-dynamic distinction: only plasma osmolality is a useful one-off marker, while urine specific gravity and body mass are valid for tracking against your own baseline. This is the source for reading urine colour as a trend rather than as a single verdict. PubMed 20631205
  21. Yates BA, Ellis LA, Muñoz CX, Armstrong LE. Diagnostic accuracy of urinary indices to detect mild dehydration in young men following acute riboflavin, Vitamin C or beetroot supplementation. Clinical Nutrition ESPEN. 2020;37:129–133. The test of whether common supplements ruin the colour check. Only vitamin C shifted colour significantly, and by an amount the authors described as not clinically meaningful. PubMed 32359734
  22. McKiernan F, Hollis JH, McCabe GP, Mattes RD. Thirst-drinking, hunger-eating; tight coupling? Journal of the American Dietetic Association. 2009;109(3):486–490. The closest direct free-living test of the thirst-mistaken-for-hunger idea: hourly appetite ratings against hourly energy intake in 50 adults over seven days, with thirst correlating with energy intake at 0.08, which is not significant. PubMed 19248867 · PMC2671201 full text
  23. Corney RA, Horina A, Sunderland C, James LJ. Effect of hydration status and fluid availability on ad-libitum energy intake of a semi-solid breakfast. Appetite. 2015;91:399–404. The experimental test at about 1.8% of body mass lost: a significant effect on thirst, none on hunger or fullness, and no change in energy intake. PubMed 25953599
  24. Corney RA, Sunderland C, James LJ. The effect of hydration status on appetite and energy intake. Journal of Sports Sciences. 2015;33(8):761–768. The same test at 2.8% of body mass lost: participants drank roughly twice as much water and ate the same amount. PubMed 25495101
  25. Davy BM, Dennis EA, Dengo AL, Wilson KL, Davy KP. Water consumption reduces energy intake at a breakfast meal in obese older adults. Journal of the American Dietetic Association. 2008;108(7):1236–1239. The source for the roughly 13% reduction in energy intake from 500 ml of water taken 30 minutes before a meal. PubMed 18589036 · PMC2743119 full text
  26. Van Walleghen EL, Orr JS, Gentile CL, Davy BM. Pre-meal water consumption reduces meal energy intake in older but not younger subjects. Obesity. 2007;15(1):93–99. The age limitation on the 30-minute preload, and the reason this guide states it rather than presenting the effect as universal. PubMed 17228036
  27. Corney RA, Sunderland C, James LJ. Immediate pre-meal water ingestion decreases voluntary food intake in lean young males. European Journal of Nutrition. 2016;55(2):815–819. The trial showing that moving the water to immediately before the meal restores the effect in young adults. PubMed 25893719
  28. Dennis EA, Dengo AL, Comber DL, Flack KD, Savla J, Davy KP, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity. 2010;18(2):300–307. The 12-week trial behind the roughly 2 kg additional weight loss from 500 ml before each main meal. PubMed 19661958 · PMC2859815 full text
  29. Parretti HM, Aveyard P, Blannin A, Clifford SJ, Coleman SJ, Roalfe A, et al. Efficacy of water preloading before main meals as a strategy for weight loss in primary care patients with obesity: RCT. Obesity. 2015;23(9):1785–1791. The primary-care trial, carried here with its own caveat: the roughly 1.3 kg advantage at 12 weeks did not remain statistically significant after adjustment. PubMed 26237305
  30. Daniels MC, Popkin BM. Impact of water intake on energy intake and weight status: a systematic review. Nutrition Reviews. 2010;68(9):505–521. The systematic review behind the finding that energy intake ran about 7.8% higher when a sugar-sweetened drink preceded a meal instead of water. PubMed 20796216 · PMC2929932 full text

This is general educational information rather than medical, dietary or coaching advice. The hydration figures here are drawn from established sports-medicine consensus and are framed as population-level guides: individual needs vary widely with body size, sweat rate and sweat sodium, fitness, conditions and health, and are best personalised with a qualified professional. Exercise-associated hyponatraemia and heat illness are medical emergencies; anyone experiencing confusion, collapse, persistent vomiting or a severe headache during or after exercise should stop and seek urgent medical care. Anyone with a health condition (including kidney, heart or blood-pressure conditions), who is pregnant or postpartum, or who is unsure about fluid or sodium needs, should consult a qualified professional before making changes. See our Terms for more.

← All guides · Fuelling for running · Fuelling for football · Fuelling for tennis · Eating for results · Understanding your stats · Home