Does Gatorade Actually Work?
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In a commentary accompanying the investigations in the journal, Timothy Noakes, chair of sports science at the University of Cape Town, points out that overhydration presents a far greater risk of serious complications, and even death, than dehydration. Moreover, he notes, the notion that fluid and electrolytes must be immediately replaced is based on a fundamental misunderstanding of our past as "long distance persistence hunters" in arid regions of Africa.
"Humans do not regulate fluid balance on a moment to moment basis," Noakes writes. "Because of our evolutionary history, we are delayed drinkers and correct the fluid deficits generated by exercise at, for example, the next meal, when the electrolyte (principally sodium but also potassium) deficits are also corrected…People optimize their hydration status by drinking according to the dictates of thirst. Over the past 40 years humans have been misled—mainly by the marketing departments of companies selling sports drinks—to believe that they need to drink to stay 'ahead of thirst' to be optimally hydrated."