
Written By: Gloria Tsang, RD
Title: Founding Registered Dietitian
Alumni: University of British Columbia
Last Updated on:

For many athletes, sodium is more than a seasoning on food. It’s a critical electrolyte that drives nerve impulses, supports fluid balance and helps muscles contract. In training and competition, especially in heat or long sessions, the body can lose grams of sodium in sweat. That’s why sodium often appears in sports drinks and electrolyte products. But ten years on from the original HealthCastle article, science offers a clearer, more nuanced view about when athletes actually need extra sodium and when typical diets are sufficient.
Most people know sweat contains sodium. What’s less clear are the conditions under which athletes benefit most from replacing it, and what the science actually says about daily intake versus per-exercise needs.
Table of Contents
Sodium is the dominant extracellular electrolyte in the body. It helps maintain blood volume and pressure, supports nerve signaling and is essential for muscle contraction. When you sweat, you lose both water and sodium. If fluid losses are not matched, cardiovascular strain increases1, body temperature regulation becomes harder, and performance drops. In hot or humid conditions, heavy sweat rates can lead to significant sodium and water loss.
Sweat sodium concentration varies widely between athletes. Some “salty sweaters” lose much more sodium per liter of sweat than others. This variability means a one-size-fits-all sodium prescription doesn’t exist. Factors such as heat acclimation, exercise intensity, fitness level and individual physiology all influence sweat rate and sodium content.
Importantly, daily sodium needs for athletes are not higher than for non-athletes2 when measured over 24 hours. The kidneys and sweat glands work together to maintain sodium balance, and there’s no strong evidence that training increases daily sodium requirements beyond normal physiological regulation.
There is a practical role for sodium in specific training and competition scenarios:
1. Long endurance exercise and hot conditions. During prolonged sessions (think long runs, races, multi-hour training blocks, or competitions in heat), athletes can lose large quantities of sodium. In marathon or ultra settings, studies3 indicate meaningful sodium replacement may improve fluid balance and delay performance decline.
2. Avoiding exercise-associated hyponatremia (EAH). Drinking too much plain water without sodium during long or hot events can dilute blood sodium and increase risk of hyponatremia. This rare but serious condition affects endurance athletes especially when they prioritize volume of fluid without adequate electrolytes.
3. Helping thirst-driven hydration strategies. Sodium enhances fluid retention and stimulates thirst. Athletes consuming sodium-containing fluids during exercise often find it easier to match fluid losses with intake, especially during events longer than 60 – 90 minutes.
While athletes lose sodium in sweat, the evidence does not support routine high daily sodium intake simply because someone trains hard. What matters most is matching exercise-related losses, not boosting baseline intake.
Here’s what current evidence suggests for real world practice:
Before exercise:
During exercise:
After exercise:
It’s important to emphasize that sodium replacement during exercise is about supporting hydration and performance in context, not achieving a specific milligram target every day.
HealthCastle has strict sourcing guidelines. We reference peer-reviewed studies, scientific journals and associations. We only use quality, credible sources to ensure content accuracy and integrity.
Alumni: University of British Columbia – Gloria Tsang is the author of 6 books and the founder of HealthCastle.com, the largest online nutrition network run by registered dietitians. Her work has appeared in major national publications, and she is a regularly featured nutrition expert for media outlets across the country. The Huffington Post named her one of its Top 20 Nutrition Experts on Twitter. Gloria’s articles have appeared on various media such as Reuters, NBC & ABC affiliates, The Chicago Sun-Times, Reader’s Digest Canada, iVillage and USA Today.