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Erschienen in: Sports Medicine 1/2009

01.01.2009 | Current Opinion

Dehydration

Cause of Fatigue or Sign of Pacing in Elite Soccer?

verfasst von: Dr. Andrew M. Edwards, Timothy D. Noakes

Erschienen in: Sports Medicine | Ausgabe 1/2009

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Abstract

Numerous studies have suggested that dehydration is a causal factor to fatigue across a range of sports such as soccer; however, empirical evidence is equivocal on this point. It is also possible that exercise-induced moderate dehydration is purely an outcome of significant metabolic activity during a game. The diverse yet sustained physical activities in soccer undoubtedly threaten homeostasis, but research suggests that under most environmental conditions, match-play fluid loss is minimal (∼;1–2% loss of body mass), metabolite accumulation remains fairly constant, and core temperatures do not reach levels considered sufficiently critical to require the immediate cessation of exercise. A complex (central) metabolic control system which ensures that no one (peripheral) physiological system is maximally utilized may explain the diversity of research findings concerning the impact of individual factors such as dehydration on elite soccer performance. In consideration of the existing literature, we propose a new interpretative pacing model to explain the self-regulation of elite soccer performance and, in which, players behaviourally modulate efforts according to a subconscious strategy. This strategy is based on both pre-match (intrinsic and extrinsic factors) and dynamic considerations during the game (such as skin temperature, thirst, accumulation of metabolites in the muscles, plasma osmolality and substrate availability), which enables players to avoid total failure of any single peripheral physiological system either prematurely or at the conclusion of a match. In summary, we suggest that dehydration is only an outcome of complex physiological control (operating a pacing plan) and no single metabolic factor is causal of fatigue in elite soccer.
Literatur
1.
Zurück zum Zitat Maughan RJ, Leiper JB. Fluid replacement requirements in soccer. J Sports Sci 1994; 112: S29–34 Maughan RJ, Leiper JB. Fluid replacement requirements in soccer. J Sports Sci 1994; 112: S29–34
2.
Zurück zum Zitat Reilly T. Energetics of high intensity exercise (soccer) with particular reference to fatigue. J Sports Sci 1997; 15: 257–63PubMedCrossRef Reilly T. Energetics of high intensity exercise (soccer) with particular reference to fatigue. J Sports Sci 1997; 15: 257–63PubMedCrossRef
3.
Zurück zum Zitat Montain SJ, Coyle EF. Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J Appl Physiol 1992; 73: 1340–50PubMed Montain SJ, Coyle EF. Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J Appl Physiol 1992; 73: 1340–50PubMed
4.
Zurück zum Zitat Saunders AG, Dugas JP, Tucker R, et al. The effects of different air velocities on heat storage and body temperature in humans cycling in a hot, humid environment. Acta Physiol Scand 2005; 183: 241–55PubMedCrossRef Saunders AG, Dugas JP, Tucker R, et al. The effects of different air velocities on heat storage and body temperature in humans cycling in a hot, humid environment. Acta Physiol Scand 2005; 183: 241–55PubMedCrossRef
5.
Zurück zum Zitat Edwards AM, Mann ME, Marfell-Jones MA, et al. The influence of moderate dehydration on soccer performance: physiological responses to 45-min of outdoors match-play and the immediate subsequent performance of sportspecific and mental concentration tests. Br J Sports Med 2007; 41: 385–91PubMedCrossRef Edwards AM, Mann ME, Marfell-Jones MA, et al. The influence of moderate dehydration on soccer performance: physiological responses to 45-min of outdoors match-play and the immediate subsequent performance of sportspecific and mental concentration tests. Br J Sports Med 2007; 41: 385–91PubMedCrossRef
6.
Zurück zum Zitat Lambert EV, St Clair Gibson A, Noakes TD. Complex systems model of fatigue: integrative homeostatic control of peripheral systems during exercise in humans. Br J Sports Med 2005; 39: 52–62PubMedCrossRef Lambert EV, St Clair Gibson A, Noakes TD. Complex systems model of fatigue: integrative homeostatic control of peripheral systems during exercise in humans. Br J Sports Med 2005; 39: 52–62PubMedCrossRef
7.
Zurück zum Zitat Noakes TD, St Clair Gibson A. Logical limitations to the ‘catastrophe’ models of fatigue during exercise in humans. Br J Sports Med 2004; 38: 648–9PubMedCrossRef Noakes TD, St Clair Gibson A. Logical limitations to the ‘catastrophe’ models of fatigue during exercise in humans. Br J Sports Med 2004; 38: 648–9PubMedCrossRef
8.
Zurück zum Zitat Noakes TD, St Clair Gibson A, Lambert EV. From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans. Br J Sports Med 2004; 38: 511–4PubMedCrossRef Noakes TD, St Clair Gibson A, Lambert EV. From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans. Br J Sports Med 2004; 38: 511–4PubMedCrossRef
9.
Zurück zum Zitat Ulmer H-V. Concept of an extracellular regulation of muscular metabolic rate during heavy exercise in humans by psychophysiological feedback. Experientia 1996; 52: 416–20PubMedCrossRef Ulmer H-V. Concept of an extracellular regulation of muscular metabolic rate during heavy exercise in humans by psychophysiological feedback. Experientia 1996; 52: 416–20PubMedCrossRef
10.
Zurück zum Zitat Gisolfi CV, Copping JR. Thermal effects of prolonged treadmill exercise in heat. Med Sci Sports Exerc 1974; 6: 108–13 Gisolfi CV, Copping JR. Thermal effects of prolonged treadmill exercise in heat. Med Sci Sports Exerc 1974; 6: 108–13
11.
Zurück zum Zitat Walsh R, Noakes TD, Hawley J, et al. Impaired highintensity cycling performance time at low levels of dehydration. Int J Sports Med 1994; 15: 392–8PubMedCrossRef Walsh R, Noakes TD, Hawley J, et al. Impaired highintensity cycling performance time at low levels of dehydration. Int J Sports Med 1994; 15: 392–8PubMedCrossRef
12.
Zurück zum Zitat St Clair Gibson A, Lambert EV, Rauch HG, et al. The role of information processing between the brain and peripheral physiological systems in pacing and perception of effort. Sports Med 2006; 36: 705–22PubMedCrossRef St Clair Gibson A, Lambert EV, Rauch HG, et al. The role of information processing between the brain and peripheral physiological systems in pacing and perception of effort. Sports Med 2006; 36: 705–22PubMedCrossRef
13.
Zurück zum Zitat Sawka MN, Noakes TD. Does dehydration impair exercise performance? Contrasting perspectives. Med Sci Sports Exerc 2007; 39: 1209–17PubMedCrossRef Sawka MN, Noakes TD. Does dehydration impair exercise performance? Contrasting perspectives. Med Sci Sports Exerc 2007; 39: 1209–17PubMedCrossRef
14.
Zurück zum Zitat Reilly T, Secher N, Snell P, et al. Physiology of sports. London: E & FN Spon; 1990 Reilly T, Secher N, Snell P, et al. Physiology of sports. London: E & FN Spon; 1990
15.
Zurück zum Zitat Bangsbo J. The physiology of soccer: with special reference to intense intermittent exercise. Acta Physiol Scand 1994; 15: 1–156 Bangsbo J. The physiology of soccer: with special reference to intense intermittent exercise. Acta Physiol Scand 1994; 15: 1–156
16.
Zurück zum Zitat Mohr M, Krustrup P, Bangsbo J. Match performance of high-standard soccer players with special reference to the development of fatigue. J Sports Sci 2003; 21: 519–28PubMedCrossRef Mohr M, Krustrup P, Bangsbo J. Match performance of high-standard soccer players with special reference to the development of fatigue. J Sports Sci 2003; 21: 519–28PubMedCrossRef
17.
Zurück zum Zitat Reilly T, Thomas V. A motion analysis of workrate in different positional roles in professional football match-play. J Hum Mov Stud 1976; 2: 87–97 Reilly T, Thomas V. A motion analysis of workrate in different positional roles in professional football match-play. J Hum Mov Stud 1976; 2: 87–97
18.
Zurück zum Zitat Edwards AM, Clark N. Thermoregulatory observations in soccer match-play: professional and recreational level applications using an intestinal pill system to measure core temperature. Br J Sports Med 2006; 40: 133–8PubMedCrossRef Edwards AM, Clark N. Thermoregulatory observations in soccer match-play: professional and recreational level applications using an intestinal pill system to measure core temperature. Br J Sports Med 2006; 40: 133–8PubMedCrossRef
19.
Zurück zum Zitat Mohr M, Krustrup P, Nybo L, et al. Muscle temperature and sprint performance during soccer matches-beneficial effect of re-warm-up at half-time. Scand J Med Sci Sports 2004; 14: 156–62PubMedCrossRef Mohr M, Krustrup P, Nybo L, et al. Muscle temperature and sprint performance during soccer matches-beneficial effect of re-warm-up at half-time. Scand J Med Sci Sports 2004; 14: 156–62PubMedCrossRef
20.
Zurück zum Zitat González-Alonso J, Teller C, Andersen SL, et al. Influence of body temperature on the development of fatigue during prolonged exercise in the heat. J Appl Physiol 1999; 86: 1032–9PubMed González-Alonso J, Teller C, Andersen SL, et al. Influence of body temperature on the development of fatigue during prolonged exercise in the heat. J Appl Physiol 1999; 86: 1032–9PubMed
21.
Zurück zum Zitat Bangsbo J, Norregaard L, Thorsoe F. Activity profile of competition soccer. Can J Sports Sci 1991; 16: 110–6 Bangsbo J, Norregaard L, Thorsoe F. Activity profile of competition soccer. Can J Sports Sci 1991; 16: 110–6
22.
Zurück zum Zitat Bangsbo J, Mohr M. Variations in running speed and recovery time after a sprint during top-class soccer matches. Med Sci Sports Exerc 2005; 37: S87 Bangsbo J, Mohr M. Variations in running speed and recovery time after a sprint during top-class soccer matches. Med Sci Sports Exerc 2005; 37: S87
23.
Zurück zum Zitat Mohr M, Krustrup P, Bangsbo J. Fatigue in soccer: a brief review. J Sports Sci 2005; 23: 593–9PubMedCrossRef Mohr M, Krustrup P, Bangsbo J. Fatigue in soccer: a brief review. J Sports Sci 2005; 23: 593–9PubMedCrossRef
24.
Zurück zum Zitat St Clair Gibson A, Noakes TD. Evidence for complex system integration and dynamic neural regulation of skeletal muscle recruitment during exercise in humans. Br J Sports Med 2004; 38: 797–806PubMedCrossRef St Clair Gibson A, Noakes TD. Evidence for complex system integration and dynamic neural regulation of skeletal muscle recruitment during exercise in humans. Br J Sports Med 2004; 38: 797–806PubMedCrossRef
25.
Zurück zum Zitat Drust B, Atkinson G, Reilly T. Future perspectives in the evaluation of the physiological demands of soccer. Sports Med 2007; 37: 783–805PubMedCrossRef Drust B, Atkinson G, Reilly T. Future perspectives in the evaluation of the physiological demands of soccer. Sports Med 2007; 37: 783–805PubMedCrossRef
26.
Zurück zum Zitat Drust B, Reilly T, Cable NT. Physiological responses to laboratory- based soccer-specific intermittent and continuous exercise. J Sports Sci 2000; 18: 885–92PubMedCrossRef Drust B, Reilly T, Cable NT. Physiological responses to laboratory- based soccer-specific intermittent and continuous exercise. J Sports Sci 2000; 18: 885–92PubMedCrossRef
27.
Zurück zum Zitat Nicholas CW, Lakomy HK, Phillips A, et al. Influence of ingesting a carbohydrate-electrolyte solution on endurance capacity during intermittent, high-intensity shuttle running. J Sports Sci 1995; 13: 283–90PubMedCrossRef Nicholas CW, Lakomy HK, Phillips A, et al. Influence of ingesting a carbohydrate-electrolyte solution on endurance capacity during intermittent, high-intensity shuttle running. J Sports Sci 1995; 13: 283–90PubMedCrossRef
28.
Zurück zum Zitat Nicholas CW, Nuttall FE, Williams C. The Loughborough Intermittent Shuttle Test: a field test that simulates the activity pattern of soccer. J Sports Sci 2000; 18: 97–104PubMedCrossRef Nicholas CW, Nuttall FE, Williams C. The Loughborough Intermittent Shuttle Test: a field test that simulates the activity pattern of soccer. J Sports Sci 2000; 18: 97–104PubMedCrossRef
29.
Zurück zum Zitat Leger LA, Lambert J.A maximal multistage 20-m shuttle run test to predict. VO2max. Eur J Appl Physiol 1982; 49: 1–12CrossRef Leger LA, Lambert J.A maximal multistage 20-m shuttle run test to predict. VO2max. Eur J Appl Physiol 1982; 49: 1–12CrossRef
30.
Zurück zum Zitat Edwards AM, Clark N, Macfadyen AM. Test performance indicators from a single soccer specific fitness test differentiate between highly trained and recreationally active soccer players. J Sports Med Phys Fit 2003; 43: 14–20 Edwards AM, Clark N, Macfadyen AM. Test performance indicators from a single soccer specific fitness test differentiate between highly trained and recreationally active soccer players. J Sports Med Phys Fit 2003; 43: 14–20
31.
Zurück zum Zitat McGregor SJ, Nicholas CW, Lakomy HK, et al. The influence of intermittent high intensity shuttle running and fluid ingestion on the performances of a soccer skill. J Sports Sci 1999; 17: 895–903PubMedCrossRef McGregor SJ, Nicholas CW, Lakomy HK, et al. The influence of intermittent high intensity shuttle running and fluid ingestion on the performances of a soccer skill. J Sports Sci 1999; 17: 895–903PubMedCrossRef
32.
Zurück zum Zitat Mustafa KY, Mahmoud NE. Evaporative water loss in African soccer players. J Sports Med Phys Fitness 1979; 19: 181–3PubMed Mustafa KY, Mahmoud NE. Evaporative water loss in African soccer players. J Sports Med Phys Fitness 1979; 19: 181–3PubMed
33.
Zurück zum Zitat Maughan RJ, Merson SJ, Broad N, et al. Fluid and electrolyte intake and losses in elite soccer players during training. Int J Sports Nutr Ex Met 2004; 14: 333–46 Maughan RJ, Merson SJ, Broad N, et al. Fluid and electrolyte intake and losses in elite soccer players during training. Int J Sports Nutr Ex Met 2004; 14: 333–46
34.
Zurück zum Zitat Shirreffs SM, Aragon-Vargas LF, Chamorro M, et al. The sweating response of elite professional soccer players to training in the heat. Int J Sports Med 2005; 26: 90–5PubMedCrossRef Shirreffs SM, Aragon-Vargas LF, Chamorro M, et al. The sweating response of elite professional soccer players to training in the heat. Int J Sports Med 2005; 26: 90–5PubMedCrossRef
36.
Zurück zum Zitat Broad EM, Burke LM, Cox GR, et al. Body weight and voluntary fluid intakes during training and competition sessions in team sports. Int J Sports Nutr 1996; 6: 307–20 Broad EM, Burke LM, Cox GR, et al. Body weight and voluntary fluid intakes during training and competition sessions in team sports. Int J Sports Nutr 1996; 6: 307–20
37.
Zurück zum Zitat Byrne C, Lee JKW, Chew SAN, et al. Continuous thermoregulatory responses to mass-participation distance running in heat. Med Sci Sports Exerc 2006; 38: 803–10PubMedCrossRef Byrne C, Lee JKW, Chew SAN, et al. Continuous thermoregulatory responses to mass-participation distance running in heat. Med Sci Sports Exerc 2006; 38: 803–10PubMedCrossRef
38.
Zurück zum Zitat Burke LM, Hawley JA. Fluid balance in team sports: guidelines for optimal practices. SportsMed 1997; 24: 38–54PubMedCrossRef Burke LM, Hawley JA. Fluid balance in team sports: guidelines for optimal practices. SportsMed 1997; 24: 38–54PubMedCrossRef
39.
Zurück zum Zitat Maughan RJ, Shirreffs SM, Leiper JB. Errors in the estimation of hydration status from changes in body mass. J Sports Sci 2007; 25: 797–804PubMedCrossRef Maughan RJ, Shirreffs SM, Leiper JB. Errors in the estimation of hydration status from changes in body mass. J Sports Sci 2007; 25: 797–804PubMedCrossRef
40.
Zurück zum Zitat Shepard R.Meeting carbohydrate and fluids needs in soccer. Can J Sports Sci 1990; 15: 165–71 Shepard R.Meeting carbohydrate and fluids needs in soccer. Can J Sports Sci 1990; 15: 165–71
41.
Zurück zum Zitat Rauch HGL, St Clair Gibson A, Lambert EV. A signaling role for muscle glycogen in the regulation of pace during prolonged exercise. Br J Sports Med 2005; 39: 34–8PubMedCrossRef Rauch HGL, St Clair Gibson A, Lambert EV. A signaling role for muscle glycogen in the regulation of pace during prolonged exercise. Br J Sports Med 2005; 39: 34–8PubMedCrossRef
42.
Zurück zum Zitat Baldwin J, Snow RJ, Gibala MJ, et al. Glycogen availability does not affect the TCA cycle or TAN pools during prolonged, fatiguing exercise. J Appl Physiol 2003; 94: 2181–7PubMed Baldwin J, Snow RJ, Gibala MJ, et al. Glycogen availability does not affect the TCA cycle or TAN pools during prolonged, fatiguing exercise. J Appl Physiol 2003; 94: 2181–7PubMed
44.
Zurück zum Zitat Armstrong LE, Costill DL, Fink WJ. Influence of diureticinduced dehydration on competitive running performance. Med Sci Sports Exerc 1985; 17: 456–61PubMedCrossRef Armstrong LE, Costill DL, Fink WJ. Influence of diureticinduced dehydration on competitive running performance. Med Sci Sports Exerc 1985; 17: 456–61PubMedCrossRef
45.
Zurück zum Zitat Gopinathan PM, Pichan G, Sharma VM. Role of dehydration in heat stress-induced variations in mental performance. Arch Environ Health 1988; 43: 15–7PubMedCrossRef Gopinathan PM, Pichan G, Sharma VM. Role of dehydration in heat stress-induced variations in mental performance. Arch Environ Health 1988; 43: 15–7PubMedCrossRef
46.
Zurück zum Zitat Serwah N, Marino FE. The combined effects of hydration and exercise heat stress on choice reaction time. J Sci Med Sport 2006; 9: 157–64PubMedCrossRef Serwah N, Marino FE. The combined effects of hydration and exercise heat stress on choice reaction time. J Sci Med Sport 2006; 9: 157–64PubMedCrossRef
47.
Zurück zum Zitat Hoffman JR, Stavsky H, Falk B. The effect of water restriction on anaerobic power and vertical jumping height in basketball players. Int J Sports Med 1995; 16: 214–8PubMedCrossRef Hoffman JR, Stavsky H, Falk B. The effect of water restriction on anaerobic power and vertical jumping height in basketball players. Int J Sports Med 1995; 16: 214–8PubMedCrossRef
48.
Zurück zum Zitat St Clair Gibson A, Baden DA, Lambert MI, et al. The conscious perception of the sensation of fatigue. Sports Med 2003; 33: 167–76PubMedCrossRef St Clair Gibson A, Baden DA, Lambert MI, et al. The conscious perception of the sensation of fatigue. Sports Med 2003; 33: 167–76PubMedCrossRef
49.
Zurück zum Zitat Robinson T, Hawley J, Palmer G, et al. Water ingestion does not improve 1-h cycling performance in moderate ambient temperatures. Eur J Appl Physiol 1995; 71: 153–60CrossRef Robinson T, Hawley J, Palmer G, et al. Water ingestion does not improve 1-h cycling performance in moderate ambient temperatures. Eur J Appl Physiol 1995; 71: 153–60CrossRef
50.
Zurück zum Zitat St Clair Gibson A, Schabort EJ, Noakes TD. Reduced neuromuscular activity and force generation during prolonged cycling. Am J Physiol Regul Integr Comp Physiol 2001; 281: R187–96PubMed St Clair Gibson A, Schabort EJ, Noakes TD. Reduced neuromuscular activity and force generation during prolonged cycling. Am J Physiol Regul Integr Comp Physiol 2001; 281: R187–96PubMed
51.
Zurück zum Zitat Smaros G. Energy usage during a football match. In: Vecchiet L, editor. Proceedings of the 1st International Congress on Sports Medicine Applied Football; 1979. Rome: Guanello; 1980: 801 Smaros G. Energy usage during a football match. In: Vecchiet L, editor. Proceedings of the 1st International Congress on Sports Medicine Applied Football; 1979. Rome: Guanello; 1980: 801
52.
Zurück zum Zitat Costill DL, Bennett A, Branam G, et al. Glucose ingestion at rest and during prolonged exercise. J Appl Physiol 1973; 34: 764–9PubMed Costill DL, Bennett A, Branam G, et al. Glucose ingestion at rest and during prolonged exercise. J Appl Physiol 1973; 34: 764–9PubMed
53.
Zurück zum Zitat Noakes TD. Physiological models to understand exercise fatigue and the adaptations that predict or enhance athletic performance. Scan J Med Sci Sports 2000; 10: 123–45CrossRef Noakes TD. Physiological models to understand exercise fatigue and the adaptations that predict or enhance athletic performance. Scan J Med Sci Sports 2000; 10: 123–45CrossRef
55.
Zurück zum Zitat Hochachka PW. Muscles as molecular and metabolic machines. Boca Raton (FL): CRC Press, 1994 Hochachka PW. Muscles as molecular and metabolic machines. Boca Raton (FL): CRC Press, 1994
56.
Zurück zum Zitat Mannion AF, Jakeman PM, Willan PLT. Skeletal muscle buffer value, fibre type distribution and high intensity exercise performance in man. Exp Physiol 1995; 80: 89–101PubMed Mannion AF, Jakeman PM, Willan PLT. Skeletal muscle buffer value, fibre type distribution and high intensity exercise performance in man. Exp Physiol 1995; 80: 89–101PubMed
57.
Zurück zum Zitat Tucker R, Bester A, Lambert EV, et al. Non-random fluctuations in power output during self-paced exercise. Br J Sports Med 2006; 40: 912–7PubMedCrossRef Tucker R, Bester A, Lambert EV, et al. Non-random fluctuations in power output during self-paced exercise. Br J Sports Med 2006; 40: 912–7PubMedCrossRef
58.
Zurück zum Zitat Foster C, Schrager M, Snyder AC, et al. Pacing strategy and athletic performance. Sports Med 1994; 17: 77–85PubMedCrossRef Foster C, Schrager M, Snyder AC, et al. Pacing strategy and athletic performance. Sports Med 1994; 17: 77–85PubMedCrossRef
59.
Zurück zum Zitat Paterson S, Marino FE. Effect of deception of distance on prolonged cycling performance. Percept Mot Skills 2004; 98: 1017–26PubMedCrossRef Paterson S, Marino FE. Effect of deception of distance on prolonged cycling performance. Percept Mot Skills 2004; 98: 1017–26PubMedCrossRef
60.
Zurück zum Zitat Noakes TD, Sharwood K, Speedy D, et al. Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2135 weighed competitive athletic performances. PNAS 2005; 102: 18550–5PubMedCrossRef Noakes TD, Sharwood K, Speedy D, et al. Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2135 weighed competitive athletic performances. PNAS 2005; 102: 18550–5PubMedCrossRef
Metadaten
Titel
Dehydration
Cause of Fatigue or Sign of Pacing in Elite Soccer?
verfasst von
Dr. Andrew M. Edwards
Timothy D. Noakes
Publikationsdatum
01.01.2009
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 1/2009
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.2165/00007256-200939010-00001

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