Fluid Replacement and Performance During the Marathon
Abstract
The primary purpose of this review is to relate a universal strategy for replacing fluids to optimise marathon performance. A secondary purpose is to examine common 'matters of debate' that may modify fluid needs to include the importance of realistic convective air flow, metabolic water production and waters of association with glycogen. The metabolic demands of marathon running can result in substantial sweat losses and levels of dehydration consistent with compromised endurance performance. Recommendations are provided to individualise fluid intakes with the goal of preventing excessive dehydration (>2% body mass) as well as weight gain. The minor importance of 'matters of debate' to fluid replacement is also discussed.
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Abstaining from fluid resulted in an average dehydration of 3.3% and 5.3% in cool and warm conditions, respectively.
“Furthermore, abstaining from fluid resulted in an average dehydration of 3.3 and 5.3%, respectively [78].”
From International Society of Sports Nutrition Position Stand: nutritional considerations for single-stage ultra-marathon training and racing (2019) · cites this paper as [78]
Over longer training distances (marathon), high-level runners exhibited a body weight loss of 0.3% and 1.7% in cool and warm conditions, respectively, even when consuming fluid at 1 L·h−1.
“Over longer training distances (marathon), high-level runners exhibited a body weight loss of 0.3 and 1.7%, in cool and warm conditions, respectively, even when consuming fluid at a rate of 1 L·h− 1 [78].”
From International Society of Sports Nutrition Position Stand: nutritional considerations for single-stage ultra-marathon training and racing (2019) · cites this paper as [78]
Cites
Plum, F. (1960) · Archives of Neurology · doi:10.1001/archneur.1960.03840090124020 · Cited by 10,388 · see citing works
ACSM Position Stand: Exercise and Fluid Replacement
Convertino, V. A., Armstrong, L. E., Coyle, E. F., Mack, G. W., Sawka, M. N., Senay, L. C., & Sherman, W. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199610000-00045 · Cited by 1,977 · see citing works
Self-citationThermoregulation and Marathon Running
Cheuvront, S. N., & Haymes, E. M. (2001) · Sports Medicine · doi:10.2165/00007256-200131100-00004 · Cited by 285 · see citing works
Self-citationMechanisms of Heat Exchange: Biophysics and Physiology
Gagge, A. P., & Gonzalez, R. R. (1996) · Comprehensive physiology · doi:10.1002/cphy.cp040104 · Cited by 272 · see citing works
Casa, D. J., Clarkson, P. M., & Roberts, W. O. (2005) · Current Sports Medicine Reports · doi:10.1097/01.csmr.0000306194.67241.76 · Cited by 236 · see citing works
SWEATING: ITS COMPOSITION AND EFFECTS ON BODY FLUIDS*
Costill, D. L. (1977) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1977.tb38195.x · Cited by 212 · see citing works
Fluid Replacement during Marathon Running
Noakes, T. D. (2003) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200309000-00007 · Cited by 174 · see citing works
Effects of varied air velocity on sweating and evaporative rates during exercise
Adams, W. C., Mack, G. W., Langhans, G. W., & NADEL, E. R. (1992) · Journal of Applied Physiology · doi:10.1152/jappl.1992.73.6.2668 · Cited by 149 · see citing works
Blood Lactate Removal During Active Recovery Related to the Aerobic Threshold
McLellan, T. M., & SKINNER, J. S. (1982) · International Journal of Sports Medicine · doi:10.1055/s-2008-1026092 · Cited by 51 · see citing works
Muscle Glycogen Storage and Its Relationship with Water
Sherman*, W., Plyley, M., Sharp, R., Van Handel, P., McAllister, R., Fink, W., & Costill, D. (1982) · International Journal of Sports Medicine · doi:10.1055/s-2008-1026056 · Cited by 46 · see citing works
INFLUENCE OF EXERCISE MODE AND SELECTED AMBIENT CONDITIONS ON SKIN TEMPERATURE*
Adams, W. C. (1977) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1977.tb38191.x · Cited by 24 · see citing works
Ethanol binding to a model carbohydrate, glycogen
Channareddy, S., Jose, S. S., & Janes, N. (1996) · Biochemical Pharmacology · doi:10.1016/s0006-2952(96)00695-8 · Cited by 5 · see citing works
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Water, hydration, and health: Nutrition Reviews©, Vol. 68, No. 8
Popkin, B. M., D'Anci, K. E., & Rosenberg, I. H. (2010) · Nutrition Reviews · doi:10.1111/j.1753-4887.2010.00304.x · Cited by 1,175 · see citing works
Périard, J. D., Eijsvogels, T. M. H., & Daanen, H. A. M. (2021) · Physiological Reviews · doi:10.1152/physrev.00038.2020 · Cited by 708 · see citing works
Hypohydration and human performance: Impact of environment and physiological mechanisms
Sawka, M. N., Cheuvront, S. N., & Kenefick, R. W. (2015) · Sports Medicine · doi:10.1007/s40279-015-0395-7 · Cited by 236 · see citing works
Self-citationTiller, N. B., Roberts, J. D., Beasley, L., Chapman, S., Pinto, J. M., Smith, L., Wiffin, M., Russell, M., Sparks, S. A., Duckworth, L., et al. (2019) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-019-0312-9 · Cited by 164 · see citing works
Drinking Strategies: Planned Drinking Versus Drinking to Thirst
Kenefick, R. W. (2018) · Sports Medicine · doi:10.1007/s40279-017-0844-6 · Cited by 142 · see citing works
Changes in renal markers and acute kidney injury after marathon running
McCullough, P. A., Chinnaiyan, K. M., Gallagher, M. J., Colar, J. M., Geddes, T. J., GOLD, J. M., & Trivax, J. E. (2010) · Nephrology · doi:10.1111/j.1440-1797.2010.01354.x · Cited by 123 · see citing works
Change in body mass accurately and reliably predicts change in body water after endurance exercise
Baker, L. B., Lang, J. A., & Kenney, W. L. (2009) · European Journal of Applied Physiology · doi:10.1007/s00421-009-0982-0 · Cited by 110 · see citing works
Sports Dietitians Australia Position Statement: Nutrition for Exercise in Hot Environments
McCubbin, A. J., Allanson, B. A., Caldwell Odgers, J. N., Cort, M. M., Costa, R. J. S., Cox, G. R., Crawshay, S. T., Desbrow, B., Freney, E. G., Gaskell, S. K., et al. (2020) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2019-0300 · Cited by 74 · see citing works
Thermoregulation and endurance running in extinct hominins: Wheeler’s models revisited
Ruxton, G. D., & Wilkinson, D. M. (2011) · Journal of Human Evolution · doi:10.1016/j.jhevol.2011.02.012 · Cited by 61 · see citing works
Périard, J. D., Caillaud, C., & Thompson, M. W. (2011) · European Journal of Applied Physiology · doi:10.1007/s00421-011-2165-z · Cited by 57 · see citing works
Physiological and Pathophysiological Responses to Ultramarathon Running in Non-elite Runners
Hoppel, F., Calabria, E., Pesta, D. H., Kantner-Rumplmair, W., Gnaiger, E., & Burtscher, M. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01300 · Cited by 43 · see citing works
Sex difference in fluid balance responses during prolonged exercise
Eijsvogels, T. M. H., Scholten, R. R., van Duijnhoven, N. T. L., Thijssen, D. H. J., & Hopman, M. T. E. (2011) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2011.01371.x · Cited by 43 · see citing works
Myths and methodologies: Making sense of exercise mass and water balance
Cheuvront, S. N., & Montain, S. J. (2017) · Experimental Physiology · doi:10.1113/ep086284 · Cited by 42 · see citing works
Self-citationObservations on saliva osmolality during progressive dehydration and partial rehydration
Taylor, N. A. S., van den Heuvel, A. M. J., Kerry, P., McGhee, S. S., Peoples, G. E., Brown, M. A., & Patterson, M. J. (2012) · European Journal of Applied Physiology · doi:10.1007/s00421-011-2299-z · Cited by 40 · see citing works
The impact of obesity on physiological responses during prolonged exercise
Eijsvogels, T. M. H., Veltmeijer, M. T. W., Schreuder, T. H. A., Poelkens, F., Thijssen, D. H. J., & Hopman, M. T. E. (2011) · International Journal of Obesity · doi:10.1038/ijo.2010.277 · Cited by 35 · see citing works
Sports Drinks on the Edge of a New Era
Sutehall, S., Muñiz-Pardos, B., Bosch, A. N., Gianfrancesco, A. D., & Pitsiladis, Y. P. (2018) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000475 · Cited by 31 · see citing works
Influence of Dehydration on Intermittent Sprint Performance
Davis, J.-K., Laurent, C. M., Allen, K. E., Green, J. M., Stolworthy, N. I., Welch, T. R., & Nevett, M. E. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000907 · Cited by 30 · see citing works
Coso, J. D., Salinero, J. J., Abián‐Vicén, J., Gonzalez-Millán, C., Garde, S., Vega, P. V., & Pérez-González, B. (2012) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2012-0241 · Cited by 29 · see citing works
Exercise-Associated Hyponatremia in Marathon Runners
Klingert, M., Nikolaidis, P. Τ., Weiss, K., Thuany, M., Chlíbková, D., & Knechtle, B. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11226775 · Cited by 29 · see citing works
Fluid needs for training and competition in athletics
Shirreffs, S. M., Casa, D. J., & Carter, R. (2007) · Journal of Sports Sciences · doi:10.1080/02640410701607353 · Cited by 27 · see citing works
Addition of an Alginate Hydrogel to a Carbohydrate Beverage Enhances Gastric Emptying
Sutehall, S., Galloway, S. D. R., Bosch, A. N., & Pitsiladis, Y. P. (2020) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002301 · Cited by 25 · see citing works
Atkinson, G., Taylor, C. E., Morgan, N., Ormond, L. R., & Wallis, G. A. (2011) · International Journal of Sports Medicine · doi:10.1055/s-0031-1273739 · Cited by 23 · see citing works
Water turnover among human populations: Effects of environment and lifestyle
Swanson, Z. S., & Pontzer, H. (2019) · American Journal of Human Biology · doi:10.1002/ajhb.23365 · Cited by 21 · see citing works
Love, T. D., Baker, D., Healey, P., & Black, K. E. (2018) · European Journal of Sport Science · doi:10.1080/17461391.2017.1418910 · Cited by 17 · see citing works
Khorram‐Manesh, A., Löf, T., Börjesson, M., Nilson, F., Thorsson, S., Lindberg, F., & Carlström, E. (2019) · Sports · doi:10.3390/sports8010002 · Cited by 16 · see citing works
Porto, A. A., Valenti, V. E., Tonon do Amaral, J. A., Benjamim, C. J. R., Garner, D. M., & Ferreira, C. (2021) · Journal of the American College of Nutrition · doi:10.1080/07315724.2020.1768175 · Cited by 13 · see citing works
Trinschek, J., Zieliński, J., Zarębska, E. A., & Kusy, K. (2022) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.22.13605-4 · Cited by 10 · see citing works
Effects of 2% Dehydration on Lactate Concentration During Constant-Load Cycling
Green, J. M., Miller, B., Simpson, J., Dubroc, D., Keyes, A., Neal, K., Gann, J., & Andre, T. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002293 · Cited by 8 · see citing works
A importância da alimentação na hipertrofia
Abreu, V. G., Lopes, R. S. D. S., Lima, E. M., & Santos, J. S. (2021) · Research Society and Development · doi:10.33448/rsd-v10i14.22041 · Cited by 6 · see citing works
Hidrasyonun egzersiz performansı üzerindeki etkisi ve sıvı alım stratejileri
ULUSOY, Y. (2020) · Adıyaman Üniversitesi Sağlık Bilimleri Dergisi · doi:10.30569/adiyamansaglik.764382 · Cited by 5 · see citing works
O'Neal, E. K., Johnson, S. L., Davis, B. A., Přibyslavská, V., & Stevenson-Wilcoxson, M. C. (2018) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2017-0383 · Cited by 5 · see citing works
Heat Stroke in Physical Activity and Sports (Original version in English)
Hosokawa, Y., Adams, W. M., Stearns, R. L., & Casa, D. J. (2014) · Pensar en Movimiento Revista de Ciencias del Ejercicio y la Salud · doi:10.15517/pensarmov.v12i2.15841 · Cited by 5 · see citing works
Association of Knowledge and Health Habits with Physiological Hydration Status
McDermott, B. P., Zhao, X., & Veilleux, J. C. (2024) · Nutrients · doi:10.3390/nu16111541 · Cited by 4 · see citing works
DOES A MULTI-STAGE ULTRA-ENDURANCE RUN CAUSE DE- OR HYPER HYDRATION?
Knechtle, B., Kiouplidis, K., Knechtle, P., Kohler, G., Imoberdorf, R., & Ballmer, P. E. (2010) · Journal of Human Sport and Exercise · doi:10.4100/jhse.2010.51.07 · Cited by 4 · see citing works
Grau, M., Bruns, J., Stücher, M., John, L., Munk, M., Siebers, M., Siebers, C., Bloch, W., & Bizjak, D. A. (2025) · Frontiers in Physiology · doi:10.3389/fphys.2025.1715513 · Cited by 3 · see citing works
Contribution of Dietary Composition on Water Turnover Rates in Active and Sedentary Men
Disher, A. E., Stewart, K. L., Bach, A. J. E., & Stewart, I. B. (2021) · Nutrients · doi:10.3390/nu13062124 · Cited by 3 · see citing works
Oakley, P. A., & Baird, M. L. (2015) · Journal of Water Resource and Protection · doi:10.4236/jwarp.2015.711072 · Cited by 3 · see citing works
Sports Beverages for Optimizing Physical Performance
Maughan, R. J., & Shirreffs, S. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-23672-8_15 · Cited by 3 · see citing works
Heat Stroke in Physical Activity and Sport
Adams, W. M. (2020) · NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) · Cited by 3 · see citing works
Chagas, T. P. N., Souza, L. M. V., Santos, T., de Jesus, B. O., Dantas, E. H. M., & Prado, E. S. (2017) · journal of physical education · doi:10.4025/jphyseduc.v28i1.2804 · Cited by 4 · see citing works
Balance hídrico en jugadoras amateur de baloncesto: seguimiento en 10 partidos
Batalla-Gavaldà, A., Ródenas, A. B., Corbi, F., Montoliu, R., & Planas, A. (2016) · Revista Española de Nutrición Humana y Dietética · doi:10.14306/renhyd.20.2.204 · Cited by 2 · see citing works
José, A., & García, V. (2008) · Archivos de medicina del deporte: revista de la Federación Española de Medicina del Deporte y de la Confederación Iberoamericana de Medicina del Deporte · Cited by 2 · see citing works
Muhamad, A. S., Chen, C. K., Ayub, A., & Ibrahim, N. S. (2016) · IOSR Journal of Sports and Physical Education · doi:10.9790/6737-03045156 · Cited by 2 · see citing works
El golpe de calor en la actividad física y el deporte (versión traducida al español)
Hosokawa, Y., Adams, W. M., Stearns, R. L., & Casa, D. J. (2014) · Pensar en Movimiento Revista de Ciencias del Ejercicio y la Salud · doi:10.15517/pensarmov.v12i2.17858 · Cited by 1 · see citing works
Sports beverages for optimising physical performance
Maughan, R. J. (2009) · Elsevier eBooks · doi:10.1533/9781845695569.3.346 · Cited by 1 · see citing works
Elit Futbolcuların Maç Öncesi Dehidrasyon Düzeylerinin İncelenmesi
Akyüz, Ö., Turna, B., Çiçek, G., YILDIRIM, S., BAYAZIT, B., & Akyüz, M. (2022) · Akdeniz Spor Bilimleri Dergisi · doi:10.38021/asbid.1206978 · Cited by 1 · see citing works
Impact of race pace on development of hyponatraemia in full- and half-marathoners
Maynard, J. P., Taylor, W., McNeil, R. B., Diehl, N., Shapiro, S., Mohseni, M., Vadeboncoeur, T., Silvers, S., Sumrall, S., & Perez, E. (1970) · South African Journal of Sports Medicine · doi:10.17159/2078-516x/2012/v24i2a334
Mobilization and Utilization of Lipids during Dietary Restriction Conditions
Bouhlel, E., & Shephard, R. J. (2015) · CRC Press eBooks · doi:10.1201/b18820-5
Consumo dietético e estado de hidratação em corredores de longa distância
Chagas, T. P. N., Dantas, E. H. M., Santos, W. O., Oliveira, T., Souza, L., Santos, T., Lima, M., & Prado, E. S. (2016) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Parm, Ü., Tamm, A., Laugamets, A., & Viigimaa, M. (2021) · Medicina · doi:10.3390/medicina57121346
Piedade, S. R., Ferreira, D. M., Magro, D. O., & Colombo, C. S. S. D. S. (2021) · Springer eBooks · doi:10.1007/978-3-030-66321-6_24
The effects of diet and exercise on human body water turnover
Disher, A. E. (2021) · Queensland University of Technology · doi:10.5204/thesis.eprints.208394
Changes of Body Mass and Energy Balance during Fasting and Dietary Restriction
Bouhlel, E., & Shephard, R. J. (2015) · CRC Press eBooks · doi:10.1201/b18820-3
Água – nutriente vital: propriedades química, bioquímica e fisiológico-funcional
Sgarbieri, V. C. (2020) · Editora da Unicamp eBooks · doi:10.7476/9788526815933.0005
Jatrana, L., & Bisla, G. (2025) · International Journal of Home Science · doi:10.22271/23957476.2025.v11.i2d.1870
Zhang, J., Chen, Y., Zhao, X., Li, X., Wen, W., Wu, W., Zou, M., & Qiu, J. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1621966
Moreno, I. L. (2010) · Americanae (AECID Library)
Zhao, X., Atkins, W. C., & McDermott, B. P. (2026) · PLoS ONE · doi:10.1371/journal.pone.0352203
Zhao, X., Butts, C. L., McKenna, Z. J., Lo, W., Wierick, S. C., Perez, R. I., & McDermott, B. P. (2026) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxag085
Reliability and analytical validity of the MX3 hydration testing system during exercise in the heat
Zhao, X., McDermott, B. P., McKenna, Z. J., Perez, R. I., Wierick, S. C., & Sellner, R. S. (2026) · European Journal of Applied Physiology · doi:10.1007/s00421-026-06476-3
- Authors
- Cheuvront, S. N., Montain, S. J., & Sawka, M. N.
- Affiliations
- U.S. Army Research Institute of Environmental Medicine (US)
- Corresponding author
- Cheuvront, Samuel N
- Venue
- Sports Medicine
- Published
- 2007
- Volume
- 37
- Issue
- 4
- Pages
- 353-357
- ISSN
- 0112-1642 (ISSN-L)
- OpenAlex
- W1998398387
- Cited by
- 61
- References
- 12
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 2 · 2012: 2
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- marathon running, fluid replacement, dehydration, sweat loss, endurance performance, metabolic water, convective air flow, weight gain
- MeSH terms
- Physical Exertion, Fluid Therapy, Humans, Running, Task Performance and Analysis, United States
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