A common practice in sports science is to assess hydration status using the concentration of a single spot urine collection taken at any time of day for comparison against concentration (specific gravity, osmolality, color) thresholds established from first morning voids. There is strong evidence that this practice can be confounded by fluid intake, diet, and exercise, among other factors, leading to false positive/negative assessments. Thus, the purpose of this paper is to provide a simple explanation as to why this practice leads to erroneous conclusions and should be curtailed in favor of consensus hydration assessment recommendations.
Samuel N. Cheuvront, Robert W. Kenefick, and Edward J. Zambraski
Lara A. Carlson, Samuel Headley, Jason DeBruin, Alex P. Tuckow, Alexander J. Koch, and Robert W. Kenefick
This investigation sought to study changes in leukocyte subsets after an acute bout of resistance exercise (ARE) and to determine whether ingestion of carbohydrate (CHO) could attenuate those immune responses. Nine male track-and-field athletes (21.1 ± 1.4 yr, 177.2 ± 5.5 cm, 80.9 ± 9.7 kg, 8.7% ± 3.8% fat) and 10 male ice hockey athletes (21.0 ± 2.2 yr, 174.3 ± 6.2 cm, 79.6 ±11.1 kg, 13.9% ± 3.73% fat) participated in 2 different ARE protocols. Both experiments employed a counterbalanced double-blind research design, wherein participants consumed either a CHO (1 g/kg body weight) or placebo beverage before, during, and after a weight-lifting session. Serum cortisol decreased (p < .05) at 90 min into recovery compared with immediately postexercise. Plasma lactate, total leukocyte, neutrophil, and monocyte concentrations increased (p < .05) from baseline to immediately postexercise. Lymphocytes decreased significantly (p < .05) from baseline to 90 min postexercise. Lymphocytes were lower (p < .05) for the CHO condition than for placebo. The findings of this study indicate the following: ARE appears to evoke changes in immune cells similar to those previously reported during endurance exercise, and CHO ingestion attenuates lymphocytosis after ARE.
Joseph F. Seay, Brett R. Ely, Robert W. Kenefick, Shane G. Sauer, and Samuel N. Cheuvront
We examined the effect of body water deficits on standing balance and sought to determine if plasma hyperosmolality (Posm) and/or volume reduction (%ΔVplasma) exerted independent effects. Nine healthy volunteers completed three experimental trials which consisted of a euhydration (EUH) balance test, a water deficit session and a hypohydration (HYP) balance test. Hypohydration was achieved both by exercise-heat stress to 3% and 5% body mass loss (BML), and by a diuretic to 3% BML. Standing balance was assessed during quiet standing on a force platform with eyes open and closed. With eyes closed, hypohydration significantly decreased medial-lateral sway path and velocity by 13% (both p < .040). However, 95% confidence intervals for the mean difference between EUH and HYP were all within the coefficient of variation of EUH measures, indicating limited practical importance. Neither Vplasma loss nor Posm increases were associated with changes in balance. We concluded that standing balance was not altered by hypohydration.
Lawrence E. Armstrong, Carl M. Maresh, John W. Castellani, Michael F. Bergeron, Robert W. Kenefick, Kent E. LaGasse, and Deborah Riebe
Athletes and researchers could benefit from a simple and universally accepted technique to determine whether humans are well-hydrated, euhydrated, or hypohydrated. Two laboratory studies (A, B) and one field study (C) were conducted to determine if urine color (
Marcos Echegaray, Lawrence E. Armstrong, Carl M. Maresh, Deborah Riebe, Robert W. Kenefick, John W. Castellani, Stavros Kavouras, and Douglas Casa
This study assessed the plasma glucose (PG) and hormonal responses to carbohydrate ingestion, prior to exercise in the heat, in a hypohydrated state versus partial rehydration with intravenous solutions. On separate days, 8 subjects (21.0 ± 1.8 years; 57.3 ± 3.7 ml · kg−1 · min−1) exercised at 50% V̇O2maxin a 33 °C environment until a 4% body weight loss was achieved. Following this, subjects were rehydrated (25 ml · kg−1) with either: 0.45% IV saline (45IV), 0.9% IV saline (9IV), or no fluid (NF). Subjects then ingested 1 g · kg−1 of carbohydrate and underwent an exercise test (treadmill walking, 50% V̇O2max, 36 °C) for up to 90 min. Compared to pre-exercise level (294 mg · dl−1), PG increased significantly (>124 mg · dl−1) at 15 min of the exercise test in all trials and remained significantly elevated for 75 min in NF, 30 min more than in the 2 rehydration trials. Although serum Insulin increased significantly at 15 min of exercise in the 45IV trial (7.2 ± 1.2 vs. 23.7 ± 4.7 μIU · ml−1) no significant differences between trials were observed. Peak plasma norepinephrine was significantly higher in NF (640 ± 66 pg · ml−1) compared to the 45IV and 9IV trials (472 ± 55 and 474 ± 52 pg · ml−1, respectively). In conclusion, ingestion of a small solid carbohydrate load prior to exercise in the 4% hypohydration level resulted in prolonged high PG concentration compared to partial IV rehydration.
Matthew R. Ely, Robert W. Kenefick, Samuel N. Cheuvront, Troy Chinevere, Craig P. Lacher, Henry C. Lukaski, and Scott J. Montain
Heat acclimation (HA) reportedly conveys conservation in sweat micromineral concentrations when sampled from arm sweat, but time course is unknown. The observation that comprehensive cleaning of the skin surface negates sweat micromineral reductions during prolonged sweating raises the question of whether the reported HA effect is real or artifact of surface contamination.
To measure sweat mineral concentrations serially during HA and determine if surface contamination plays a role in the reported mineral reductions.
Calcium (Ca), copper (Cu), magnesium (Mg), and zinc (Zn) were measured in sweat obtained from 17 male volunteers using an arm bag on Day 1, 5, and 10 of a HA protocol. To study the role of contamination, sweat was simultaneously (n = 10 subjects) sampled twice daily from a cleaned site (WASH) and unclean site (NO WASH) on the scapular surface.
Sweat Ca, Cu, and Mg from Arm Bag trended progressively downward from Day 1 to Day 10 of HA (p = .10–0.25). Micromineral concentrations from the WASH site did not change between Day 1, 5, or 10 (Ca = 0.30 ± 0.12 mmol/L, Cu 0.41 ± 0.53 μmol/L; Zn 1.11 ± 0.80 μmol/L). Surface contamination can confound sweat mineral estimates, as sweat Ca and Cu from NO WASH site were initially higher than WASH (p < .05) but became similar to WASH when sampled serially.
Heat acclimation does not confer reductions in sweat Ca, Cu, Mg, or Zn. When the skin surface is not cleaned, mineral residue inflates initial sweat mineral concentrations. Earlier reports of micromineral reductions during HA may have been confounded by interday cleaning variability.
Michael F. Bergeron, Carl M. Maresh, Lawrence E. Armstrong, Joseph F. Signorile, John W. Castellani, Robert W. Kenefick, Kent E. LaGasse, and Deborah A. Riebe
Twenty (12 male and 8 female) tennis players from two Division I university tennis teams performed three days of round-robin tournament play (i.e., two singles tennis matches followed by one doubles match per day) in a hot environment (32.2 ±