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GMJ News > GMJ Briefs > New Hydration Protocol Reveals Personalised Fluid and Sodium Targets for Athletes

New Hydration Protocol Reveals Personalised Fluid and Sodium Targets for Athletes

GMJ
Last updated: 05/08/2026 11:30
By
Prof. Giorgi Pkhakadze
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Illustration of hydration strategy by exercise duration showing fluid and sodium targets
An evidence-based hydration protocol establishes clear targets for fluid and electrolyte intake: 30–35 mL per kilogram daily, 300–1,000 mg sodium per hour during prolonged exercise, and 150% fluid replacement post-exercise. Personalisation based on sweat rate is essential. — Photo by RUN 4 FFWPU on Pexels (Pexels License)
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1 min read|139 words

Athletes often rely on outdated hydration strategies that fail to account for individual variation in sweat rate and electrolyte losses. A new evidence-based hydration protocol, reviewed by leading sports medicine experts, provides clear targets across three critical phases: daily baseline intake, pre-exercise preparation, and post-activity recovery.

The framework recommends 30–35 mL fluid per kilogram of bodyweight as a daily foundation, with pale yellow urine serving as a practical marker of adequate hydration status. During prolonged exercise lasting more than 60 minutes, athletes require 500–1,000 mL fluid paired with 300–1,000 mg sodium per hour, depending on exercise intensity and environmental conditions. Post-exercise recovery demands replacement of 150% of fluid lost over 2–4 hours, combined with sodium and food to optimise retention.

Crucially, the protocol emphasises individualisation. Athletes must test their personal sweat rate and sodium losses during training rather than relying on generic recommendations during competition.

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📰 Read the full article: Evidence-Based Hydration Protocol: How Much Fluid and Sodium Athletes Actually Need →

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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