Urine specific gravity in exercisers prior to physical training

2006 ◽  
Vol 31 (3) ◽  
pp. 320-327 ◽  
Author(s):  
Elizabeth A Stover ◽  
Heather J Petrie ◽  
Dennis Passe ◽  
Craig A Horswill ◽  
Bob Murray ◽  
...  

Urine specific gravity (USG) is used as an index of hydration status. Many studies have used USG to estimate pre-exercise hydration in athletes. However, very little is known about the pre-exercise hydration status of recreational exercisers. The purpose of the present study was to measure the pre-exercise USG in a large sample of recreational exercisers who attended 2 different fitness centers in the United States. In addition, we wanted to determine if factors such as time of day, geographic location, and gender influenced USG. We tested 166 subjects in Chicago and 163 subjects in Los Angeles. Subjects completed a survey on their typical training regimen and fluid-replacement habits, and thereafter voided and delivered a urine sample to the investigators prior to beginning exercise. Samples were measured on site for USG using a hand-held refractometer. The mean (SD) USG was 1.018 (± 0.007) for all subjects. Males had a higher average USG (1.020 ± 0.007) when compared with females (1.017 ± 0.008; p = 0.001). Despite differences in climate, no difference in mean USG occurred based on location or time of day. Based on standards used for athletes (USG >= 1.020), 46% of the exercisers were likely to be dehydrated.Key words: dehydration, exercise, hydration.


Author(s):  
Eric Kyle O’Neal ◽  
Samantha Louise Johnson ◽  
Brett Alan Davis ◽  
Veronika Pribyslavska ◽  
Mary Caitlin Stevenson-Wilcoxson

The legitimacy of urine specific gravity (USG) as a stand-alone measure to detect hydration status has recently been challenged. As an alternative to hydration status, the purpose of this study was to determine the diagnostic capability of using the traditional USG marker of >1.020 to detect insufficient recovery fluid consumption with consideration for moderate versus high sweat losses (2.00–2.99 or >3% body mass, respectively). Adequate recovery fluid intake was operationally defined as ≥100% beverage fluid intake plus food water from one or two meals and a snack. Runners (n = 59) provided 132 samples from five previous investigations in which USG was assessed 10–14 hr after 60–90 min runs in temperate-to-hot environments. Samples were collected after a meal (n = 58) and after waking (n = 74). When sweat losses exceeded 3% body mass (n = 60), the relationship between fluid replacement percentage and USG increased from r = −.55 to −.70. Correct diagnostic decision improved from 66.6 to 83.3%, and receiver operating characteristic area under the curve increased the diagnostic accuracy score from 0.76 to approaching excellent (0.86). Artifacts of significant prerun hyperhydration (eight of 15 samples has USG <1.005) may explain false positive diagnoses, while almost all (84%) cases of false positives were found when sweat losses were <3.0% of body mass. Evidence from this study suggests that euhydrated runners experiencing significant sweat losses who fail to reach adequate recovery fluid intake levels can be identified by USG irrespective of acute meal and fluid intake ∼12-hr postrun.



Author(s):  
Jason D. Vescovi ◽  
Greig Watson

This field-based observational study was designed to examine the intraindividual variation of first morning body mass and urine specific gravity (Usg) in male hockey players (n = 22) during a 10-day training camp. It was also designed to evaluate the prevalence and interrelationship of morning hypohydration and postmatch dehydration using Usg and changes in body mass, respectively. Body mass and Usg were measured upon waking; body mass was also measured before and after matches. Individual means, SD, and coefficient of variation (CV) were calculated for morning body mass and Usg using 3, 6, and 8 days. Daily prevalence for euhydration and postmatch dehydration using morning Usg (<1.020) and changes in body mass (>−2%), respectively, were determined. Measurement of morning body mass and Usg for 3 days had low variability (CV < 1%) with no improvement at 6 or 8 days. Between 36% and 73% of players were considered euhydrated based on morning Usg. Postmatch body mass was reduced >1% in 50–85% of players, with up to 40% experiencing changes >−2%. Postmatch changes in body mass were unrelated to Usg the subsequent morning. These outcomes can be helpful in establishing criteria for detecting meaningful changes in morning body mass and Usg in similar settings, helping to monitor hydration status in elite male athletes. Despite ample fluid availability and consumption, many players experienced hypohydration and dehydration during the camp, indicating that careful monitoring and an individual fluid replacement approach are warranted in these environments.



2013 ◽  
Vol 38 (6) ◽  
pp. 621-625 ◽  
Author(s):  
Vahur Ööpik ◽  
Saima Timpmann ◽  
Andres Burk ◽  
Innar Hannus

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.



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.



Neurosurgery ◽  
2020 ◽  
Author(s):  
Mustafa Motiwala ◽  
Michael J Herr ◽  
Sripraharsha S Jampana Raju ◽  
Jock Lillard ◽  
Sonia Ajmera ◽  
...  

Abstract BACKGROUND Established by the Centers for Medicare and Medicaid Services (CMS), the Open Payments Database (OPD) has reported industry payments to physicians since August 2013. OBJECTIVE To evaluate the frequency, type, and value of payments received by academic neurosurgeons in the United States over a 5-yr period (2014-2018). METHODS The OPD was queried for attending neurosurgeons from all neurosurgical training programs in the United States (n = 116). Information from the OPD was analyzed for the entire cohort as well as for comparative subgroup analyses, such as career stage, subspecialty, and geographic location. RESULTS Of all identified neurosurgeons, 1509 (95.0%) received some payment from industry between 2014 and 2018 for a total of 106 171 payments totaling $266 407 458.33. A bimodal distribution was observed for payment number and total value: 0 to 9 (n = 438) vs &gt; 50 (n = 563) and 0-$1000 (n = 418) vs &gt;$10 000 (n = 653), respectively. Royalty/License was the most common type of payment overall (59.6%; $158 723 550.57). The median number (40) and value ($8958.95) of payments were highest for mid-career surgeons. The South-Central region received the most money ($117 970 036.39) while New England received the greatest number of payments (29 423). Spine surgeons had the greatest median number (60) and dollar value ($20 551.27) of payments, while pediatric neurosurgeons received the least (8; $1108.29). Male neurosurgeons received a greater number (31) and value ($6395.80) of payments than their female counterparts (11, $1643.72). CONCLUSION From 2014 to 2018, payments to academic neurosurgeons have increased in number and value. Dollars received were dependent on geography, career stage, subspecialty and gender.



2005 ◽  
Vol 37 (Supplement) ◽  
pp. S26
Author(s):  
Abbie E. Smith ◽  
Scott Roberts ◽  
Alex J. Koch ◽  
Jerry L. Mayhew


Author(s):  
Saideh Montazer ◽  
Ali Farshad ◽  
Mohammad Monazzam ◽  
Meysam Eyvazlou ◽  
Ali Yaraghi ◽  
...  

Abstract



2018 ◽  
Vol 17 (4) ◽  
pp. 67-73 ◽  
Author(s):  
V. G. Vilkov ◽  
S. A. Shalnova ◽  
A. D. Deev ◽  
Yu. A. Balanova ◽  
S. E. Efstifeeva ◽  
...  

Aim. To evaluate the dynamics of obesity and mean body mass index (BMI) in Russia and USA in various age and gender categories during 1975-2014.Material and methods. By a repeat analysis of one-moment studies of Russian and US population in 1975-1982 and 2007-2014, the values of obesity and BMI were assessed in men and women age 25-64 y. o. Into analysis, the data was included from Russian part of the Lipid Clinics study and multicenter ESSE-RF study (Epidemiology of cardiovascular diseases and risk factors in various regions of Russian Federation). American data acquired from the studies NHANES (National Health And Nutrition Examination Survey), open access. Total number of observations 48974.Results. In the 80s of XX century in all age groups of women the mean BMI levels were lower in USA comparing to Russia, in men there were no significant differences. For the following 30 years in Russia the situation improved for men and women <45 y. o. — differences with USA changed modality, and currently BMI in Russia is lower than in USA.Conclusion. Russia was below the US 30 years ago by the mean BMI in females of all ages, with no differences for males. For the following 30 years in the US there was significant increase of BMI in all age strata of men and women, and in Russia dynamics was the same, but lesser. Comparison of the prevalence of obesity in men 30 years ago showed some predominance of obesity in American males, especially young, but not statistically significant. Russian women had higher prevalence of obesity regardless of age. Currently, obesity in young age is more prevalent in men and women of USA, and >45 years old — in Russia.



2014 ◽  
Vol 5 (2) ◽  
pp. 53-61 ◽  
Author(s):  
Lilita Ozoliņa ◽  
Inese Pontaga ◽  
Igors Ķīsis

Abstract The aim of our investigation was to determine and compare the pre- and post- training body hydration status in professional and amateur male ice hockey players consumed the drinks according to their thirst sensation in winter conditions. Materials and methods: 11 amateur and 23 professional ice hockey players participated in the investigation. The players were weighted before and after training using precise scales. The body mass composition of every athlete was determined by the body composition analyzer. Every player collected mid–stream urine specimens before and after the training. Urine specific gravity (USG) was measured by urine refractometer. Results: 56% of the professional ice hockey players and 82% of amateur players were hypohydrated before training according to their USG values ≥ 1.020, 5% of professional players were dehydrated their USG values ≥ 1.030. After the training with duration of 1.5 hours the mean body mass decreased for 0.9±0.5% of pre– training value in amateur players and for 1.6±0.8% in professionals (p=0.005). After the training the professional players’ hydration status worsened: 66% were hypohydrated and 26% dehydrated according to USG, the mean USG after training was significantly higher than before it (p=0.011). USG after training did not change in amateur players: their mean USG values before and after training did not differed significantly (p=0.677). Conclusions: Fluid uptake according to thirst sensation in winter conditions cannot compensate the fluid loss at rest and during training especially in professional ice hockey players. The body mass loss exceeded value critical for performance - 2 % in one third part of professionals. The differences between two groups can be explained by higher intensity of exercises during training, the better physical conditioning and greater sweating rate in professional players in comparison with amateurs, which causes close to twice greater uncompensated fluid loss in professionals than in amateurs.



2020 ◽  
Author(s):  
Harriet Carroll

Background: A commonly held belief is that humans cannot survive more than a few days without fluid intake. The source of this is unclear, but does not accord with the few controlled studies that have been conducted to investigate the effects of fluid abstention, nor the few extreme cases of fluid restriction. Methods: This was a self-experimentation, with one day pre-load of fluid and salt (DAY 0), three days complete fluid abstention (&lt; 45 g/d water from food only) (DAYS 1-3), and 24 h rehydration (DAY 4). Days ran from 1500 h to 1500 h. The following measures were taken across various time points across each day: body mass; urine volume; urine colour; urine specific gravity; finger-prick blood glucose concentration; blood pressure; pulse; body temperature; dietary intake; and visual analogue scales (VAS) of food-appetites (satiety and desires), thirst-appetites, mood, wakefulness, and sleep quality. Results: By the end of DAY 3, body water (excluding estimated lean/adipose loss from negative energy balance) decreased by ~1.8 % from 1500 h on DAY 0, or ~4.0 % from 1500 h on DAY 1 (after a fluid preload). With this reduction in body mass came expected reductions in urine volume and increased in urine colour, though trends in urine specific gravity were less pronounced. Blood pressure trended towards being lower during DAYS 1-3 and increased during DAY 4. Whole blood glucose concentrations also tended towards being lower during DAYS 1-3 compared to DAY 4, particularly postprandially. Hunger tended to be reduced during DAYS 1-3, but increased again during DAY 4. Wanting to eat appeared to be a separate construct to hunger/fullness. True-thirst was higher during DAYS 1-3 relative to DAY 4, and this synchronised well with true-xerostomia and ratings of dryness of lips. However, sensational-xerostomia was the dominant thirst experienced during DAY 1-3. Sadness was moderately inversely correlated with body mass loss (r = 0.57) and tiredness was strongly positively correlated (r = 0.94). Sleep quality was unrelated to hydration status. Conclusion: Overall, the expected changes occurred in terms of hydration physiology, but with some unexpected findings in terms of gluco-regulation, blood pressure, and thirst appetites.



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