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Salt and the ultraendurance dog


Recently, we have been urged to pay more attention to their sodium intake. Decades ago, all foods seemed heavily salted. Then, a link between sodium intake and high blood pressure was discovered. Suddenly, "sodium - free" or "low sodium" products began flooding the consumer market. Certainly, to a degree, this is justified. Many diseases are worsened by excess sodium intake, and millions  must closely watch the amount of sodium in their diet.

However, sodium is a required element for normal body functions. It is lost in sweat and urine and is replaced in the diet. The body has a remarkable ability to maintain sodium and water balance throughout a variety of conditions, thus ensuring our survival. Ultraendurance events challenge this survival mechanism.

In hot, humid conditions a large amount of sweat is lost, which can disturb sodium and water balance. Adequate hydration and sodium intake -- either via sports drinks or food -- becomes vitally important during long training sessions. The goal of this article is to help you determine how to maintain sodium balance during training, show and during recovery.

Hyponatremia -- what is it?

Hyponatremia means a low concentration of sodium in the blood. When it occurs in dogs, it usually happens during long training sessions or during a show in the heat but may occur anytime. It is estimated that approximately 80% of the finishers of a pit show are both hyponatremic and dehydrated. The longer the show, the greater the risk of hyponatremia.

What causes it?

The exact mechanisms are not fully understood and I won't go into the complex physiologic pathways of sodium and water balance. The simplest answer is that lost sweat and blood  is replaced by water with no salt (from the fat cells and from the intake). This dilutes the sodium in the bloodstream, and hyponatremia results. Longer training sessions carry a greater risk of hyponatremia because of the total amount of fluids lost. During exercise in the heat, more salt is lost in sweat per hour than is usually replaced by food and fluids, including sports drinks. The body can tolerate a degree of imbalance for a short period of time, but it may decompensate if this continues for too long.
If we replace only the lost water and has minimal salt intake,after the show, hyponatremia can result.

Medications and hyponatremia

Aspirin, ibuprofen, and other non-steroidal anti-inflammatory agents interfere with kidney function and may contribute to the development of hyponatremia in dogs. The same applies to diuretics. I have seen many trainers giving diuretics prior to show, and I strongly recommend against this practice without a proper understanding of these drugs. They won't make your dog faster and may hurt him. Under tough conditions,  their kidneys need to function at 100%.

What are the symptoms of hyponatremia?

The spectrum of symptoms can range from mild to severe and can include nausea, muscle cramps, disorientation, confusion, and inappropriate behavior. As it progresses, victims may experience seizures or coma, and death can occur. Severe hyponatremia is a true medical emergency.

Treatment

Minor symptoms, such as mild muscle cramps, can be treated by eating salty foods and hydrating with a sodium containing sports drink. More severe symptoms require treatment by qualified medical personnel.

Recommendations

There are no clear cut guidelines, and recommendations need to be individualized for each dog. Some authors recommend drinking less water to rebalance sodium and water intake. However, given the risk of dehydration and heat injury, this is not a practical recommendation. To reiterate, all of the hyponatremic dogs after the show were also dehydrated. Others recommend increasing salt intake, and this seems more prudent. By feeding them more sodium, hydration with water is balanced and dilution of blood sodium does not occur.

Relative importance for different length shows

   less than 1 hr    1 - 2 hrs   >2 hrs
water   -/+   +  +
carbohydrate   -  +  +
salt   -  -/+  +

It cannot be stressed enough that you have got to know what their needs are prior to race day. Rehearse their hydration, feeding, and salt strategy during their training sessions. There are so many variations between individuals that there is no single right answer. Know what their body's' needs are.

Salt vs. Sodium?

What is the difference? Salt is made up of sodium and chloride. The FDA labels lists only the sodium content. This is because there are usually other sodium containing salts (eg. sodium citrate) in these products. To avoid confusion, the easiest way to ensure that you have enough sodium intake is to get used to reading the FDA labels. For example to get 1 gram (1000mg) of sodium into their body, they would need to drink more than half a gallon (2.18 liters) of Gatorade -- certainly impractical every hour! To get 1 gram of sodium from table salt, they would need to ingest with their feed 2.5 grams (1 gram from sodium, 1.5 grams from chloride). A teaspoon of salt weighs approximately 6.6 grams.

What about salt tablets?

It is best if you strive to provide his sodium from both sports drinks and salty foods -- as opposed to salt tablets -- for two reasons. Salty foods stimulate thirst, and it is possible to give them too much salt with tablets but very difficult with food. If you don't think that trough feed you do not provide him enough sodium, then consider salt tablets. Make sure you know how much you are giving him!

What foods are best?

Ideally, foods consumed prior a long training session should be low fat, low protein, high carbohydrate, and provide a source of sodium. They need water, carbohydrates, and salt to survive a long race.You'll need to experiment and find the combination that is best for your dog.
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