Hydration Status in Elite Wrestlers, Judokas, Boxers, and Taekwondo Athletes on Competition Day

Author(s):  
Stefan Pettersson ◽  
Christina M. Berg

Weight category athletes are known for practicing rapid weight loss before competition weigh-in. After weigh-in, athletes strive to restore euhydration and body mass through food and fluid intake. The aim of the current study was to assess prevalence of hypohydration at competition time among elite athletes’ in four different combat sports, and how water intake and timing of official weigh-in were related to hydration status. Participants were 31 taekwondo practitioners and wrestlers who performed evening weigh-in (EWI) the night before competition day and had thus time for rehydration, and 32 boxers and judokas conducting competition day morning weigh-in (MWI). In total, 32% were female. Urine specific gravity (USG) was measured by refractometry on the competition day’s first morning urine sample. Hypohydration was defined as USG ≥1.020 and serious hypohydration as USG > 1.030. Water intake was measured by means of dietary records. The prevalence of hypohydration was 89% in the morning of competition day. Serious hypohydration was also prevalent. This was found in over 50% of MWI athletes and in 42% of the EWI group. A higher water intake, from both fluids and solid foods, in the evening before competition day was not associated with a more favorable hydration status the following morning. In conclusion, neither weigh-in close to competition nor evening weigh-in with more time for rehydration seems to prevent hypohydration before competition.

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 565 ◽  
Author(s):  
Ana Isabel Laja García ◽  
Maria de Lourdes Samaniego-Vaesken ◽  
Teresa Partearroyo ◽  
Gregorio Varela-Moreiras

The achievement of adequate hydration status is essential for mental and physical performance and for health in general, especially in children and adolescents. Nevertheless, little is known about hydration status of this population, mainly due to the limited availability of research tools; thus, the objective of the current study was to adapt and validate our hydration status questionnaire in a Spanish adolescent-young population. The questionnaire was validated against important hydration markers: urine colour, urine specific gravity, haemoglobin, haematocrit and total body water and involved 128 subjects aged between 12–17 years. Water intake was also estimated through a three-day dietary record and physical activity was assessed through accelerometers. Participants completed the questionnaire twice. Water balance and water intake were correlated with urine specific gravity and with total body water content. Water intake obtained by the questionnaire was correlated with results from the three-day dietary record. The intraclass correlation coefficient indicated moderate concordance between both recordings and the Cronbach’s alpha revealed high consistency. The Bland and Altman method indicated that the limits of agreement were acceptable to reveal the reliability of the estimated measures. In conclusion, this is the first time that a questionnaire is valid and reliable to estimate hydration status of adolescent-young populations.


2014 ◽  
Vol 24 (5) ◽  
pp. 497-506 ◽  
Author(s):  
Bjoern Geesmann ◽  
Joachim Mester ◽  
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.


2021 ◽  
Vol 27 (1) ◽  
pp. 70-74
Author(s):  
Felipe Gomes Belfort ◽  
Paulo Roberto dos Santos Amorim ◽  
Carlos Enrique Silva ◽  
Cassia Farias Fernandes Gonçalves ◽  
Priscila Rita Niquini ◽  
...  

ABSTRACT Introduction Dehydration has been described as one of the main factors of reduced performance in combat sports activities, leading to death in extreme cases. Objective To investigate the pre-training hydration status and changes in fluid homeostasis during two taekwondo training sessions. Methods Eighteen male college athletes (age 22.6 ± 3.37 years) were assessed. The study design aimed to reproduce the conditions of a 90-minute taekwondo training session, divided into three stages: a) warm-up exercises (20 min); b) poomsae (30 min) and c) technical training (40 min). The athletes had ad libitum water intake during training. To assess the hydration status we considered body mass (BM), the amount of liquid consumed and urine output, which enabled us to establish absolute and relative fluid loss in kg and percentage as well as the sweating rate. We also considered urine specific gravity (USG), urine color (U-COL), and subjective sensation of thirst (Sthirst) before and after the training session. Pre- and post-training results were compared separately in each session and between sessions. Results There was a significant difference (P<0.05) in pre-training BM between the two days of training. There was a significant difference (P<0.05) in the final BM on both days of the experiment. Most subjects had relative dehydration below 2%. A significant difference (P<0.05) was recorded pre and post training for U-COL and Sthirst, with the highest rates obtained at the end of each session. Participants always started training at a low dehydration status (USG >1,020g.ml-1). Conclusions The athletes tended to start the training sessions in dehydration status, which increases over the course of the training. Ad libitum water intake was not sufficient to balance fluid loss. Changes in fluid levels between sessions were similar. Level of Evidence II; Therapeutic Studies Investigating the Results Level of Treatment.


2012 ◽  
Vol 109 (2) ◽  
pp. 313-321 ◽  
Author(s):  
Nathalie Pross ◽  
Agnès Demazières ◽  
Nicolas Girard ◽  
Romain Barnouin ◽  
Francine Santoro ◽  
...  

The present study evaluated, using a well-controlled dehydration protocol, the effects of 24 h fluid deprivation (FD) on selected mood and physiological parameters. In the present cross-over study, twenty healthy women (age 25 (se 0·78) years) participated in two randomised sessions: FD-induced dehydration v. a fully hydrated control condition. In the FD period, the last water intake was between 18.00 and 19.00 hours and no beverages were allowed until 18.00 hours on the next day (23–24 h). Water intake was only permitted at fixed periods during the control condition. Physiological parameters in the urine, blood and saliva (osmolality) as well as mood and sensations (headache and thirst) were compared across the experimental conditions. Safety was monitored throughout the study. The FD protocol was effective as indicated by a significant reduction in urine output. No clinical abnormalities of biological parameters or vital signs were observed, although heart rate was increased by FD. Increased urine specific gravity, darker urine colour and increased thirst were early markers of dehydration. Interestingly, dehydration also induced a significant increase in saliva osmolality at the end of the 24 h FD period but plasma osmolality remained unchanged. The significant effects of FD on mood included decreased alertness and increased sleepiness, fatigue and confusion. The most consistent effects of mild dehydration on mood are on sleep/wake parameters. Urine specific gravity appears to be the best physiological measure of hydration status in subjects with a normal level of activity; saliva osmolality is another reliable and non-invasive method for assessing hydration status.


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 287
Author(s):  
Jianfen Zhang ◽  
Na Zhang ◽  
Shufang Liu ◽  
Songming Du ◽  
Guansheng Ma

The body’s water and sodium balances are tightly regulated and monitored by the brain. Few studies have explored the relationship between water and salt intake, and whether sodium intake with different levels of fluid intake leads to changes in hydration status remains unknown. The aim of the present study was to determine the patterns of water intake and hydration status among young adults with different levels of daily salt intakes. Participants’ total drinking fluids and water from food were determined by a 7-day 24-h fluid intake questionnaire for 7 days (from Day 1 to Day 7) and duplicate portion method (Day 5, Day 6 and Day 7). Urine of 24 h for 3 days (Day 5, Day 6 and Day 7) was collected and tested for the osmolality, the urine-specific gravity (USG), the concentrations of electrolytes, pH, creatinine, uric acid and the urea. The fasting blood samples for 1 day (Day 6) were collected and measured for the osmolality and the concentrations of electrolytes. The salt intakes of the participants were evaluated from the concentrations of Na of 24 h urine of 3 days (Day 5, Day 6 and Day 7). Participants were divided into four groups according to the quartile of salt intake, including the low salt intake (LS1), LS2, high salt intake (HS1) and HS2 groups. In total, 156 participants (including 80 male and 76 female young adults) completed the study. The salt intakes were 7.6, 10.9, 14.7 and 22.4 g among participants in the four groups (LS1, LS2, HS1 and HS2 groups, respectively), which differed significantly in all groups (F = 252.020; all p < 0.05). Compared to the LS1 and LS2 groups, the HS2 group had 310–381, 250–358 and 382–655 mL more amounts of water from the total water intake (TWI), total drinking fluids and water from food (all p < 0.05), respectively. Participants in the HS2 group had 384–403, 129–228 and 81–114 mL more in the water, water from dishes and staple foods, respectively, than those in the groups of LS1 and LS2 (p < 0.05). The HS2 group excreted 386–793 mL more urine than those in the groups of LS1 and LS2 (p < 0.05). However, regarding urine osmolality, the percentage of participants with optimal hydration status decreased from 41.0% in LS1 and LS2 to 25.6% in the HS2 group (p < 0.05). Participants with higher salt intake had higher TWI, total drinking fluids and water from food. Nevertheless, they had inferior hydration status. A reduction in salt intake should be encouraged among young adults to maintain optimal hydration status.


Author(s):  
George Aphamis ◽  
Pinelopi S. Stavrinou ◽  
Eleni Andreou ◽  
Christoforos D. Giannaki

AbstractAimIndividuals living in a hot environment appear to face increased risk of dehydration. Currently there is not extensive literature on the adolescent population in relation to hydration. The aim of the present study was to assess hydration status and total water intake (TWI) at school, of adolescents living in a hot environment, and to investigate the association of hydration and TWI with various subjective feelings.MethodsThe hydration status of 141 adolescents (boys n = 102), age 15–17 years, was assessed via urine specific gravity (USG), at the beginning (07:30 am) and at the end (1:30 pm) of one school day. TWI from fluids and solid food was assessed via detailed food and fluid records. Subjective feelings (i.e. thirst, alertness, ability to concentrate) were recorded by specific scales.ResultsNinety percent of the students arrived dehydrated at school (USG >1.020). Thirteen students were hydrated (USG <1.020), 67 students were slightly dehydrated (USG 1.021–1.029), and 50 students were seriously dehydrated (USG >1.030). There was no difference in TWI between the three groups (765 ± 451 mL). TWI correlated with alertness (p = 0.005) and the ability to concentrate (p = 0.015), and inversely correlated with fatigue (p = 0.015). Seriously dehydrated students felt less alert in the morning (p < 0.035) whereas the feeling of thirst was similar between all groups.ConclusionsThe prevalence of the dehydration of the adolescents during school time appeared to be extremely high, and thirst was not driving those adolescents to drink enough. Apart from health concerns, school performance could be affected by dehydration and inadequate water intake.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Erry Yudhya Mulyani ◽  
Dudung Angkasa ◽  
Enrico Stanin ◽  
Idrus Jus'at

Purpose In Indonesia, 29.3% of Indonesian women were obese. Dehydrated women have 1.6 times higher risk of becoming obese than normal ones. This study was aimed to further explore the association between gestational weight gain (GWG) and maternal hydration status. Design/methodology/approach This longitudinal study involved 50 pregnant women aged 18–35 years. Subject identity, age, parity and household expenses were collected using questionnaire. Urine specific gravity (USG) was used as an indicator for hydration status. Venous blood was collected to measured haemoglobin (Hb) by anemometer method. Anthropometric data such as pre-pregnancy weight, maternal body weight, GWG, body mass index (BMI) and mid-upper arm circumference (MUAC) was collected using standardized tools. Dietary and total water intake (TWI) were measured through three consecutive days of a 24-h food recall. Pearson’s correlation, independent t-test and analysis of covariance were used to appraise the hypothesis. Findings The subject’s mean age was 29.3 ± 5.6 years; BMI was 23.5 ± 4.1 kg/m2. MUAC (28.2 ± 4.0 cm) and Hb (11.5 ± 1.0 g/dl) were still in the normal range. Most subjects were well hydrated, with an average USG of 1.016 g/mL. GWG and TWI are significantly correlated (p < 0.01). Based on the hydration status, after corrected with TWI, GWG was not significantly different. Originality/value It calls to mind that nutrition and water intake, alongside weight gain monitoring during pregnancy, are part of an effort to prevent pregnancy risks.


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 335
Author(s):  
Nubiya Amaerjiang ◽  
Menglong Li ◽  
Huidi Xiao ◽  
Jiawulan Zunong ◽  
Ziang Li ◽  
...  

Dehydration is common in children for physiological and behavioral reasons. The objective of this study was to assess changes in hydration status and renal impairment across school weekdays. We conducted a longitudinal study of three repeated measures of urinalysis within one week in November 2019 in a child cohort in Beijing, China. We measured urine specific gravity (USG) to determine the dehydration status, and the concentration of β2-microglobulin (β2-MG) and microalbumin (MA) to assess renal function impairment among 1885 children with a mean age of 7.7 years old. The prevalence of dehydration was 61.9%, which was significantly higher in boys (64.3%). Using chi-square tests and linear mixed-effects regression models, we documented the trends of the renal indicators’ change over time among different hydration statuses. Compared to Mondays, there were apparent increases of β2-MG concentrations on Wednesdays (β = 0.029, p < 0.001) and Fridays (β = 0.035, p < 0.001) in the dehydrated group, but not in the euhydrated group. As for the MA concentrations, only the decrease on Fridays (β = −1.822, p = 0.01) was significant in the euhydrated group. An increased trend of elevated β2-MG concentration was shown in both the euhydrated group (Z = −3.33, p < 0.001) and the dehydrated group (Z = −8.82, p < 0.001). By contrast, there was a decreased trend of elevated MA concentrations in the euhydrated group (Z = 3.59, p < 0.001) but not in the dehydrated group. A new indicator ratio, β2-MG/MA, validated the consistent trends of renal function impairment in children with dehydration. Renal impairment trends worsened as a function of school days during the week and the dehydration status aggravated renal impairment during childhood across school weekdays, especially tubular abnormalities in children.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alejandra Carretero-Krug ◽  
Natalia Úbeda ◽  
Carlos Velasco ◽  
Juan Medina-Font ◽  
Trinidad Trujillo Laguna ◽  
...  

Abstract Background An adequate hydration status is critical to ensure efficiency during mental and physical activities. Our goal was to assess the hydration status of a Spanish group of aeronautical military men and to determine the association of hydration status with body composition and anxiety. Methods A total of 188 men were evaluated through a validated hydration questionnaire, anthropometric and biochemical parameters, and an anxiety questionnaire. Based on these methods, the criteria of hydration were established. Results Of the total sample, 81% met the hydration criteria (urine color = well hydrated, water balance ≥ 0 ml, and total water intake/weight ≥ 35 ml/kg), and 19% did not meet the hydration criteria (urine color = not sufficiently hydrated or dehydrated, water balance < 0 ml, and total water intake/weight < 35 ml/kg). Subjects not meeting the hydration criteria had lower urine pH, negative water balance, and lower water intake. The latter also had higher anxiety status (score = 4 vs. 3, P = 0.026), weight [(84.7 ± 10.5) vs. (80.5 ± 10.2) kg], body mass index [(26.3 ± 3.1) vs. (25.2 ± 2.8)]kg/m2, body fat [(22.3 ± 5.6) vs. (18.3 ± 6.5)] %, urine specific gravity, and urine color. Using a logistic binary regression model, hydration status was related significantly with the percentage of body fat (P = 0.004), but no relation was found with age, comorbidities, or medications. Furthermore, total water intake/weight was positively correlated with percentage of body water (r = 0.357, P = 0.000) and negatively with body fat (kg) (r = − 0.427, P = 0.000), percentage of body fat (r = − 0.405, P = 0.000), and waist/hip ratio (r = − 0.223, P = 0.002). Based on a linear regression model, total water intake/weight was related significantly with percentage of body fat (P = 0.001) and percentage of body water content (P = 0.035). No relation was found, however, with waist/hip ratio, age, comorbidities, or medications. Conclusions These findings all suggest a relationship between hydration status and body composition but also set the bases for future studies that relate hydration status and anxiety status. These results can be used to improve the hydration status and body composition of military personnel.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1757
Author(s):  
Michael R. Szymanski ◽  
Gabrielle E. W. Giersch ◽  
Margaret C. Morrissey ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
...  

Euhydration remains a challenge in children due to lack of access and unpalatability of water and to other reasons. The purpose of this study was to determine if the availability/access to a beverage (Creative Roots®) influences hydration in children and, therefore, sleep quality and mood. Using a crossover investigation, 46 participants were randomly assigned to a control group (CON) or an intervention group and received Creative Roots® (INT) for two-week periods. We recorded daily first morning and afternoon urine color (Ucol), thirst perception, and bodyweight of the two groups. Participants reported to the lab once per week and provided first morning urine samples to assess Ucol, urine specific gravity (USG), and urine osmolality (Uosmo). Participants also completed the questionnaires Profile of Mood States-Adolescents (POMS-a) and Pittsburgh Sleep Quality Index (PSQI). Dependent t-tests were used to assess the effects of the intervention on hydration, mood, and sleep quality. Uosmo was greater and Ucol was darker in the control group (mean ± SD) [Uosmo: INT = 828 ± 177 mOsm·kg−1, CON = 879 ± 184 mOsm·kg−1, (p = 0.037], [Ucol:INT = 5 ± 1, CON = 5 ± 1, p = 0.024]. USG, POMS-a, and PSQI were not significant between the groups. At-home daily afternoon Ucol was darker in the control group [INT = 3 ± 1, CON = 3 ± 1, p = 0.022]. Access to Creative Roots® provides a small, potentially meaningful hydration benefit in children. However, children still demonstrated consistent mild dehydration based on Uosmo, despite consuming the beverage.


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