Should your hydration strategy change as you get older?
Human life expectancy is increasing rapidly, with some current predictions suggesting that women will pass the 90 year mark relatively soon (well, those lucky enough to be born in South Korea in 2030 anyway). This is amazing when you think that just less than a century ago the average life expectancy in the U.K. in 1921 was pegged at 59 for women and just 55 for men.
This dramatic increase in is largely credited to breakthroughs in the control of infectious diseases, childhood immunisation, improvements in nursing and - in more recent times - treatments for heart disease, cancer and other ailments of ageing. Together these factors have given the Brits amongst us a realistic shot of getting that 100th birthday letter from Her Majesty the Queen…
The fact that we’re living much longer (combined with increases in free leisure time) has meant that more and more older adults are taking part in serious sporting events and achieving things that would not have seemed possible even a few generations ago.
Like Rob Barel winning the men’s 60-64 age group at the 2017 Ironman World Championships in Kona in a staggering 9 hours and 46 minutes - a time that would have placed him in the top 10 of the race overall well into the mid 1980s!
Or when the late, great veteran marathon runner Ed Whitlock ran a 2 hour 54 minute marathon aged 70 in the early 2000s. He even went on to produce a 3 hour 54 minute effort when he moved into the 85+ category in 2016!
Overall participation rates in the older age groups in all manner of races and events are increasing year on year too.
This groundswell of older athletes taking up sport raises some interesting and important questions about their specific training, performance and recovery needs, with hydration being one specific factor worth singling out in particular.
Why is hydration particularly important for older athletes?
1) You have less water on board to start with, so dehydration is more of a risk
Around 60-70% of your total body water is locked inside your cells in the intra-cellular compartment (and it’s known as ICF), with the remainder sloshing around outside them as extra-cellular fluid (ECF).
Because your muscle cells contain a large amount of your ICF volume, the amount of muscle mass you have has a big influence on your total body water levels. Losing lean muscle tissue is an inevitable consequence of getting older (especially past the age of 50), so it follows that your total body water content declines as you age.
I’ve seen it reported that losing 4-6 litres of today body water between the ages of 20 and 80 is in the normal range, although there isn’t consensus in this area and my guess is that this may well vary considerably from individual to individual.
Although training (especially lifting weights) can help to reduce the loss of muscle mass with ageing to a certain degree, it’s basically impossible to halt it altogether. With this loss of muscle you also lose a significant chunk of your ‘reservoir’ of fluids as you age, meaning that dehydration can occur more rapidly when you’re sweating a lot than it can for younger athletes.
2) You tend to lose more water through urine, so dehydration is more of a risk
Another factor that impacts hydration levels in older people is that kidney function tends to deteriorate as you get older as well. Reduced kidney function means less concentrated urine can be produced and, as a result, more free water is lost when you pee.
This may be compounded in some by a reduction in levels of aldosterone, a hormone responsible for helping your body hold onto water more effectively. Less aldosterone = peeing more frequently = more total body water flushed down the pan each day.
3) Your sensation of thirst is diminished, so - you guessed it - dehydration is more of a risk!
A study published in 2001 clearly demonstrated that, whilst adults over 65 tended to drink sufficient fluids to maintain normal hydration status on a day to day basis, when their hydration levels were challenged by periods of sweating, their sensation of thirst - and therefore their tendency to rehydrate effectively - was compromised when compared with younger people.
That chimes with what Linda Ashmore, who was the 70-74 Age Group Champion at the 2017 Ironman World Championships, told me…
“I can certainly relate to being less aware of my hydration needs.
I have a routine that makes me drink regularly during the day, otherwise I don't drink enough. I make myself drink prior to and after training, especially when running and cycling where I often don't drink at all during the session. I know when I’m dehydrated as I have problems sleeping - so I try to avoid it all all costs!”
The participants in that study tended to correct this dehydration eventually, but possibly more slowly than would be compatible with optimal recovery from performance in high intensity sport.
These three factors suggest that older athletes need to be a bit more diligent with their hydration practices than youngsters as the margin for error is reduced and the risk of dehydration is somewhat increased.
So, what can older athletes do to avoid dehydration?
Well, for starters, just being aware that you probably need to drink a bit more is an obvious place to start. But, I’ve written about the perils of dramatically over-consuming fluids before.
In a nutshell, hyponatremia is a very real risk and this can really impact your performance and make you pretty ill, so that advice needs to be taken with a degree of moderation and common sense.
A more specific tactic is to aim to take in some additional sodium with your fluids when you’re sweating. Sodium helps you hold onto more water in your extra-cellular fluid and bloodstream and this reduces cardiovascular strain, helping you maintain your performance.
The concentrations of sodium in your body fluids are finely balanced by various processes, so it can be a sensible idea to add a bit of extra salt to your food - and/or some sodium supplements in your drinks - at times when you know your hydration levels might be challenged. Increasing your sodium intake also increases thirst, which should urge you to drink more too.
As an aside, it’s worth noting that the 1,000mg/l and 1,500mg/l electrolyte supplements we make at Precision Hydration are 2x and 3x stronger than typical sports drinks, so they’re often very popular with older athletes who’re struggling to stay properly hydrated with water or weak hydration supplements alone.
If you're an older athlete who struggles with hydration issues like dehydration or cramp after longer period of sweating, it's worth taking our free online Sweat Test to help you get started with personalising your hydration strategy. And, if you have any questions at all, just drop us an email.