Why is water so important?
Water is a vital component of the human body. Between 50-60 per cent of our total body mass is made up from water. In fact an average lean healthy man who weighs 70 kg contains roughly 42 litres of water.
And, to stay healthy, we need to maintain our bodies' water levels within quite narrow limits. The body can cope with deprivation from food for quite a number of days. But if we go without water for just 2-3 days we will begin to experience serious health problems due to dehydration.
What happens if we don't take in enough water?
Failure to take in enough water results in dehydration. There are quite several symptoms associated with dehydration. Their severity depends upon the level of dehydration, but even quite mild dehydration will have an effect on a Footballers performance
How do we lose water?
Mild dehydration
If a person loses enough fluid to reduce their body weight by 1-2 per cent, they will start to experience the symptoms of mild dehydration.
The symptoms are:
Reduced alertness
Reduced concentration
Slower reaction times
Tiredness
Headaches
Feelings of nausea.
For a 70kg man, he would need to lose between 0.4-0.8 litres of water to begin to experience mild dehydration.
Don't trust your thirst to prevent dehydration
Don't rely on thirst to let you know how much you should drink during or after a training session. Thirst is not always a good indicator of your body's fluid levels and some people may not completely replace their fluid losses. If this continues over a period of days and exercise sessions these people may remain mildly dehydrated.
How to find out much fluid you need after a training session
The best way to discover your own fluid needs after an exercise session is to weigh yourself immediately before and after you have exercised. Since 1kg of lost body weight is equivalent to one litre of body fluid, you can easily calculate how much fluid you have lost.
For example, if you have lost 1.5kgs after an exercise session, you know that you will need to replace 1.5 litres of fluid. Even though you will have been drinking during your training session, you are still 1.5 litres short and will need to make that up.
Carbohydrate intake after exercise
It is always wise to drink before an exercise session. If you start in a dehydrated condition your performance will suffer. For runners, it is recommended that they drink about 0.5 litres of fluid two hours before exercising. They should then drink an additional 0.25 litres immediately before commencing their run 2.
How much should I drink during exercise?
Increased fluid loss starts as soon as exercise begins. It is recommended that players should take a drink every 10 to 20 minutes while exercising. You should aim for an intake of roughly 125mls to 250mls per drink. It is important to take a drink whether or not you feel thirsty (see don't trust your thirst, above).
As a guide, you should try to replace 80 per cent of the fluid you have lost as sweat while you are actually exercising in order to maintain optimum performance 4.
How much should I drink after exercise?
After an exercise session you should try to drink 1.5 times the amount of fluid you have lost (You can find out how much this is by weighing yourself - see How to find out how much fluid you need after a training session). Often it is easier to divide this amount down into smaller amounts to avoid discomfort.
What is the best type of drink?
The best type of drink depends on the intensity and duration of the exercise session, your own personal preference, and economics. After all, the main goal is fluid replacement.
Exercise sessions - Up to 1 hour
For exercise sessions lasting less than one hour, which are of low to moderate intensity, water is a perfectly acceptable drink. If the exercise session is more intense, sports drinks may be a better choice 6,7 as they replace lost carbohydrate (for energy) and can be more rapidly absorbed.
Exercise session - Longer than 1 hour
For exercise sessions that last longer than 1 hour, and especially if the exercise is of high intensity, the goal should be fuel replacement as well as fluid replacement. Not only will dehydration be a concern, but low blood sugar levels and low glycogen levels also need correcting.
Sports Drinks
Sports drinks replace energy (carbohydrate) as well as fluid and sodium. Broadly speaking, there are three types of sports drinks: hypotonic, isotonic, and hypertonic.
Hypotonic drinks
Hypotonic drinks have a low osmolality. This means that they contain fewer particles of carbohydrates and electrolytes per 100ml of fluid than the bodies own fluids. As a result, hypotonic drinks are absorbed into the body more quickly than water. Carbohydrate content is less than 4 grams per 100ml.
Isotonic drinks
Isotonic drinks have between 4-8 grams of carbohydrate per 100ml of fluid and are similar to the osmolality of the body's own fluids. Therefore, isotonic drinks are absorbed at roughly the same speed as water. Generally speaking, these drinks are a good choice as they provide a balance between refuelling and dehydration.
Hypertonic drinks
Hypertonic drinks are not the drink of choice whilst you are actually exercising. They are more concentrated than the body's fluids and have a higher osmolality. They contain more than 8 grams of carbohydrate per 100ml of fluid. Because of this they are absorbed into the body more slowly than water.
Other drinks
Soft drinks and fruits usually contain high levels of carbohydrate: 9-20 grams per 100ml of fluid. This level of carbohydrate makes them hypertonic drinks. Since any drink with a carbohydrate content of more than 8 grams per 100ml is absorbed more slowly than water, these drinks are of little use for fluid replacement during exercise. In fact, drinking soft drinks can increase dehydration and make matters worse. However, if you dilute a soft drink by at least 50 per cent with water, it becomes "isotonic" and can be used.
Caffeinated drinks (for example tea, coffee and colas) are also not a good idea. The caffeine acts as a diuretic and actually increases the amount of fluid lost.
Key points to remember
Maintaining bodily water balance is crucial
All physical activity increases fluid loss
Symptoms of mild dehydration include headache, fatigue, nausea, reduced alertness and a deteriorating aerobic performance
Assess fluid loss by weighing yourself immediately before and after exercise. One kilogramme equals one litre of fluid
Drink half a litre two hours before exercising and 125 mls to 250 mls immediately before starting the session
For exercise sessions of moderate intensity lasting less than an hour, water is as good a choice as any
For exercise sessions of high intensity and/or lasting more than one hour, an "isotonic" sports drink is a good choice both during and after the session
Standard soft drinks and fruit juices are not a good choice during exercise sessions as their high carbohydrate content reduces fluid absorption and may increase dehydration
Avoid caffeinated drinks e.g. colas, tea, coffee etc as caffeine has a diuretic effect and will increase fluid loss.
A young Footballers diet should be based around high carbohydrate foods, where 60% of the total energy intake should be from carbohydrate sources, between 12-15% from protein, and 25-30% from fat. The carbohydrate intake should be modified if a player is injured or ill, to around 50% of total energy intake. Young footballers who are training regularly should have a daily target of 8-10g of carbohydrate per kg of body weight (e.g. player with 40kg of body weight = 40 x 8g = 320 g per day.
A diet that is high in carbohydrate and fluids, moderate in protein and low in fat will give athletes enough calories and nutrients to grow, train, and compete. Below are some suggestions of recommended meals, snacks, and foods to avoid before, during, and after games.
Pre-Match
Recommended
Water
Moderate portions
Bread Rolls
Bananas
Fruit juice
Muffins
Sports drinks
Not Recommended
High fat foods
High protein foods
Sweets
Chocolate bars/ Doughnuts
Hot Dogs
Chips/fries
Crisps
Fizzy or carbonated drinks
Note 1 Guidelines for water
All footballers should drink water before, during, and after exercise.
Before exercise: Drink ¼ Litre (10-14 oz) cold water 1-2 hours before game. Drink ¼ Litre of cold water 10-15 min. before activity.
During exercise: Drink small amounts of cold water every 15 minutes.
After exercise: Drink as much cold water as needed to quench thirst.
N.B. - Thirst does not indicate when an athlete needs to re-hydrate, if an athlete is thirsty then they are already de-hydrated, the trick is to monitor your consumption to avoid dehydration and thirst.
Breakfast
Recommended
Cereal (without sugar)
Bread Rolls
Waffles
Muffins
Skimmed Milk
Fruit Juice
Water
Oatmeal
Wholemeal Bread
Not Recommended
Bacon
Sausage
Toast with egg or cheese
Whole milk
Pop Tarts
Fizzy or Carbonated drinks
Croissants
Lots of butter or margarine
Lunch
Recommended
Baked potato & chilli
Bread Rolls
Vegetables
Salads
Yogurt/Milk Shake (skimmed or low fat)
Pasta (careful of high fat sauces)
Cheese pizza
Lean ham
Turkey/Chicken sandwich (brown or wholemeal bread)
Fruit
Not Recommended
Burgers
Chips/fries
Apple pies
Fried fish
Fried chicken
Meat pizza
Fizzy or carbonated drinks
Mashed potato & gravy
Lots of butter or margarine
Biscuits
Hot dogs
Mayo and cheese
Note: The night before a match the boys should try and get a good night’s sleep
In today’s society image is everything, a fact not lost on the manufacturers of sporting footwear. It is thus unsurprising that many footballers may spend hours in sports shops selecting their football boots and training shoes based upon their appearance, rather than
on the practical grounds of comfort, fit and function. The more fortunate of footballers may be contracted to wear a certain Manufacturers boots, however, these boots may not the best choice for their feet and they may need to have orthotics (foot supports)
inserted to correct any perceived ‘biomechanical imbalances’, and to make them wearable. Despite insuring their feet for huge sums of money, many footballers give very little attention to their feet, often hiding them away until they begin to hurt. Yet, a few minutes care now may mean avoiding days, weeks, or even months lost through injury later on. In a full career a footballer can cover over 300,000km on the training ground and football pitch. Through the appropriate selection of footwear and by having high personal
standards of foot hygiene, the player can prevent injury and maximise his playing time.
When selecting a pair boots the most expensive, or most attractive, is not
always the best. Selection of the most appropriate boot should be based upon
the criteria listed below and is best performed in the afternoon when the foot
may have swollen slightly. You should always have your feet measured prior to
choosing a boot or training shoe. Not only do your feet both lengthen and
widen with age, but different manufacturers have slight sizing variations that
may influence your choice.
This most important part of a playerfs equipment must perform a number of
functions. It must:
be comfortable;
give good support and stability;
be flexible;
afford good grip and allow traction;
distribute the load and decrease impact shock;
provide protection against direct trauma (a kick from an opponent,
contact with the ball); and, allow the player to perform.
A number of considerations should be taken into account when selecting
footwear:
the footwear should be suited to the players foot type (specialist
advice may be needed);
a gap of between 5-10mm between the tip of the longest toe and the
tip of the shoe is considered to be the ideal;
the toe box should be deep enough to accommodate the forefoot to
prevent the boot rubbing the tops of the toes;
the boot should fit cosily at the heel and instep;
the tongue should be well padded;
with laces tied, the foot should feel supported and comfortable; and,
leather or fabric uppers (as appropriate) which are breathable, are
considered the best.
In addition to being conscious of the type of stud (screw-in round, screw-in
blade, moulded round, moulded blade), one should also be aware of the
position of the stud on the sole of the football boot. By changing to a different
brand of boot players can experience problems resulting from unfamiliar
pressures onto the sole of the foot.
Players are ill advised to start a game having not previously worn the boots
they are to play in, this may again lead to unnecessary injury. They should first
wear them in training for several, progressively increasing, short periods
(approximately 20 minutes) before wearing them in a match situation. It may
pay to soak them in water prior to wearing them the first time, and use shoetrees/
stretchers/paper to emouldf the boot. Players should always wear the
most appropriate type of boot for the surfaces upon which they are playing
(wet or dry, grass or artificial).
Boot care is also essential. The boot should be cleaned immediately after use,
dried naturally (not by artificial heat), and treated with a suitable nourishing
agent. An unnaturally dry boot impairs its flexibility and may cause abrasions,
or blisters, at points of contact.
The skin on the sole of the foot is highly specialised and adapted to perform a
number of important functions. To protect the foot against the stresses of standing,
walking, running, twisting, turning, and landing from a height, the
skin is much thicker on the sole of the foot than on any other part of the body.
This thicker skin provides resilience against friction and localised trauma, and
is relatively impermeable to water. The foot also has to receive many incoming
sensory signals that help us to move and balance over a wide variety of
surfaces, hard and soft, wet and dry. It is beneath the superficial outer layer
of skin (the epidermis) and within the deeper layer (the dermis), that the vital
blood and nerve supplies, hair follicles and sweat glands are found. It should
apparent that in order to perform the player must take great care of the skin
overlying the deeper structures of his feet.
Within a mans foot are some 250,000 sweat glands producing around about
50mls of sweat a day. Foot odour occurs when this perspiration from the feet
intermingles with the bacteria within the football boots/training shoes. The
resulting mix if not challenged can lead to skin and nail complaints. It is
recommended that the following procedures are adopted by all players:
the use of nylon football socks should be discouraged, alternatively
cotton socks should be worn underneath football socks to absorb
sweat, reduce friction and improve the fit and comfort of the
footwear;
clean socks should be used daily for every training session/match;
non-slip shower esandalsf should be worn in ewet areasf;
the feet should be washed daily with soap (washing should be
performed carefully and quickly, no soaking) and rinsed thoroughly
thereafter;
the skin should be dried gently and thoroughly (particularly the web
spaces between the toes);
foot powder may be applied;
delaying for a few minutes before putting shoes back on can be
beneficial;
try to avoid wearing the same footwear everyday (it can take over
24 hours for the shoes to dry out);
the sharing of towels with other players should be discouraged.
Blisters
Blisters may occur at any site of friction between the skin and an external
source. Typically it is ill-fitting shoes, inappropriate footwear for the task being
performed, or poorly applied plasters/strapping/bandage that are the main
offenders. Blisters develop when superficial layers of skin separate and fill with
serous fluid (sometimes blood); these may burst, leave a painful, raw exposed
area and create a risk of infection.
To help prevent/reduce the incidence of blister formation the following
strategies may help:
socks should be inspected for rough, worn, damaged areas;
footwear of the correct elastf, width and length fitting must be worn;
check the inner sole is intact and lift it up to check that the stud
fixation within sole is not sharp;
studs should be of even height (level on a flat surface);
laces must be tied with the appropriate amount of tension (the foot
must not slide around inside the boot and impair stopping, starting
and stability);
new footwear must be introduced progressively (starting at 20
minutes),
boots should be worn in training before trying them out in a game;
protective tape, skin-care pads (eSecond Skinf), or Vaseline (smeared
over the sock) may be applied to potential sites of friction prior to
training/playing;
the most appropriate boot for the prevailing surfaces/conditions must
be worn.
All players should be encouraged to report areas of redness that appear post
training. Should a blister be sustained its management is very much governed
by whether or not the skin is ebrokenf. If the skin is unbroken the area may be
cleansed with an antiseptic solution. For training and match situations, a zinc
oxide tape, a skin-care pad, or the application of a cotton-backed tape,
followed by a foam pad with a hole cut to the size of the blister, may be
applied. Fluid-filled blisters may be punctured and drained via hypodermic
needle and syringe, prior to the application of a protective dressing. If the skin
is broken the risk of infection will be heightened. The wound will need to be
managed with the use of antiseptics and sterile dressings and monitored
carefully. In all instances players are advised to consult a qualified medical
practitioner. Players should be advised that no clinical proof exists as to the
effectiveness of soaking the feet in eskin hardeningf substances e.g. potassium
permanganate.
Calluses and Corns
Calluses are formed as a result of excessive friction and pressure creating
areas of hard skin. Ill-fitting footwear, structural abnormalities within the foot,
or biomechanical abnormalities, may predispose a player to this skin
thickening. Typically, a callus has a thick, yellowish, oval appearance and is
found underneath the forefoot and on the tips and tops of the toes, usually
causing only mild discomfort.
Treatment involves identification and modification of the cause of the
excessive friction and pressure. Hard skin may be treated by the use of
moisturisers such as lanolin, or medicated discs and plasters, which can be
purchased from a chemist. Trimming, or paring, of the skin by a chiropodist
may be necessary. Should there be a biomechanical problem the player should
seek the assistance of a physiotherapist, or a podiatrist who may need to
construct an orthosis to alleviate the problem.
Corns
Corns, the most common problem affecting the feet, are formed in similar
ways to calluses, and have a very similar appearance. The essential difference
is that a corn has a well-defined, rounded appearance with a central core of
hard skin, which often causes significant discomfort and is more tender to
touch when pinched.
Once again, it is important to recognise, and address, what has led to the
problem. Ointments, solutions, medicated plasters and pads can be used to
help ‘dissolve’ the corn. Alternatively, protective foam, felt or gel pads with a
hole cut in them similar to the size of the corn can be used. In severe
instances, surgical removal may be performed by a qualified
chiropodist/podiatrist.
Verrucae (Plantar Warts)
A verruca is a wart usually found on the sole of foot. Verrucae are caused by
the papovavirus, are highly contagious, and are contracted by foot contact
with the floors in ‘wet areas’ such as communal showers or swimming pools.
They have a slightly raised, brown or white cauliflower-shaped head that may
have small black dots in the centre, can occur singly or in groups, and may be
painful on weight-bearing.
Verrucae are self-limiting, in other words they will eventually disappear when
the bodies own immune system addresses the problem (usually 4-5 months).
However, if they are painful they can be tackled by medications from the
chemist, or be removed by a chiropodist through laser therapy, cryosurgery
(freezing) or electrosurgery. To avoid contaminating any fellow players,
verrucae should always be covered up. To avoid contracting verrucae, players
are advised not to walk around shower areas in bare feet, but to wear non-slip
shower ‘sandals’. The sharing of bath towels is also to be avoided.
Athletes Foot
Have the feet of an athlete, not athletes foot. The condition ‘Athletes
Foot’/‘Hong Kong Foot’ (Tinea Pedis) is a fungal infection of the outer layer
of the skin. The infection thrives in a warm, damp environment such as is
found in training shoes or football boots. Harmless, it is usually only a minor
irritation to the skin on the bottom and sides of the foot and between the toes.
Although it can become itchy and uncomfortable and cause large areas of the
skin to become white, soggy, blistered, cracked and to peel. If untreated,
the infection can be transmitted to other players in the team, particularly by
if they walk barefoot on contaminated floors in ‘wet areas’.
Players should consult a qualified medical practitioner for advice. Treatment
typically involves the use of anti-fungal preparations which come in spray,
powder or cream form. Signs and symptoms will often disappear within three
days, however, treatment should continue for a full 21 days to completely
eradicate the infection. The training shoes, football boots, and socks also need
to be treated to ensure the fungus is eradicated and the foot is not re-infected.
The wearing of well-ventilated footwear when not playing or training is
advisable. To prevent the condition from occurring the good personal hygiene
is required (see above).
PROBLEM TOENAILS
The most common complaints involving the toenails are the ingrown toenail
(onychocryptosis) and ‘runners toe’/‘black nail’ (subungual haematoma).
The ingrown toenail occurs as a result of one, or combination, of the
following – poor nail cutting, abnormal nail growth, trauma to the nail,
or abnormal shoe pressure. The sharp, ragged edge of the growing nail,
usually the 1st toe, pierces the adjacent skin causing acute pain, redness,
swelling, a possible discharge between the side of the nail and the skin
(infection), and tenderness on gentle palpation. To avoid this problem
toenails should not be cut too short, or rounded. On a regular basis toenails
should be cut square, or with very slight rounding following the contour of
the toe and left long enough to cover the nail pulp. Consideration should also
be given to selection of footwear of an appropriate size, as directed above.
A player may need to seek the help of a podiatrist/chiropodist. For infected
cases, antibiotics may be required. In instances of recurring injury and
infection, removal of the nail may be indicated.
‘Runners toe’ is a condition where shearing of the nail causes bleeding
under the toenail and usually results in the nail turning black. It occurs when
a shoe/boot is too tight, or where the foot slides forward in a shoe and jams
the end of the toenail against the end of the shoe (particularly on artificial
surfaces). Alternatively, a direct blow or crushing of the toe may cause an
immediate bruise beneath the nail; this may be painful due to the increased
pressure in the area. This pressure may be relieved by perforating the nail,
but this procedure should only be performed by a medical practitioner.
The nail may eventually die, grow out and drop off, however it should be
preserved for as long as possible to serve as a ‘biological dressing’ to protect
the new nail growing underneath.
Note: it is important to note that with any infection of the feet there may be
an associated pain and tenderness in the inguinal region, this is due to the
lymphatic drainage system within the limb and the lymph nodes that are
situated in this area.
CONCLUSION
Clearly, to maximise his participation in football-related activities a player
must take care of his feet. By adopting simple strategies when selecting
footwear, and by paying attention to issues of personal hygiene, many of
the problems affecting the foot can be avoided. Players should be aware of
potential problems that may arise through changing to a different brand
of boot and, where problems are recurring, that there may be an underlying
biomechanical component. It is important that the most appropriate boot is
worn for the surface upon which training or playing is taking place. Minimal
disruption to participation will be achieved if players are encouraged to report
any symptoms or signs that develop around the feet at the first opportunity.
It is prudent for every player, particularly youth players, to have a regular
(six-monthly) examination of their feet. A proactive, pre-season presentation
from a podiatrist or physiotherapist may have considerable benefits for the
football club’s playing personnel and those who would ultimately have to
manage the foot problems.