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A.2.1 Water and electrolyte balance

Water and Electrolyte Balance: Essential for Optimal Body Functioning

Picture yourself running a marathon on a scorching summer day. With each step, you feel sweat dripping down your face, your body working hard to keep cool. But as the miles stack up, you begin to feel lightheaded, your muscles cramp, and your energy wanes. What’s happening? Your body is struggling to maintain its water and electrolyte balance—a crucial factor for both health and athletic performance.

The Basics of Water and Electrolyte Balance

Water and electrolytes are fundamental to your body’s ability to function properly. Water acts as a medium for chemical reactions, regulates body temperature, and transports nutrients and waste. Electrolytes—charged particles like sodium (Na⁺), potassium (K⁺), and chloride (Cl⁻)—are essential for nerve signalling, muscle contraction, and maintaining fluid balance between cells and their surroundings.

How Water and Electrolytes Enter and Exit the Body

Your body constantly exchanges water and electrolytes with its environment. Let’s break this down into two key processes: intake and loss.

  1. Intake: Water and electrolytes are absorbed primarily through the digestive system after being consumed in food and drinks. For instance, a sports drink provides water and key electrolytes like sodium and potassium, which are absorbed into your bloodstream to replenish what’s lost.
  2. Loss: Water and electrolytes leave your body through:
    • Sweat and Breathing: Sweat releases water and small amounts of electrolytes, especially during physical activity. Water is also lost through exhalation.
    • Urine and Faeces: The kidneys play a critical role in regulating water and electrolyte levels. They filter your blood, excreting excess water and electrolytes through urine while retaining what your body needs.

Tip

During exercise in hot conditions, your body loses more water and electrolytes through sweat. Be sure to hydrate with fluids that contain electrolytes to replace these losses.

Consequences of Imbalance: Dehydration, Hypernatremia, and Hyponatremia

When water and electrolyte balance is disrupted, your health and performance can suffer. Let’s explore three common conditions that result from imbalance:

1. Dehydration

Dehydration occurs when you lose more water than you take in. This might happen due to excessive sweating, insufficient fluid intake, or illnesses like diarrhea. Symptoms include thirst, dry mouth, fatigue, and reduced physical performance. Severe dehydration can escalate to heat exhaustion or heatstroke.

Example

Imagine a cyclist participating in a long-distance event. If they fail to drink enough water, dehydration can set in, leading to reduced endurance and slower reaction times.

2. Hypernatremia

Hypernatremia is an abnormally high concentration of sodium in the blood, often caused by inadequate water intake or excessive water loss. Symptoms include confusion, irritability, and muscle twitching. In severe cases, it can lead to seizures or coma.

Common Mistake

Hypernatremia is not typically caused by eating too much salt. Instead, it usually results from insufficient water to balance sodium levels.

3. Hyponatremia

Hyponatremia occurs when sodium levels in the blood are too low, often due to drinking excessive amounts of plain water without replacing electrolytes. This condition is common in endurance athletes who overhydrate during prolonged exercise. Symptoms include nausea, headache, confusion, and in severe cases, swelling of the brain.

Note

Hyponatremia is sometimes called “water intoxication.” It underscores the importance of balancing water intake with adequate electrolyte replenishment.

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