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The Prevalence of Hypohydration in School-Sponsored Athletes Across and Within Practice Sessions

Grant G. Yee, Tiffanie M. Nolte, Tyler Z. Bouchard, Courtney M. Meyer, Brendon P. McDermott, Zachery T. Richards, Stephanie A. Rosehart, and Susan W. Yeargin

A majority (∼66%) of athletes participating in sports arrive for practices and competitions hypohydrated. 1 – 3 Hypohydration is more prevalent in males than females (17%–19% greater), 1 , 4 though comparisons have not been made across competition levels (high school [HS], college/university [COL

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Examination of Body Mass Changes Among Division I Collegiate Football Players With Sickle Cell Trait

Rebecca M. Hirschhorn, Jessica L. Phillips Gilbert, Danielle A. Cadet, Tenley E. Murphy, Clinton Haggard, Stephanie Rosehart, and Susan W. Yeargin

of maintaining core body temperature via heat loss is sweat evaporation. 8 , 9 Hypohydration can occur if sweat loss is higher than fluid replacement. 10 Body mass losses ≥2% result in increased cardiovascular strain, decreased thermoregulation, and is considered the threshold for hypohydration. 11

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Variability of Body Mass and Urine Specific Gravity in Elite Male Field Hockey Players During a Pre-Olympic Training Camp

Jason D. Vescovi and Greig Watson

exercise, multiple training sessions sometimes occur on a single day (e.g., training camps), and matches are sometimes played on consecutive days (e.g., field hockey tournaments include ∼5 matches in 7–8 days). The prevalence of minimal hypohydration (first morning urine specific gravity [Usg] = 1.010 − 1

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The Influence of Heat Acclimation and Hypohydration on Post-Weight-Loss Exercise Performance

Oliver R. Barley, Dale W. Chapman, Georgios Mavropalias, and Chris R. Abbiss

competitive advantage over their opponent. 2 – 3 The duration between being weighed and the competition ranges approximately 3 to 24 hours depending on the sport and level of competition. 2 , 4 Hypohydration induced by thermal stress is a commonly utilized method of body mass reduction, especially within

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Hypohydration Does Not Alter Standing Balance

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.

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Influence of Hypohydration on Intermittent Sprint Performance in the Heat

Neil S. Maxwell, Richard W.A. Mackenzie, and David Bishop

Purpose:

To examine the effect of hypohydration on physiological strain and intermittent sprint exercise performance in the heat (35.5 ± 0.6°C, 48.7 ± 3.4% relative humidity).

Methods:

Eight unacclimatized males (age 23.4 ± 6.2 y, height 1.78 ± 0.04 m, mass 76.8 ± 7.7 kg) undertook three trials, each over two days. On day 1, subjects performed 90 min of exercise/heat-induced dehydration on a cycle ergometer, before following one of three rehydration strategies. On day 2, subjects completed a 36-min cycling intermittent sprint test (IST) with a -0.62 ± 0.74% (euhydrated, EUH), -1.81 (0.99)% (hypohydrated1, HYPO1), or -3.88 ± 0.89% (hypohydrated2, HYPO2) body mass defcit.

Results:

No difference was observed in average total work (EUH, 3790 ± 556 kJ; HYPO1, 3785 ± 628 kJ; HYPO2, 3647 ± 339 kJ, P = 0.418), or average peak power (EUH, 1315 ± 129 W; HYPO1, 1304 ± 175 W; HYPO2, 1282 ± 128 W, P = 0.356) between conditions on day 2. Total work and peak power output in the sprint immediately following an intense repeated sprint bout during the IST were lower in the HYPO2 condition. Physiological strain index was greater in the HYPO2 vs. the EUH condition, but without changes in metabolic markers.

Conclusion:

A greater physiological strain was observed with the greatest degree of hypohydration; however, sprint performance only diminished in the most hypohydrated state near the end of the IST, following an intense bout of repeating sprinting.

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Effects of Varying Levels of Hypohydration on Ratings of Perceived Exertion

Donald R. Dengel, Peter G. Weyand, Donna M. Black, and Kirk J. Cureton

To investigate the effects of varying levels of hypohydration on ratings of perceived exertion (RPE) during moderate and heavy submaximal exercise, and at the lactate threshold (LT) and ventilatory threshold (VT), 9 male subjects cycled under states of euhydration (EU), moderate hypohydration (MH), and severe hypohydration (SH). The desired level of hypohydration was achieved over a 36-hr period by having subjects cycle at 50% VO2max in a 38°C environment on two occasions while controlling fluid intake and diet. During submaximal exercise, oxygen uptake, ventilation, heart rate, blood lactate, and RPE were not significantly different among treatments. Hypohydration did not significantly alter LT or VT, or perceptual responses at LT or VT. It is concluded that hypohydration of up to 5.6% caused by fluid manipulation and exercise in the heat over a 36-hr period does not alter RPE or the lactate or ventilatory threshold, nor RPE at the lactate and ventilatory thresholds measured during moderate and heavy submaximal cycling in a neutral (22°C) environment.

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Fluid and Electrolyte Balance During 24-Hour Fluid and/or Energy Restriction

Lewis J. James and Susan M. Shirreffs

Weight categorized athletes use a variety of techniques to induce rapid weight loss (RWL) in the days leading up to weigh in. This study examined the fluid and electrolyte balance responses to 24-hr fluid restriction (FR), energy restriction (ER) and fluid and energy restriction (F+ER) compared with a control trial (C), which are commonly used techniques to induce RWL in weight category sports. Twelve subjects (six male, six female) received adequate energy and water (C) intake, adequate energy and restricted water (~10% of C; FR) intake, restricted energy (~25% of C) and adequate water (ER) intake or restricted energy (~25% of C) and restricted (~10% of C) water intake (F+ER) in a randomized counterbalanced order. Subjects visited the laboratory at 0 hr, 12 hr, and 24 hr for blood and urine sample collection. Total body mass loss was 0.33% (C), 1.88% (FR), 1.97% (ER), and 2.44% (F+ER). Plasma volume was reduced at 24 hr during FR, ER, and F+ER, while serum osmolality was increased at 24 hr for FR and F+ER and was greater at 24 hr for FR compared with all other trials. Negative balances of sodium, potassium, and chloride developed during ER and F+ER but not during C and FR. These results demonstrate that 24 hr fluid and/or energy restriction significantly reduces body mass and plasma volume, but has a disparate effect on serum osmolality, resulting in hypertonic hypohydration during FR and isotonic hypohydration during ER. These findings might be explained by the difference in electrolyte balance between the trials.

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Exercise and the Effects of Hydration on Blood Viscosity in Sickle Cell Trait Carriers: A Critically Appraised Topic

Leslie Tufano, Jon Hochstetler, Timothy Seminerio, and Rebecca M. Lopez

individuals with SCT during exercise. Before exercise, hydration levels were not evaluated in both the Tripette studies. This is a drawback to determine if hypohydration along with exercise demonstrated higher blood viscosity than exercise alone. Still, more research is needed to determine the amount of

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Fluid Replacement Attenuates Physiological Strain Resulting From Mild Hypohydration Without Impacting Cognitive Performance

Matthew T. Wittbrodt, Mindy Millard-Stafford, Ross A. Sherman, and Christopher C. Cheatham

Purpose:

The impact of mild hypohydration on physiological responses and cognitive performance following exercise-heat stress (EHS) were examined compared with conditions when fluids were ingested ad libitum (AL) or replaced to match sweat losses (FR).

Methods:

Twelve unacclimatized, recreationally-active men (22.2 ± 2.4 y) completed 50 min cycling (60%VO2peak) in the heat (32°C; 65% RH) under three conditions: no fluid (NF), AL, and FR. Before and after EHS, a cognitive battery was completed: Trail making, perceptual vigilance, pattern comparison, match-to-sample, and letter-digit recognition tests.

Results:

Hypohydration during NF was greater compared with AL and FR (NF: -1.5 ± 0.6; AL: -0.3 ± 0.8; FR: -0.1 ± 0.3% body mass loss) resulting in higher core temperature (by 0.4, 0.5 °C), heart rate (by 13 and 15 b·min-1), and physiological strain (by 1.3, 1.5) at the end of EHS compared with AL and FR, respectively. Cognitive performance (response time and accuracy) was not altered by fluid condition; however, mean response time improved (p < .05) for letter-digit recognition (by 56.7 ± 85.8 ms or 3.8%; p < .05) and pattern comparison (by 80.6 ± 57.4 ms or 7.1%; p < .001), but mean accuracy decreased in trail making (by 1.2 ± 1.4%; p = .01) after EHS (across all conditions).

Conclusions:

For recreational athletes, fluid intake effectively mitigated physiological strain induced by mild hypohydration; however, mild hypohydration resulting from EHS elicited no adverse changes in cognitive performance.