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July 26, 2009

When temperatures soar, be extra cautious on runs

It seems like it is a little late to mention that, when the hot weather arrives, runners need to be cautious of heat-related problems.

We have had hot weather now for some time; and runners too often find out from experience that you have to adjust your running distance and speed for your daily run. Usually this means a shorter distance and a slower time.

The most common problems associated with hot weather running are heat cramps, heat exhaustion and heat stroke. Heat cramps for a runner are often hard to recognize, as on long runs the muscles get tired, and on some occasions add a little discomfort to the run. This is a common malady, and the runner may associate the discomfort as muscle fatigue and not heat cramps.

Heat exhaustion is another matter. The body will sweat, and that is also expected while running on a hot day. The difference is that it is a “cold” sweat, and the runner may experience “goose bumps” on the arms. There may be a prickly feeling on the back of the neck, and concentration seems to be difficult. Simple math problems like pace calculation are hard to figure, and the runner may even lose track of where he is on the route that he has chosen.

These are some of the signs of heat exhaustion. When any of these warning signs appear, it is a signal that the run is over; and the runner needs to find a cool place to rest and get some cold water into the body. Do not try to push through these warning signs, as the next step is possible heat stroke.

Heat stroke is very serious. The skin becomes dry, the pulse rate becomes very rapid and the skin feels hot. Shortly after these signs appear the runner will find that he or she cannot run and will start to walk, and may even stagger and fall down. Cooling the body is critical now, and cold water over the entire body is a good start if the runner is still able to function. A good garden-hose shower in the front yard is a start.

If heat stroke continues too far, the next best thing is to call 911 and get an ambulance on the way to rehydrate and cool the runner down on the way to the hospital.

There is a lot of misinformation on how much water a person needs during a run or just in everyday use. The common standard most of us have heard is to drink eight eight-ounce glasses of water a day.

This started back in the 1940s, when a group of scientists made a recommendation of drinking one milliliter of water for every calorie eaten. For a 2000-calorie meal eaten, this means 2 liters of water, or roughly 64 ounces, or eight glasses of eight ounces. The people that put this rough rule of thumb down also mentioned that some of this water intake could come from food sources. Even white bread is 30 percent water, so that would count in that total intake of water.

There is some concern among some people that drinking tea or coffee will not count, as they are diuretics and cause water loss. This occurs if the person drinks very large quantities of tea or coffee, but a few glasses will not be a problem.

It seems strange, and it may happen only on rare occasions that the runner may drink too much water. This usually happens with marathon runners who do not want to end up dehydrated during the run. The water dilutes the blood of sodium, and then the water moves into the cells of the body. The cells can usually tolerate this, but the cells in the brain do this very poorly and cannot expand because of the skull. It basically becomes water intoxication and causes headaches and confusion.

Our systems will adjust to a shortage of water when the blood becomes slightly concentrated, and the anti-diuretic hormone reabsorbs more water from the kidneys and returns it to the blood. A basic rule to follow is to drink if you are thirsty; and it really does not make that much difference if you drink 15 liters a day or only one or two liters.

Water seems to be best for this, and added “nutrients” such as fiber water, vitamin water, antioxidant water, energizing drink, etc. are of no extra benefit. Some drinks make you feel better because of the amounts of caffeine in them that seems to pick you up.

Whether you drink a lot or only a smaller amount, the best guide is to drink the amount that makes you feel good and keeps you out of harm’s way. Other than that, pay attention to the warning signs of the problems that may be associated with hot temperatures during your runs.
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Dr. Maurice Johnson - better known around San Marcos as “Moe” - is a professor in the Department of Health, P.E., Recreation and Dance at Texas State University - San Marcos. Moe has been a fixture in the San Marcos running community - both as a runner and race organizer - since way back when Moby Dick was a minnow. His column on running and fitness appears each Sunday in the Sports section of the San Marcos Daily Record.

Recent “Running With Moe” Columns

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