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J.D. Adams, Stavros A. Kavouras, Evan C. Johnson, Lisa T. Jansen, Catalina Capitan-Jimenez, Joseph I. Robillard and Andy Mauromoustakos

The purpose of this investigation was to quantify the effects of storage temperature, duration, and the urinary sediment on urinary hydration markers. Thirty-six human urine samples were analyzed fresh and then the remaining sample was separated into 24 separate vials, six in each of the following four temperatures: 22 °C, 7 °C, -20 °C, and -80 °C. Two of each sample stored in any given temperature, were analyzed after 1, 2, and 7 days either following vortexing or centrifugation. Each urine sample was analyzed for osmolality (UOsm), urine specific gravity (USG), and urine color (UC). UOsm was stable at 22 °C, for 1 day (+5–9 mmol∙kg-1, p > .05) and at 7 °C, UOsm up to 7 days (+8–8 mmol∙kg-1, p > .05). At -20 and -80 °C, UOsm decreased after 1, 2, and 7 days (9–61 mmol∙kg-1, p < .05). Vortexing the sample before analysis further decreased only UOsm in the -20 °C and -80 °C storage. USG remained stable up to 7 days when samples were stored in 22 °C or 7 °C (p > .05) but declined significantly when stored in -20 °C, and -80 °C (p < .001). UC was not stable in any of the storing conditions for 1, 2, and 7 days. In conclusion, these data indicate that urine specimens analyzed for UOsm or USG remained stable in refrigerated (7 °C) environment for up to 7 days, and in room temperature for 1 day. However, freezing (-20 and -80 °C) samples significantly decreased the values of hydration markers.

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Mary Caitlin Stevenson Wilcoxson, Samantha Louise Johnson, Veronika Pribyslavska, James Mathew Green and Eric Kyle O’Neal

Runners are unlikely to consume fluid during training bouts increasing the importance of recovery rehydration efforts. This study assessed urine specific gravity (USG) responses following runs in the heat with different recovery fluid intake volumes. Thirteen male runners completed 3 evening running sessions resulting in approximately 2,200 ± 300 ml of sweat loss (3.1 ± 0.4% body mass) followed by a standardized dinner and breakfast. Beverage fluid intake (pre/postbreakfast) equaled 1,565/2,093 ml (low; L), 2,065/2,593 ml (moderate; M) and 2,565/3,356 mL (high; H). Voids were collected in separate containers. Increased urine output resulted in no differences (p > .05) in absolute mean fluid retention for waking or first postbreakfast voids. Night void averages excluding the first void postrun (1.025 ± 0.008; 1.013 ± 0.008; 1.006 ± 0.003), first morning (1.024 ± 0.004; 1.015 ± 0.005; 1.014 ± 0.005), and postbreakfast (1.022 ± 0.007; 1.014 ± 0.007; 1.008 ± 0.003) USG were higher (p < .05) for L versus M and H respectively and more clearly differentiated fluid intake volume between L and M than color or thirst sensation. Waking (r = -0.66) and postbreakfast (r = -0.71) USG were both significantly correlated (p < .001) with fluid replacement percentage, but not absolute fluid retention. Fluid intake M was reported as most similar to normal consumption (5.6 ± 1.0 on 0–10 scale) after breakfast and equaled 122 ± 16% of sweat losses. Retention data suggests consumption above this level is not warranted or actually practiced by most runners drinking ad libitum, but that periodic prerun USG assessment may be useful for coaches to detect runners that habitually consume low levels of fluids between training bouts in warm seasons.

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Bjoern Geesmann, Joachim Mester and Karsten Koehler

Athletes competing in ultra-endurance events are advised to meet energy requirements, to supply appropriate amounts of carbohydrates (CHO), and to be adequately hydrated before and during exercise. In practice, these recommendations may not be followed because of satiety, gastrointestinal discomfort, and fatigue. The purpose of the study was to assess energy balance, macronutrient intake and hydration status before and during a 1,230-km bike marathon. A group of 14 well-trained participants (VO2max: 63.2 ± 3.3 ml/kg/min) completed the marathon after 42:47 hr. Ad libitum food and fluid intake were monitored throughout the event. Energy expenditure (EE) was derived from power output and urine and blood markers were collected before the start, after 310, 618, and 921 km, after the finish, and 12 hr after the finish. Energy intake (EI; 19,749 ± 4,502 kcal) was lower than EE (25,303 ± 2,436 kcal) in 12 of 14 athletes. EI and CHO intake (average: 57.1 ± 17.7 g/hr) decreased significantly after km 618 (p < .05). Participants ingested on average 392 ± 85 ml/hr of fluid, but fluid intake decreased after km 618 (p < .05). Hydration appeared suboptimal before the start (urine specific gravity: 1.022 ± 0.010 g/ml) but did not change significantly throughout the event. The results show that participants failed to maintain in energy balance and that CHO and fluid intake dropped below recommended values during the second half of the bike marathon. Individual strategies to overcome satiety and fatigue may be necessary to improve eating and drinking behavior during prolonged ultra-endurance exercise.

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Pamela Jane Magee, Alison M. Gallagher and Jacqueline M. McCormack

Although dehydration of ≥ 2% body weight (BW) loss significantly impairs endurance performance, dehydration remains prevalent among athletes and may be owing to a lack of knowledge in relation to fluid requirements. The aim of this study was to assess the hydration status of university/club level athletes (n = 430) from a range of sports/activities (army officer cadet training; bootcamp training; cycling; Gaelic Athletic Association camogie, football and hurling; golf; hockey; netball; rugby; running (sprinting and endurance); Shotokan karate and soccer) immediately before and after training/competition and to assess their nutritional knowledge. Urine specific gravity (USG) was measured immediately before and after exercise and BW loss during exercise was assessed. Nutritional knowledge was assessed using a validated questionnaire. 31.9% of athletes commenced exercise in a dehydrated state (USG >1.020) with 43.6% of participants dehydrated posttraining/competition. Dehydration was particularly prevalent (>40% of cohort) among karateka, female netball players, army officer cadets, and golfers. Golfers that commenced a competitive 18 hole round dehydrated took a significantly higher number of strokes to complete the round in comparison with their euhydrated counterparts (79.5 ± 2.1 vs. 75.7 ± 3.9 strokes, p = .049). Nutritional knowledge was poor among participants (median total score [IQR]; 52.9% [46.0, 59.8]), albeit athletes who were euhydrated at the start of exercise had a higher overall score in comparison with dehydrated athletes (55.2% vs. 50.6%, p = .001). Findings from the current study, therefore, have significant implications for the education of athletes in relation to their individual fluid requirements around exercise.

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Khaled Trabelsi, Stephen R. Stannard, Ronald J. Maughan, Kamel Jammoussi, Khaled Zeghal and Ahmed Hakim

The aim of this study was to evaluate the effects of a hypertrophic training program during Ramadan on body composition and selected metabolic markers in trained bodybuilders. Sixteen male recreational bodybuilders (9 Ramadan fasters and 7 nonfasters) participated in the study. All visited the laboratory 2 d before the start of Ramadan (Bef-R) and on the 29th day of Ramadan (End-R). In the morning of each session, subjects underwent anthropometric measurement, completed a dietary questionnaire, and provided fasting blood and urine samples. Body mass and body-mass index in nonfasters increased by 2.4% (p = .05 and p = .04, respectively) from Bef-R to End-R but remained unchanged in fasters over the period of the investigation. Fasters experienced an increase in the following parameters from Bef-R to End-R: urine specific gravity (1%, p = .022) and serum concentrations of urea (5%, p = .008), creatinine (5%, p = .007), uric acid (17%, p < .001), sodium (2%, p = .019), potassium (6%, p = .006), chloride (2%, p = .028), and high-density lipoprotein cholesterol (10%, p = .005). However, only serum creatinine and low-density lipoprotein cholesterol increased in nonfasters (3%, p < .001 and 14%, p = .007, respectively) during the same period. Creatinine clearance values of fasters decreased by 3% (p = .03) from Bef-R to End-R. Continuance of hypertrophic training through Ramadan had no effect on body mass and body composition of bodybuilders, but a state of dehydration and reduced renal function were apparent, perhaps because of the restricted opportunity for fluid intake imposed by the study design.

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Khaled Trabelsi, Kais el Abed, Stephen R. Stannard, Kamel Jammoussi, Khaled M. Zeghal and Ahmed Hakim

The aim of this study was to evaluate the effects of aerobic training in a fasted versus a fed state during Ramadan on body composition and metabolic parameters in physically active men. Nineteen men were allocated to 2 groups: 10 practicing aerobic training in a fasted state (FAST) and 9 training in an acutely fed state (FED) during Ramadan. All subjects visited the laboratory for a total of 4 sessions on the following occasions: 3 days before Ramadan (Bef-R), the 15th day of Ramadan; the 29th day of Ramadan (End-R), and 21 days after Ramadan. During each session, subjects underwent anthropometric measurement, completed a dietary questionnaire, and provided fasting blood and urine samples. Body weight decreased in FAST and FED by 1.9% (p < .001) and 2.6% (p = .046), respectively. Body fat percentage decreased only in FAST by 6.2% (p = .016). FAST experienced an increase in the following parameters from Bef-R to End-R: urine specific gravity (0.64%, p = .012), urea (8.7%, p < .001), creatinine (7.5%, p < .001), uric acid (12.7%, p < .001), sodium (1.9%, p = .003), chloride (2.6%, p < .001), and high-density lipoprotein cholesterol (27.3%, p < .001). Of these parameters, only creatinine increased (5.8%, p = .004) in FED. Creatinine clearance values of FAST decreased by 8.9% (p < .001) and by 7.6% in FED (p = .01) from Bef-R to End-R. The authors conclude that aerobic training in a fasted state lowers body weight and body fat percentage. In contrast, fed aerobic training decreases only body weight. In addition, Ramadan fasting induced change in some metabolic parameters in FAST, but these changes were absent in FED.

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Composition Assessed Using DXA and Surface Anthropometry Show Good Agreement in Elite Rugby Union Athletes Adam J. Zemski * Shelley E. Keating * Elizabeth M. Broad * Gary J. Slater * 1 01 2019 29 1 24 31 10.1123/ijsnem.2018-0019 ijsnem.2018-0019 Urine Specific Gravity as a Practical Marker for

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.3.220 Accuracy of Urine Specific Gravity and Osmolality as Indicators of Hydration Status Robert A. Oppliger * Scott A. Magnes * LeRoy A. Popowski * Carl V. Gisolfi * 6 2005 15 15 3 3 236 236 251 251 10.1123/ijsnem.15.3.236 Fluid, Electrolyte, and Renal Indices of Hydration during 11 Days of Controlled

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Eric D.B. Goulet, Adrien De La Flore, Félix A. Savoie and Jonathan Gosselin

Dual; Owen Mumford, Oxford, United Kingdom) and participants emptied their bladder, provided a urine sample, were weighed and baseline urine specific gravity (PAL-10S; Atago, Bellevue, WA), osmolality (5004 micro osmette; Precision Systems, Inc., Natick, MA), color ( Armstrong et al., 1998 ), and

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Christopher Byrne and Jason K.W. Lee

Respironics, Bend, OR) systems. 26 Prerace resting TC and HR values were obtained during a 5-minute period of seated rest. Measures of prerace hydration status (including urine-specific gravity) and fluid balance were assessed as previously described. 25 Environmental conditions were measured throughout the