I emailed the guys at eCaps and got a long response from Steve Born. They profess a low sodium approach and believe science is on their side.
Here’s the email from Steve:
Hello Michael -
The topic of sodium replenishment during exercise has been hotly
debated for years, with many theories being presented. The most compelling one that
I have read and applied with tremendous success in my own training over
the years is based on Dr. Bill Misner’s research, which suggests that a
more moderate, body mechanism-cooperative approach is most appropriate. You
can access this well-researched, science-based article on our web site.
Click on
this link…
www.e-caps.com/knowledge/index.cfm?template=endurancelib&div=Endurance%20Library
… and it will be the last choice available (“Why a low sodium
electrolyte
replacement”). I think you’ll find this article to be of interest.
In layman’s terms, what I can offer you is this:
1.) All athletes have a huge reservoir of sodium/salt in body tissues -
something to the effect of nearly 8000 - 10000 mg - which the body will
use during exercise. In other words, you already have a huge amount of
sodium in your body, which will, at least partially, satisfy your body’s
requirements during exercise.
2.) Sodium losses are indeed great, especially if the athlete is unfit
or
unacclimated, and will be most realized at the onset of exercise.
Fortunately, the body, knowing that it cannot replenish calories,
fluids, or
electrolytes at the same rate that it’s being depleted, has a
marvelously intricate and efficient “checks and balance” system already in place.
In regards to sodium it utilizes the hormone aldosterone, which basically
monitors serum sodium levels and, when sensing that levels are getting
too low, re-circulates sodium back into the blood via a very complex set of
mechanisms through the liver.
3.) Now, even though the body will re-circulate sodium back into the
blood for maintaining homeostasis, it still needs a replenishment dose. The
key is to provide a dose that augments, enhances, and cooperates with the
functions of aldosterone, not a dose that overrides it. When the body senses a
too-high exogenous donation of salt the functions of aldosterone are
neutralized and another hormone, vasopressin predominates. Vasopressin
will actually cause the body NOT to re-circulate sodium but rather excrete
it at higher rates. In addition, aldosterone, which is also called the
anti-diuretic hormone, will cause edema-like symptoms in the body,
which are manifested in swollen hands, wrists, feet, ankles, and face. Athletes
who finish lengthy workouts or races exhibiting these symptoms have most
likely over-salted their bodies. Their too-high dose of sodium, instead of
helping their performance, has hindered or ruined it.
The key thing to remember Michael, and this is true for fluid and
calories as well as electrolytes, is that the body cannot accept a donation that
comes close to matching depletion rates. Fortunately, the body “knows”
that it can’t, which is why it has all these complex mechanisms in place to
protect itself. As Dr. Misner writes,
"To suggest that fluids, sodium,
and fuels-induced glycogen replenishment can happen at the same rate as it
is spent during exercise is simply not true. Endurance exercise beyond 1-2
hours is a deficit spending entity, with proportionate return or
replenishment always in arrears. The endurance exercise outcome is to
postpone fatigue, not to replace all the fuel, fluids, and electrolytes
lost during the event. It can’t be done, though many of us have tried.”
All this being said, I respectfully disagree with the athletes and
coaches that recommend such high intakes of sodium during exercise and I truly
believe that athletes who attempt to replenish sodium at these
extremely high rates are not enhancing their performance but rather hindering it.
I believe science, as well as my own experiences over the years, suggests
that a more moderate, body mechanism cooperative consumption of sodium is
more appropriate. For example, I completed an ultra marathon cycling record
which saw me on my bike for over 75 hours (I did a Double Furnace Creek 508).
Not once during the entire attempt (which took place in the Mojave Desert,
albeit in October… it was still quite warm) did I ever consume more
than 6 Endurolytes hourly, a salt donation of 600 mg (240 mg elemental sodium,
360 mg elemental chloride). I never had any cramping problems, I never had
any issues that would suggest my electrolyte intake was insufficient, and I
enjoyed good performance (and set a record) as a result.
Anyway, I hope this information - and especially Dr. Misner’s article -
will provide good information for you Michael. I have CC’d Dr. Bill for any
comments he may wish to make. If you have any questions or need further
information please don’t hesitate to email either of us.
Good luck in your training and racing!
Sincerely -
Steve Born
Senior Technical Advisor
Event/Athlete Sponsorship Coordinator
www.e-caps.com
1-800-336-1977