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

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.

2018 ◽  
Vol 4 (95) ◽  
Author(s):  
Lilita Voitkevica ◽  
Inese Pontaga ◽  
Saima Timpmann ◽  
Vahur Ööpik

Background.  Pre-training  hydration  status  is  considered  a  factor  influencing  efficacy  of  training.  Research literature  does  not  contain  data  regarding  the  potential  impact  of  natural  alternation  of  seasons  on  pre-training hydration status in athletes. The purpose of this study was to assess and compare pre-training hydration status in well-trained male soccer (football) players in moderate temperate autumn and cold winter.Methods. Research participants were 57 male soccer players from two Latvian First League teams, who were studied prior to their ordinary training session. Participants provided a midstream urine sample for analysis of urine specific gravity (USG), and their body mass (kg), body fat percentage and total body water percentage were measured. Results. Pre-training hydration status did not differ in moderate temperature autumn (mean USG 1.020 ± 0.010; mean total body water 64.2 ± 2.9%) in cold winter (mean USG 1.020 ± 0.008; mean total body water 64.8 ± 2.7%; for both parameters p > .05). Prevalence of hypohydration and serious hypohydration (defined as USG 1.021 – 1.030 and USG > 1.030, respectively) was similar in moderate temperate autumn (47.4%) and cold winter (60%), (χ 2  = 1.50; p > .05). Significant correlation between the within-subject USG values measured in moderate temperate and cold environment was observed (r = .60, p = .009). Conclusion. In well-trained soccer players pre-training hydration status does not differ in moderate temperature autumn and cold winter. Individual-related factors such as nutritional behaviour (including pattern of voluntary fluid intake) may have stronger impact on hydration status than environment-related factors like natural alternation of  seasons.Keywords: hydration status, football, environmental temperature, autumn, winter.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1169-1169
Author(s):  
Jacob Gray ◽  
Tay Kennedy

Abstract Objectives Phase angle, derived from bioelectrical impedance analysis (BIA), is used to describe both cellular and overall health. Many of the variables measured using BIA vary based on the hydration status of the individual. The ratio between extracellular water/total body water is commonly measured in BIA, and can be used as a measure of individual hydration. This pilot study explores the relationship between individual hydration status and phase angle and other BIA measurements. Methods Male college students (n = 57) from Oklahoma State University-Stillwater were recruited through an email messaging campaign. The participants answered an online Qualtrics demographic survey; height (±0.1 cm), blood pressure, and weight were taken. The Seca Medical Body Composition Analyzer mBCA 514 was used to conduct the BIA. Variable mean, standard deviations, and frequencies were calculated using SPSS version 25. Pearson correlation analysis and regression analysis were conducted. Significance was set at <.05. Results Participants characteristics included: age (m = 21.7 ± 1.3 years), 54% BMI <25, 39% blood pressure <120/80, and 63% white/7% Native American. Mean % body fat was 20.28 ± 8.76, and skeletal muscle was 32.223 kg ± 4.432 and visceral fat was 2.01 liters ± 2.11.Phase angle percentile ranged from 1% to 99% (m = 62.0% ± 31.4) and extracellular water/total body water ratio (ECW/TBW) ranged from 35.7 to 41.6 (m = 39.32 ± 1.35). Phase angle percentile was positively correlated with skeletal muscle mass (r = 0.503, P = 0.000) and negatively correlated with ECW/TBW (r = −0.659, P = 0.000), but not with other BIA variables. These two variables significantly predicted phase angle percentile (r2 = 0.817, P = 0.000). The standardized β was −0.762 (P = 0.000) for ECW/TBW and 0.627 (P = 0.000) for skeletal muscle mass. Conclusions The association of ECW/TBW on phase angle percentile suggest further investigation of the impact of water on this indicator of health is warranted. An investigation with a method of modulating ECW/TBW would be a logical next step in understanding this relationship. Funding Sources Funding was provided by the Lew Wentz Foundation, and the Nutritional Sciences Department at Oklahoma State University.


1956 ◽  
Vol 34 (5) ◽  
pp. 959-966 ◽  
Author(s):  
C. Deb ◽  
J. S. Hart

Body fluid volumes and hematological values have been compared in rats exposed to 6 °C. for various periods of time and in rats at 30 °C. for comparable periods. Absolute blood and plasma volumes (T1824 space) decreased with time of exposure to 30 °C, while extracellular fluid volume (sodium space), total body water, and body weight increased. Rats transferred from the warm to the cold environment had larger plasma and blood volumes than those of rats at 30 °C. after the first week of exposure. After five weeks, blood volume was 22% greater on an absolute basis and 30% greater relative to total body water than that of the larger rats at 30 °C. There were no differences in extracellular fluid volumes between warm and cold exposed rats at comparable intervals. Total water and intracellular water tended to be greater in rats at 30 °C. on an absolute basis but they were much greater per unit body weight in rats at 6 °C. No differences were observed in red blood cell counts, in hemoglobin concentration, or in plasma specific gravity between warm and cold exposed rats, but there was an increased hematocrit, increased corpuscular volume, and decreased corpuscular hemoglobin content in rats kept at 6 °C. Hemoglobin, red cells, and plasma specific gravity increased with time in both groups.


2018 ◽  
Vol 3 (4) ◽  
pp. 1025-1030
Author(s):  
Magdalena Castro ◽  
Rodrigo Orozco ◽  
Pedro Figueroa ◽  
Cristina Hertz ◽  
Victoria Aspillaga

One of the goals of hemodialysis is to maintain normal hydration status in ESRD patients. Pre hemodialysis systolic blood pressure is usually used as a clinical parameter of hydration status and to set ultrafiltration rate before Hd. It is unclear how much pre-Hd SBP correlated with hydration status. The aim was to determine correlation between pre-Hd SBP and hydration status before Hd. An observational correlation study was performed in two dialysis centers in Santiago, Chile, from January-June, 2011. Adult patients in Hd for at least three months, who gave their informed consent were included. Patients with pacemaker, amputee, hospitalized and metallic prostheses were excluded. Total-body water and overhydrated were assessed with bioimpedance spectroscopy before the first and third dialysis session of the week. Pre-Hd SBP, pre-Hd body weight, pre-Hd TBW and pre-Hd OH, were analyzed using Pearson correlation and linear regression model. 96 measurements were assessed, 52 % were male with median age 59.5 years. The correlation between pre-Hd SBP and pre-Hd overhydration was r=0.33, and total body water r=0.15, with a predicted value, R2=0.10 and R2 =0.14 respectively. Pre-Hd SBP had low correlation with pre-Hd hydration status and by itself, is not a reliable parameter to set ultrafiltration rate before Hd. Nevertheless Pre-Hd body weight predicted in 70 % the pre-Hd TBW.


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.


2013 ◽  
Vol 38 (6) ◽  
pp. 626-632 ◽  
Author(s):  
Analiza M. Silva ◽  
Pedro B. Júdice ◽  
Catarina N. Matias ◽  
Diana A. Santos ◽  
João P. Magalhães ◽  
...  

Acute and chronic caffeine intakes have no impact on hydration status (R.J. Maughan and J. Griffin, J. Hum. Nutr. Diet. 16(6): 411–420, 2003), although no research has been conducted to analyze the effects using dilution techniques on total-body water (TBW) and its compartments. Therefore, the aim of this study was to investigate the effects of a moderate dose of caffeine on TBW, extracellular water (ECW), and intracellular water (ICW) during a 4-day period in active males. Thirty men, nonsmokers and low caffeine users (<100 mg·day−1), aged 20–39 years, participated in this double-blind, randomized, crossover trial (ClinicalTrials.gov: No. NCT01477294). The study included 2 conditions (5 mg·kg−1·day−1 of caffeine and placebo (malt-dextrin)) of 4 days each, with a 3-day washout period. TBW and ECW were assessed by deuterium oxide and sodium bromide dilution, respectively, whereas ICW was calculated as TBW minus ECW. Body composition was assessed by dual-energy X-ray absorptiometry. Physical activity (PA) was assessed by accelerometry and water intake was assessed by dietary records. Repeated-measures analysis of variance (ANOVA) was used to test main effects. No changes in TBW, ECW, or ICW and no interaction between the randomly assigned order of treatment and time were observed (p > 0.05). TBW, ECW, and ICW were unrelated to fat-free mass, water ingestion, and PA (p > 0.05). These findings indicate that a moderate caffeine dose, equivalent to approximately 5 espresso cups of coffee or 7 servings of tea, does not alter TBW and fluid distribution in healthy men, regardless of body composition, PA, or daily water ingestion.


Author(s):  
Keisuke Shiose ◽  
Emi Kondo ◽  
Rie Takae ◽  
Hiroyuki Sagayama ◽  
Keiko Motonaga ◽  
...  

Bioimpedance spectroscopy (BIS) is an easy tool to assess hydration status and body composition. However, its validity in athletes remains controversial. We investigated the validity of BIS on total body water (TBW) and body composition estimation in Japanese wrestlers and untrained subjects. TBW of 49 young Japanese male subjects (31 untrained, 18 wrestlers) were assessed using the deuterium dilution method (DDM) and BIS. De Lorenzo’s and Moissl’s equations were employed in BIS for TBW estimation. To evaluate body composition, Siri’s 3-compartment model and published TBW/fat-free mass (FFM) ratio were applied in DDM and BIS, respectively. In untrained subjects, DDM and BIS with de Lorenzo’s equation showed consistent TBW estimates, whereas BIS with Moissl’s equation overestimated TBW (p < 0.001 vs. DDM). DDM and BIS with de Lorenzo’s equation estimated FFM and percent of fat mass consistently, whereas BIS with Moissl’s equation over-estimated and under-estimated them (p < 0.001 vs. DDM). In wrestlers, BIS with de Lorenzo’s and Moissl’s equations assessed TBW similarly with DDM. However, the Bland–Altman analysis revealed a proportional bias for TBW in BIS with de Lorenzo’s equation (r = 0.735, p < 0.001). Body composition assessed with BIS using both equations and DDM were not different. In conclusion, BIS with de Lorenzo’s equation accurately estimates the TBW and body composition in untrained subjects, whereas BIS with Moissl’s equation is more valid in wrestlers. Our results demonstrated the usefulness of BIS for assessing TBW and body composition in Japanese male wrestlers.


1990 ◽  
Vol 69 (4) ◽  
pp. 1397-1401 ◽  
Author(s):  
W. F. Brechue ◽  
J. M. Stager ◽  
H. C. Lukaski

Acetazolamide (ACZ), a potent carbonic anhydrase inhibitor, is a known diuretic and causal agent in metabolic acidosis. Its diuretic qualities are well established with respect to urine flow and electrolyte excretion. However, the impact of ACZ on body hydration status has not been adequately quantified. Thus, to establish the influence of ACZ treatment on body water, nine healthy males were evaluated for hydration status after clinically prescribed doses of ACZ. The drug was administered in three 250-mg oral doses 14, 8, and 2 h before determination of body water compartments. ACZ led to a significant 1.7-liter reduction in total body water (3.4%). A significant reduction in extracellular water of 3.3 liters is partitioned as the loss of total body water and a significant increase in intracellular water (1.6 liters). Venous blood pH and plasma HCO3- were significantly reduced 0.09 units and 5.9 mM, respectively, with ACZ. Plasma protein concentration was increased, but plasma osmolality did not change. Plasma Na+, K+, and Cl- concentrations were not different with ACZ, but total electrolyte content was significantly decreased 45.2, 1.17, and 44.1 meq, respectively, for all three. Urine K+, HCO3-, flow, and pH were elevated after ACZ treatment, whereas Na+ and Cl- were the same as placebo levels. In conclusion, acute clinical doses of ACZ reduce body fluid compartments, leading to a moderate isosmotic hypovolemia with an intracellular volume expansion as well as metabolic acidosis.


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