Should sports scientists and coaches provide sodium supplementation to professional soccer players? Insights from English premier league players

We assessed the fluid balance, whole body sweat rate (WBSR) and sweat sodium concentration ([Na+]sweat) of English Premier League (EPL) soccer players during pre-season training and used predictive modelling to determine theoretical changes in plasma sodium concentration ([Na+]plasma). Players (25 ± 4 years, 1.83 ± 0.06 m, 81.1 ± 7.4 kg) were monitored during two training sessions (n = 14, Session 1; n = 17, Session 2) in temperate climates (19-23°C, 45-67% relative humidity). Training load was monitored via global positioning system, sweat loss was assessed from changes in body mass (BM) after correcting for fluid intake, and [Na+]sweat was measured using absorbent patches. Mean BM loss was 1.08 ± 0.72% and 1.28 ± 0.65%, with sweat losses of 1.67 ± 0.49 L and 1.88 ± 0.59 L in Sessions 1 and 2, respectively. Mean [Na+]sweat was 51.3 ± 14.6 mmol·L-1 (Session 1) and 39.9 ± 15.3 mmol·L-1 (Session 2), with total sodium losses of 1929 ± 771 mg and 1730 ± 813 mg, respectively. Predictive modelling indicated 4/14 (~29%) players in Session 1, and 1/17 (~6%) players in Session 2, would have mildly reduced [Na+]plasma following training (all <2 mmol·L-1), due to either near-complete fluid replacement or high [Na+]sweat. Although substantial interindividual variations were observed in fluid and sodium balance among players, modelling indicates that Na+ supplementation is unnecessary for soccer players during training in a temperate climate. Measuring [Na+]sweat is therefore unlikely to inform practical recommendations under these conditions.
© Copyright 2025 International Journal of Sports Science & Coaching. SAGE Publications. All rights reserved.

Bibliographic Details
Subjects:
Notations:sport games biological and medical sciences
Tagging:Monitoring Natrium
Published in:International Journal of Sports Science & Coaching
Language:English
Published: 2025
Online Access:https://doi.org/10.1177/17479541251353603
Document types:article
Level:advanced