Hydration Status, Knowledge, and Behavior in Youths at Summer Sports Camps

2008 ◽  
Vol 3 (3) ◽  
pp. 262-278 ◽  
Author(s):  
Nora R. Decher ◽  
Douglas J. Casa ◽  
Susan W. Yeargin ◽  
Matthew S. Ganio ◽  
Michelle L. Levreault ◽  
...  
Keyword(s):  
Specific Gravity ◽  
Urine Osmolality ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Self Assessment ◽  
And Behavior ◽  
Summer Sports Camp

Purpose:To assess the hydration status and level of hydration knowledge of youths at summer sports camps.Methods:Sixty-seven active youths, 57 males (mean ± SD, 12 ± 2 y, 136 ± 16 cm, 50.6 ± 21.1 kg) and 10 females (13 ± 2 y, 153 ± 8 cm, 45.2 ± 9.0 kg) participated in 4 d of sports camp. Hydration status was assessed before the first practice (AM) and after the second practice (PM). Participants completed suriveys assessing hydration knowledge (HAQ) and hydration habits on day 3 and a self-assessment (EQ#1).Results:Mean AM urine specific gravity (USG) and urine osmolality (Uosm) scores ranged from minimal to significant dehydration across 4 d, even when temperatures were mild. Correlations between hydration indices and EQ#1, ranging from 0.11 to −0.51, were statistically significant (P < .05), indicating that subjects recognized when they were doing a good or bad job hydrating. HAQ did not correlate strongly with hydration indices suggesting other impediments to hydration. Thirst correlated negatively with EQ#1 (from −0.29 to −0.60).Conclusion:Hydration at summer sports camp is a concern and special efforts need to be made to help youths develop hydration strategies.

Hydration status of Greco-Roman wrestlers in an authentic precompetition situation

2013 ◽  
Vol 38 (6) ◽  
pp. 621-625 ◽  
Author(s):  
Vahur Ööpik ◽  
Saima Timpmann ◽  
Andres Burk ◽  
Innar Hannus
Keyword(s):  
Specific Gravity ◽  
Body Mass ◽  
Urine Osmolality ◽  
Mass Gain ◽  
The Body ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Greco Roman ◽  
Reduced Body ◽  
Body Mass Gain

We assessed the urinary indexes of hydration status of Greco-Roman wrestlers in an authentic precompetition situation at the time of official weigh-in (OWI). A total of 51 of 89 wrestlers competing in the Estonian Championship in 2009 donated a urine sample. Questionnaire responses revealed that 27 wrestlers (body mass losers (BMLs)) reduced body mass before the competition, whereas 24 wrestlers (those who do not lose body mass (n-BMLs)) did not. In 42 wrestlers, values of urine specific gravity ≥1.020 and urine osmolality ≥700 mOsmol·kg−1 revealed a hypohydrated status. The prevalence of hypohydration in the BMLs (96%) was higher than in the n-BMLs (67%) (χ2 = 7.68; p < 0.05). The prevalence of serious hypohydration (urine specific gravity >1.030) was 5.3 times greater (χ2 = 8.32; p < 0.05) in the BMLs than in the n-BMLs. In the BMLs, the extent of body mass gain during the 16-h recovery (2.5 ± 1.2 kg) was associated (r = 0.764; p < 0.05) with self-reported precompetition body mass loss (4.3 ± 2.0 kg) and exceeded the body mass gain observed in the n-BMLs (0.7 ± 1.2 kg; p < 0.05). We conclude that hypohydration is prevalent among Greco-Roman wrestlers at the time of OWI. The prevalence of hypohydration and serious hypohydration is especially high among wrestlers who are accustomed to reducing body mass before competition. These results suggest that an effective rehydration strategy is needed for Olympic-style wrestlers, and that changes in wrestling rules should be considered to reduce the prevalence of harmful body mass management behaviours.

scholarly journals Pengetahuan, sikap, perilaku, dan asupan gizi berdasarkan status hidrasi ibu hamil

2020 ◽  
Vol 17 (2) ◽  
pp. 87
Author(s):  
Erry Yudhya Mulyani ◽  
Idrus Jus'at ◽  
Dudung Angkasa ◽  
Dwikani Oklita Anggiruling ◽  
Enrico Stanin
Keyword(s):  
Specific Gravity ◽  
Pregnant Women ◽  
Nutritional Intake ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Nutritional Knowledge ◽  
Cross Sectional ◽  
Urine Color ◽  
And Behavior ◽  
Attitudes And Behavior

Maternal nutritional knowledge, attitude, behavior, and intake based on hydration statusBackground: Based on past studies, 49% of pregnant women had low knowledge of nutrition and hydration. Nutritional knowledge, attitudes, and behavior are positively correlated to nutritional intake, malnutrition and dehydration may disturb maternal health and pregnancy outcome.Objectives: To analyze maternal nutritional knowledge, attitudes, behavior, and nutritional intake based on the hydration status.Methods: This cross-sectional study was conducted at Puskesmas Kebon Jeruk District, West Jakarta using a purposive sampling method. Subjects were 50 pregnant women who came to check their pregnancies. Subject’s characteristics, nutritional knowledge, attitudes, and behavior are collected with a questionnaire, nutritional intake with 1x24 hours recall. Hemoglobin (Hb) level is determined with Haemometer, urine specific gravity with Urinometer, and urine color with PURI card.Results: Subjects had an average age of 29.0±5.7 years, gestational age 21.3±11.3 weeks, weight 62.7±9 kg, height 158.1±4.1 cm, upper arm circumference 32.4±29.5 cm, Hb level 12.2±0.9 g/dL, urine color score 4±0.9, and urine specific gravity 1016±5.4. Based on urine specific gravity, 56% of the pregnant women were euhydrated and 44% were dehydrated. Based on the hydration status there were no differences in knowledge, attitudes, behavior, and macronutrient intake (p≥0.05), except for the fluid intake (p<0.05).Conclusions: Although the knowledge, attitudes, and nutritional behavior of pregnant women were not poor, optimization of the fluid consumption to 3L/day, and diversified food consumption is needed. Further research on external factors that can affect the nutritional status and hydration of pregnant women is recommended.

Relationships Between WUT (Body Weight, Urine Color, and Thirst Level) Criteria and Urine Indices of Hydration Status

2021 ◽  
pp. 194173812110384
Author(s):  
Yasuki Sekiguchi ◽  
Courteney L. Benjamin ◽  
Cody R. Butler ◽  
Margaret C. Morrissey ◽  
Erica M. Filep ◽  
...  
Keyword(s):  
Specific Gravity ◽  
Mass Loss ◽  
Body Mass ◽  
Urine Osmolality ◽  
Urine Specific Gravity ◽  
Venn Diagram ◽  
Hydration Status ◽  
Body Mass Loss ◽  
Living Situation ◽  
Urine Color

Background: A Venn diagram consisting of percentage body mass loss, urine color, and thirst perception (weight, urine, thirst [WUT]) has been suggested as a practical method to assess hydration status. However, no study to date has examined relationships between WUT and urine hydration indices. Thus, the purpose of this study was to investigate relationships between urine specific gravity, urine osmolality, and the WUT criteria. Hypothesis: Urine specific gravity and urine osmolality indicate hypohydration when the WUT criteria demonstrate hypohydration (≥2 markers). Study Design: Laboratory cohort study. Level of Evidence: Level 3. Methods: A total of 22 women (mean ± SD; age, 20 ± 1 years; mass, 65.4 ± 12.6 kg) and 21 men (age, 21 ± 1 years; body mass, 78.7 ± 14.6 kg) participated in this study. First morning body mass, urine color, urine specific gravity, urine osmolality, and thirst level were collected for 10 consecutive days in a free-living situation. Body mass loss >1%, urine color >5, and thirst level ≥5 were used as the dehydration thresholds. The number of markers that indicated dehydration levels were counted and categorized into either 3, 2, 1, or 0 WUT markers that indicated dehydration. One-way analysis of variance with Tukey pairwise comparisons was used to assess the differences in urine specific gravity and urine osmolality between the different number of WUT markers. Results: Urine specific gravity in 3 WUT markers (mean ± SD [effect size], 1.021 ± 0.007 [0.57]; P = 0.025) and 2 WUT markers (1.019 ± 0.010 [0.31]; P = 0.026) was significantly higher than 1 WUT marker (1.016 ± 0.009). Urine mosmolality in 2 WUT markers (705 ± 253 mOsmol [0.43]; P = 0.018) was significantly higher than 1 WUT (597 ± 253 mOsmol). Meeting at least 2 WUT markers resulted in sensitivities of 0.652 (2 WUT criteria met) and 0.933 (3 WUT criteria met) to detect urine osmolality >700 mOsmol. Conclusion: These results suggest that when 3 WUT markers are met, urine specific gravity and urine osmolality were greater than euhydration cutoff points. The WUT criterion is a useful tool to use in field settings to assess hydration status when first morning urine sample was used. Clinical Relevance: Athletes, coaches, sports scientists, and medical professionals can use WUT criteria to monitor dehydration with reduced cost and time.

Accuracy of Urine Specific Gravity and Osmolality as Indicators of Hydration Status

2005 ◽  
Vol 15 (3) ◽  
pp. 236-251 ◽  
Author(s):  
Robert A. Oppliger ◽  
Scott A. Magnes ◽  
LeRoy A. Popowski ◽  
Carl V. Gisolfi
Keyword(s):  
Body Weight ◽  
Specific Gravity ◽  
Decision Model ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
Medical Decision ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Accurate Assessment ◽  
Factors Affecting

To reduce the adverse consequences of exertion-related and acute intentional dehydration research has focused on monitoring hydration status. This investigation: 1) compared sensitivity of urine specific gravity (Usg), urine osmolality (Uosm) and a criterion measurement of hydration, plasma osmolality (Posm), at progressive stages of acute hypertonic dehydration and 2) using a medical decision model, determined whether Usg or Uosm accurately reflected hydra-tion status compared to Posm among 51 subjects tested throughout the day. Incremental changes in Posm were observed as subjects dehydrated by 5% of body weight and rehydrated while Usg and Uosm showed delayed dehydration-related changes. Using the medical decision model, sensitivity and specificity were not significant at selected cut-offs for Usg and Uosm. At the most accurate cut-off values, 1.015 and 1.020 for Usg and 700 mosm/kg and 800 mosm/kg for Uosm, only 65% of the athletes were correctly classified using Usg and 63% using Uosm. Posm, Usg, and Uosm appear sensitive to incremental changes in acute hypertonic dehydration, however, the misclassified outcomes for Usg and Uosm raise concerns. Research focused on elucidating the factors affecting accurate assessment of hydration status appears warranted.

Quantification of chromatographic effects of vitamin B supplementation in urine and implications for hydration assessment

2015 ◽  
Vol 119 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Robert W. Kenefick ◽  
K. R. Heavens ◽  
W. E. Dennis ◽  
E. M. Caruso ◽  
K. I. Guerriere ◽  
...  
Keyword(s):  
Specific Gravity ◽  
Body Mass ◽  
Urine Osmolality ◽  
Vitamin Supplementation ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Vitamin B ◽  
Color Classification ◽  
Urine Color ◽  
Hydration Assessment

Changes in body water elicit reflex adjustments at the kidney, thus maintaining fluid volume homeostasis. These renal adjustments change the concentration and color of urine, variables that can, in turn, be used as biomarkers of hydration status. It has been suggested that vitamin supplementation alters urine color; it is unclear whether any such alteration would confound hydration assessment via colorimetric evaluation. We tested the hypothesis that overnight vitamin B2 and/or B12 supplementation alters urine color as a marker of hydration status. Thirty healthy volunteers were monitored during a 3-day euhydrated baseline, confirmed via first morning nude body mass, urine specific gravity, and urine osmolality. Volunteers then randomly received B2 ( n = 10), B12 ( n = 10), or B2 + B12 ( n = 10) at ∼200 × recommended dietary allowance. Euhydration was verified on trial days (two of the following: body mass ± 1.0% of the mean of visits 1–3, urine specific gravity < 1.02, urine osmolality < 700 mmol/kg). Vitamin purity and urinary B2 concentration ([B2]) and [B12] were quantified via ultraperformance liquid chromatography. Two independent observers assessed urine color using an eight-point standardized color chart. Following supplementation, urinary [B2] was elevated; however, urine color was not different between nonsupplemented and supplemented trials. For example, in the B2 trial, urinary [B2] increased from 8.6 × 104 ± 7.7 × 104 to 5.7 × 106 ± 5.3 × 106 nmol/l ( P < 0.05), and urine color went from 4 ± 1 to 5 ± 1 ( P > 0.05). Both conditions met the euhydrated color classification. We conclude that a large overnight dose of vitamins B2 and B12 does not confound assessment of euhydrated status via urine color.

scholarly journals Availability of a Flavored Beverage and Impact on Children’s Hydration Status, Sleep, and Mood

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1757
Author(s):  
Michael R. Szymanski ◽  
Gabrielle E. W. Giersch ◽  
Margaret C. Morrissey ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Intervention Group ◽  
Urine Osmolality ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Control Group ◽  
Profile Of Mood States ◽  
Urine Color

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.

scholarly journals Urine specific gravity as a diagnostic tool for dehydration in children

2010 ◽  
Vol 50 (5) ◽  
pp. 269 ◽  
Author(s):  
Kalis Joko Purwanto ◽  
Mohammad Juffrie ◽  
Djauhar Ismail
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Specific Gravity ◽  
Diagnostic Tool ◽  
Clinical Judgment ◽  
Plasma Osmolality ◽  
Body Weight Loss ◽  
Urine Osmolality ◽  
Urine Specific Gravity ◽  
Urine Production

Background Using clinical judgment to diagnose dehydration can be highly subjective. To diagnose dehydration, it would be ideal to have an accurate, inexpensive, objective and easy-to-perform diagnostic tool. In cases of dehydration, plasma osmolality rises, causing an increase in antidiuretic hormone (ADH) secretion. The increased ADH reduces urine production and increases urine osmolality. Previous studies have show that urine osmolality correlates well to urine specific gravity. We investigated if urine specific gravity can be a reliable and objective detennination of dehydration status.Objective To assess the accuracy of using urine specific gravity as a diagnostic tool to determine dehydration status of children with diarrhea.Methods We conducted the study in the pediatric ward of Sardjito Hospital from September 2009 to December 2009. Using a refractometer we measured urine specific gravity from patients with diarrhea. This measurement was then compared to a standard of acute body weight loss, with dehydration defined as weight loss of 5% or more. The cut-off value for defining dehydration using specific gravity measurements was detennined by a receiver-operator curve (ROC).Results Out of 61 pediatric patients who were recruited in this study, 18 (30%) had dehydration as defined by a body weight loss of 5% or more. Based on the ROC, we determined the cut off  value for urine specific gravity to be 1.022. Using this value, urine specific gravity was 72% sensitive (95% CI 52 to 93), and 84% specific (95% CI 73 to 95) in determining dehydration status.Conclusion Urine specific gravity is less accurate than clinical judgment in determining dehydration status in children with diarrhea.

scholarly journals Effects of sex and menstrual cycle on volume-regulatory responses to 24-h fluid restriction

2020 ◽  
Vol 319 (5) ◽  
pp. R560-R565
Author(s):  
Gabrielle E. W. Giersch ◽  
Abigail T. Colburn ◽  
Margaret C. Morrissey ◽  
Cody R. Butler ◽  
Michaela L. Pruchnicki ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Specific Gravity ◽  
Body Mass ◽  
Urine Osmolality ◽  
Reproductive Hormones ◽  
Urine Specific Gravity ◽  
Fluid Restriction ◽  
Urine Color ◽  
Fluid Regulation ◽  
The Impact

Reproductive hormones have significant nonreproductive physiological effects, including altering fluid regulation. Our purpose was to explore the impact of sex and menstrual cycle (MC) phase on volume-regulatory responses to 24-h fluid restriction (24-h FR). Participants (men: n = 12, 20 ± 2 yr; women: n = 10, 20 ± 1 yr) were assigned two randomized and counterbalanced fluid prescriptions [Euhy: euhydrated, urine specific gravity (USG) < 1.020; Dehy: 24-h FR, USG > 1.020]. Men completed both (MEuhy, MDehy), while women completed both in the late-follicular ( days 10–13; FDehy, FEuhy) and midluteal ( days 18–22; LDehy, LEuhy) phases. We measured body mass, plasma and urine osmolality (Posm, Uosm), urine specific gravity (USG), urine color (Ucol), and serum copeptin; 24-h FR yielded mild dehydration without influence of sex or MC ( P > 0.05). Copeptin increased in men following Dehy (pre: 8.2 ± 5.2, post: 15.8 ± 12.6, P = 0.04) but not in women (FDehy pre: 4.3 ± 1.6, post: 10.5 ± 6.9, P = 0.06; LDehy pre: 5.6 ± 3.5, post: 10.4 ± 6.2, P = 0.16). In FDehy, Posm increased following FR (pre: 288 ± 2, post: 292 ± 1, P = 0.03) but not in men (pre: 292 ± 3, post: 293 ± 2, P = 0.46). No MC differences were observed between body mass loss, Posm, Uosm, USG, and copeptin ( P > 0.05). These results suggest that volume-regulatory responses to 24-h FR were present in men but not in women, without apparent effects of the menstrual cycle.

scholarly journals Adaptation and Validation of the Hydration Status Questionnaire in a Spanish Adolescent-Young Population: A Cross Sectional Study

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 565 ◽  
Author(s):  
Ana Isabel Laja García ◽  
Maria de Lourdes Samaniego-Vaesken ◽  
Teresa Partearroyo ◽  
Gregorio Varela-Moreiras
Keyword(s):  
Specific Gravity ◽  
Water Intake ◽  
Total Body Water ◽  
Body Water ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Young Population ◽  
Dietary Record ◽  
Adequate Hydration ◽  
Total Body

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.

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