Published on: 10-Feb-2026
As a sports medicine physician, one of the most common—and preventable—issues I see in athletes is the impact of poor hydration. Whether it’s a recreational runner or a competitive collegiate athlete, dehydration can quietly chip away at performance, recovery, and even safety.
Why Hydration Matters
Water makes up about 60% of the human body, and in athletes, fluid balance is directly tied to endurance, strength, and focus. Even mild dehydration—as little as a 2% loss of body weight from fluid—can cause noticeable declines in performance, including:
- Faster fatigue
- Slower reaction times
- Impaired strength and endurance
- Increased risk of cramps, heat illness, and injury
Hydration also regulates core body temperature, maintains blood volume, and aids in transporting nutrients to working muscles. In short: without proper hydration, the body simply cannot perform at its best.
What Should Athletes Drink?
Not all fluids are equal when it comes to athletic performance. Here’s how different hydration options stack up:
- Water
- Best for light to moderate exercise lasting under an hour.
- Simple, effective, and calorie-free.
- Every athlete should build water as their hydration foundation.
- Sports Drinks
- Useful for workouts lasting longer than 60 minutes, especially in heat.
- Provide carbohydrates (fuel) and electrolytes (sodium, potassium, chloride) that replace what’s lost in sweat.
- Can delay fatigue and reduce cramping when used appropriately.
- Electrolyte Tablets or Powders
- Low-calorie options that can be added to water.
- Ideal when athletes want electrolyte support without the sugar load of traditional sports drinks.
- Chocolate Milk
- A surprisingly effective recovery drink after intense sessions.
- Provides the optimal 3:1 carbohydrate-to-protein ratio for glycogen replenishment and muscle repair.
- Not ideal during exercise, but excellent immediately post-workout.
- Energy Drinks or Soda
- Not recommended for hydration.
- High sugar and caffeine may cause spikes and crashes, with little benefit to fluid balance.
Practical Hydration Tips
- Pre-hydrate: Begin practice or competition well hydrated. Urine that’s pale yellow is a good indicator.
- During activity: Aim for 4–8 ounces of fluid every 15–20 minutes, adjusting for heat and sweat rate.
- After activity: Replace 150% of fluid lost over the next few hours. Weighing before and after practice can guide replacement.
Final Thoughts
Hydration is one of the simplest ways to optimize performance, yet it’s often overlooked. By choosing the right fluids at the right times, athletes can perform at higher levels, recover faster, and reduce their risk of heat illness and injury.
The post Hydration: The Foundation of Athletic Performance appeared first on Sports Medicine Weekly By Dr. Brian Cole.