J.D. Adams

Validation Testing Demonstrates Efficacy of a 7-Day Fluid Record to Estimate Daily Water Intake in Adult Men and Women When Compared with Total Body Water Turnover Measurement

Background: Mean daily water intake from fluids (WATER-FL) has proven to be difficult to measure because of a range of nonvalidated data collection techniques. Few questionnaires have been validated to estimate WATER-FL against self-reported diaries or urinary hydration markers, which may limit their objectivity.Objectives: The goals of this investigation were 1) to assess the validity of a 7-d fluid record (7dFLR) to measure WATER-FL (WATER-FL-7dFLR) through comparison with WATER-FL as calculated by measuring deuterium oxide (D2O) disappearance (WATER-FL-D2O), and 2) to evaluate the reliability of the 7dFLR in measuring WATER-FL.Methods: Participants [n = 96; 51% female; mean ± SD age: 41 ± 14 y; mean ± SD body mass index (in kg/m2): 26.2 ± 5.1] completed body water turnover analysis over 3 consecutive weeks. They completed the 7dFLR and food diaries during weeks 2 and 4 of the observation. The records were entered into nutritional software to determine the water content of all foods and fluids consumed. WATER-FL-D2O was calculated from water turnover (via the D2O dilution method), minus water from food and metabolic water. The agreement between the 2 methods of determining WATER-FL were compared according to a Bland-Altman plot at week 2. The test-retest reliability of 7dFLR between weeks 2 and 4 was assessed via intraclass correlation (ICC).Results: The mean ± SD difference between WATER-FL-7dFLR and WATER-FL-D2O was -131 ± 845 mL/d. In addition, no bias was observed (F[1,94] = 0.484; R2 = 0.006; P = 0.488). When comparing WATER-FL-7dFLR from weeks 2 and 4, no significant difference (mean ± SD difference: 71 ± 75 mL/d; t[79] = 0.954; P = 0.343) and an ICC of 0.85 (95% CI: 0.77, 0.90) was observed.Conclusions: The main findings of this study were that the use of the 7dFLR is an effective and reliable method to estimate WATER-FL in adults. This style of questionnaire may be extremely helpful for collecting water intake data for large-scale epidemiologic studies.

Prescribed Drinking Leads to Better Cycling Performance than Ad Libitum Drinking

Drinking ad libitum during exercise often leads to dehydration ranging from −1% to −3% of body weight. Purpose This article aimed to study the effect of a prescribed hydration protocol matching fluid losses on a simulated 30-km criterium-like cycling performance in the heat (31.6°C ± 0.5°C). Methods Ten elite heat-acclimatized male endurance cyclists (30 ± 5 yr, 76.5 ± 7.2 kg, 1.81 ± 0.07 m, V˙O2peak = 61.3 ± 5.2 mL·min−1·kg−1, body fat = 10.5% ± 3.3%, Powermax = 392 ± 33 W) performed three sets of criterium-like cycling, which consisted of a 5-km cycling at 50% power max followed by a 5-km cycling all out at 3% grade (total 30 km). Participants rode the course on two separate occasions and in a counterbalanced order, during either ad libitum drinking (AD; drink water as much as they wished) or prescribed drinking (PD; drink water every 1 km to much fluid losses). To design the fluid intake during PD, participants performed a familiarization trial to calculate fluid losses. Results After the exercise protocol, the cyclist dehydrated by −0.5% ± 0.3% and −1.8% ± 0.7% of their body weight for the PD and AD trial, respectively. The mean cycling speed for the third bout of the 5-km hill cycling was greater in the PD trial (30.2 ± 2.4 km·h−1) compared with the AD trial (28.8 ± 2.6 km·h−1) by 5.1% ± 4.8% (P < 0.05). Gastrointestinal, mean skin, and mean body temperatures immediately after the last hill climbing were greater in the AD compared with the PD trial (P < 0.05). Overall, sweat sensitivity during the three climbing bouts was lower in the AD (15.6 ± 5.7 g·W−1·m−2) compared with the PD trial (22.8 ± 3.4 g·W−1·m−2, P < 0.05). Conclusion The data suggested that PD to match fluid losses during exercise in the heat provided a performance advantage because of lower thermoregulatory strain and greater sweating responses.

Breakfast Macronutrient Composition Influences Thermic Effect of Feeding and Fat Oxidation in Young Women Who Habitually Skip Breakfast

The purpose of this study was to determine if breakfast macronutrient composition improved thermic effect of feeding (TEF) and appetite after a one-week adaptation in young women who habitually skip breakfast. A randomized, controlled study was conducted in females (24.1 ± 2 years), who skip breakfast (≥5 times/week). Participants were placed into one of three groups for eight days (n = 8 per group): breakfast skipping (SKP; no breakfast), carbohydrate (CHO; 351 kcal; 59 g CHO, 10 g PRO, 8 g fat) or protein (PRO; 350 kcal; 39 g CHO, 30 g PRO, 8 g fat). On days 1 (D1) and 8 (D8), TEF, substrate oxidation, appetite and blood glucose were measured. PRO had higher (p < 0.05) TEF compared to SKP and CHO on D1 and D8, with PRO having 29% higher TEF than CHO on D8. On D1, PRO had 30.6% higher fat oxidation than CHO and on D8, PRO had 40.6% higher fat oxidation than CHO. SKP had higher (p < 0.05) fat oxidation on D1 and D8 compared to PRO and CHO. There was an interaction (p < 0.0001) of time and breakfast on appetite response. In addition, CHO had a significant increase (p < 0.05) in PP hunger response on D8 vs. D1. CHO and PRO had similar PP (postprandial) glucose responses on D1 and D8. Consumption of PRO breakfast for 8 days increased TEF compared to CHO and SKP, while consumption of CHO for one week increased PP hunger response.

Hydration status affects mood state and pain sensation during ultra-endurance cycling.

Abstract Laboratory-based studies indicate mild dehydration adversely affects mood. Although ultra-endurance events often result in mild to moderate dehydration, little research has evaluated whether the relationship between hydration status and mood state also exists in these arduous events. Therefore, the purpose of this study was to evaluate how hydration status affected mood state and perceptual measures during a 161 km ultra-endurance cycling event. One hundred and nineteen cyclists (103 males, 16 females; age = 46 ± 9 years; height = 175.4 ± 17.9 cm; mass = 82.8 ± 16.3 kg) from the 2011 and 2013 Hotter’N Hell events participated. Perceived exertion, Thermal, Thirst, and Pain sensations, Brunel Profile of Mood States, and urine specific gravity (USG) were measured pre- (~1 h before), mid- (~97 km), and post-ride. Participants were classified at each time point as dehydrated (USG ≥ 1.022) or euhydrated (USG ≤ 1.018). Independent of time point, dehydrated participants (USG = 1.027 ± 0.004) had decreased Vigour and increased Fatigue, Pain, Thirst, and Thermal sensations compared to euhydrated participants (USG = 1.012 ± 0.004; all P < 0.01). USG significantly correlated with Fatigue (r = 0.36), Vigour (r = −0.27), Thirst (r = 0.15), and Pain (r = 0.22; all P < 0.05). In conclusion, dehydrated participants had greater Fatigue and Pain than euhydrated participants. These findings indicate dehydration may adversely affect mood state and perceptual ratings during ultra-endurance cycling.

The Effect of Storing Temperature and Duration on Urinary Hydration Markers

The purpose of this investigation was to quantify the effects of storage temperature, duration, and the urinary sediment on urinary hydration markers. Thirty-six human urine samples were analyzed fresh and then the remaining sample was separated into 24 separate vials, six in each of the following four temperatures: 22 °C, 7 °C, -20 °C, and -80 °C. Two of each sample stored in any given temperature, were analyzed after 1, 2, and 7 days either following vortexing or centrifugation. Each urine sample was analyzed for osmolality (UOsm), urine specific gravity (USG), and urine color (UC). UOsm was stable at 22 °C, for 1 day (+5-9 mmol∙kg-1, p > .05) and at 7 °C, UOsm up to 7 days (+8-8 mmol∙kg-1, p > .05). At -20 and -80 °C, UOsm decreased after 1, 2, and 7 days (9-61 mmol∙kg-1, p < .05). Vortexing the sample before analysis further decreased only UOsm in the -20 °C and -80 °C storage. USG remained stable up to 7 days when samples were stored in 22 °C or 7 °C (p > .05) but declined significantly when stored in -20 °C, and -80 °C (p < .001). UC was not stable in any of the storing conditions for 1, 2, and 7 days. In conclusion, these data indicate that urine specimens analyzed for UOsm or USG remained stable in refrigerated (7 °C) environment for up to 7 days, and in room temperature for 1 day. However, freezing (-20 and -80 °C) samples significantly decreased the values of hydration markers.

Physiologic and Perceptual Responses to Cold-Shower Cooling After Exercise-Induced Hyperthermia.

CONTEXT Exercise conducted in hot, humid environments increases the risk for exertional heat stroke (EHS). The current recommended treatment of EHS is cold-water immersion; however, limitations may require the use of alternative resources such as a cold shower (CS) or dousing with a hose to cool EHS patients. OBJECTIVE To investigate the cooling effectiveness of a CS after exercise-induced hyperthermia. DESIGN Randomized, crossover controlled study. SETTING Environmental chamber (temperature = 33.4°C ± 2.1°C; relative humidity = 27.1% ± 1.4%). PATIENTS OR OTHER PARTICIPANTS Seventeen participants (10 male, 7 female; height = 1.75 ± 0.07 m, body mass = 70.4 ± 8.7 kg, body surface area = 1.85 ± 0.13 m(2), age range = 19-35 years) volunteered. INTERVENTION(S) On 2 occasions, participants completed matched-intensity volitional exercise on an ergometer or treadmill to elevate rectal temperature to ≥39°C or until participant fatigue prevented continuation (reaching at least 38.5°C). They were then either treated with a CS (20.8°C ± 0.80°C) or seated in the chamber (control [CON] condition) for 15 minutes. MAIN OUTCOME MEASURE(S) Rectal temperature, calculated cooling rate, heart rate, and perceptual measures (thermal sensation and perceived muscle pain). RESULTS The rectal temperature (P = .98), heart rate (P = .85), thermal sensation (P = .69), and muscle pain (P = .31) were not different during exercise for the CS and CON trials (P > .05). Overall, the cooling rate was faster during CS (0.07°C/min ± 0.03°C/min) than during CON (0.04°C/min ± 0.03°C/min; t16 = 2.77, P = .01). Heart-rate changes were greater during CS (45 ± 20 beats per minute) compared with CON (27 ± 10 beats per minute; t16 = 3.32, P = .004). Thermal sensation was reduced to a greater extent with CS than with CON (F3,45 = 41.12, P < .001). CONCLUSIONS Although the CS facilitated cooling rates faster than no treatment, clinicians should continue to advocate for accepted cooling modalities and use CS only if no other validated means of cooling are available.

24-h Void number as an indicator of hydration status

Background/Objectives:Few user-friendly hydration assessment techniques exist for the general population to use on a daily basis. The present study evaluated void number over 24 h as a potential hydration assessment tool.Subjects/Methods:Male and female subjects collected urine for 24 h while adequately hydrated (n=44; 22±4 years, 168±16 cm, 73±15 kg) or fluid restricted (n=43; 22±3 years, 175±10 cm, 81±24 kg). As a control, participants were asked to void when feeling the ‘first urge to void’ on a commonly used urge scale and noted the volume of each void. For each sample, 24-h urine volume, osmolality (UOSM), specific gravity (USG) and color were measured in the laboratory.Results:As designed, the level of urge upon voiding was consistent throughout the study (2±0; ‘first urge to void’). Samples were classified by USG as either euhydrated (USG<1.020) or hypohydrated (USG⩾1.020). Grouping by UOSM did not change results. Euhydrated versus hypohydrated individuals had greater 24-h urine volume (1933±864 versus 967±306 ml, respectively) and lower urine color (2±1 versus 5±1), USG (1.012±0.004 versus 1.025±0.004) and UOSM (457±180 versus 874±175 mOsm/kg H2O; all P<0.001). Euhydrated individuals voided more than hypohydrated individuals over the 24-h period (5±2 versus 3±1 voids; P<0.001). Additionally, void number inversely correlated with hydration status as identified by USG (r=−0.50; P<0.05) and UOSM (r=−0.56; P<0.05).Conclusions:In conclusion, over 24 h, individuals with a higher void number were euhydrated (that is, had less concentrated hydration biomarkers) than those with a lower void number. Based on these data, void number might be utilized as a simple and feasible hydration assessment for the general public, as it utilizes no equipment or technical expertise.

Fluid Balance of Adolescent Swimmers During Training

Abstract Adams, JD, Kavouras, SA, Robillard, JI, Bardis, CN, Johnson, EC, Ganio, MS, McDermott, BP, and White, MA. Fluid balance of adolescent swimmers during training. J Strength Cond Res 30(3): 621–625, 2016—Swimming, either competitively or leisurely, is a unique activity that involves prolonged exercise while immersed in stable water temperatures. This environment could have an influence on the hydration status of swimmers independently of fluid balance. Forty-six healthy adolescent swimmers (26 males and 20 females; 12.8 ± 2.3 years; 50.6 ± 13.4 kg) were studied during a typical training session in an indoor swimming pool. First morning, prepractice and postpractice urine samples were tested for osmolality and specific gravity, whereas all athletes consumed fluids ad libitum. Sixty-seven percent of the athletes were hypohydrated (urine osmolality [Uosm] ≥700 mmol·kg−1) based on their first morning urine sample, which increased to 78% immediately before training. During the 2-hour swimming practice, the minimal sweat loss (0.39 ± 0.27 L) combined with ad libitum fluid availability resulted in unchanged body weight (0.1 ± 0.3 kg). Additionally, thirst was similar (before practice: 46 ± 26, after practice: 55 ± 33 mm on a 100-mm visual analog scale) at pretraining and posttraining time points (p > 0.05). Interestingly, postpractice Uosm was reduced significantly compared with the prepractice value (630 vs. 828 mmol·kg−1; p = 0.001), without any significant change in body weight (0.1 ± 0.3 kg; p > 0.05). In conclusion, the present data indicated that more than two-thirds of the young swimmers appeared in their practice suboptimally hydrated. Although no changes in body mass were observed during the swimming practice, the decrease in urine hydration markers after swimming might less accurately reflect hydration state.

Hydration Status over 24-H Is Not Affected by Ingested Beverage Composition

Objective: To investigate the 24-h hydration status of healthy, free-living, adult males when given various combinations of different beverage types. Methods: Thirty-four healthy adult males participated in a randomized, repeated-measures design in which they consumed: water only (treatment A), water+cola (treatment B), water+diet cola (treatment C), or water+cola+diet cola+orange juice (treatment D) over a sedentary 24-h period across four weeks of testing. Volumes of fluid were split evenly between beverages within each treatment, and when accounting for food moisture content and metabolic water production, total fluid intake from all sources was equal to 35 ± 1 ml/kg body mass. Urine was collected over the 24-h intervention period and analyzed for osmolality (Uosm), volume (Uvol) and specific gravity (USG). Serum osmolality (Sosm) and total body water (TBW) via bioelectrical impedance were measured after the 24-h intervention. Results: 24-h hydration status was not different between treatments A, B, C, and D when assessed via Uosm (590 ± 179; 616 ± 242; 559 ± 196; 633 ± 222 mOsm/kg, respectively) and Uvol (1549 ± 594; 1443 ± 576; 1690 ± 668; 1440 ± 566 ml) (all p > 0.05). A -difference in 24-h USG was observed between treatments A vs. D (1.016 ± 0.005 vs. 1.018 ± 0.007; p = 0.049). There were no differences between treatments at the end of the 24-h with regard to Sosm (291 ± 4; 293 ± 5; 292 ± 5; 293 ± 5 mOsm/kg, respectively) and TBW (43.9 ± 5.9; 43.8 ± 6.0; 43.7 ± 6.1; 43.8 ± 6.0 kg) (all p > 0.05). Conclusions: Regardless of the beverage combination consumed, there were no differences in providing adequate hydration over a 24-h period in free-living, healthy adult males. This confirms that beverages of varying composition are equally effective in hydrating the body.

Effect of Air-Filled Vest on Exercise-Heat Strain When Wearing Ballistic Protection

OBJECTIVES The purpose was to determine if an air-filled vest worn under ballistic protection reduces physiological strain during exercise in the heat either while wearing a tactical military (TM) protective vest or a law enforcement (LE) concealable vest. METHODS Sixteen men (24.5±3.9 years; 179.5±5.6 cm; 84.6±12.3kg) performed either two or four trials of treadmill walking (1.34 m s(-1); 2% grade) over 120 min in a hot, dry environment (37°C, 30% relative humidity, wind speed 3.5 m s(-1)). Participants completed trials wearing a TM or LE, with either the air-filled vest (TMa; LEa) or no vest (TMc; LEc) in random order. During trials, participants wore Army Combat Uniform pants. Physiological variables measured every 5min included gastrointestinal temperature (T GI), mean skin temperature (T sk), and heart rate (HR). Sweat rate (SR) was calculated based on fluid intake and body mass measures. RESULTS In the tactical trial (TMa versus TMc), no differences in final T GI (38.2±0.4 versus 38.3±0.4°C), T sk (35.0±0.9 versus 35.0±1.0°C), HR (142±19 versus 143±23 bpm) existed (P>0.05). In the LE trials (LEa versus LEc), no differences in final T GI (38.0±0.4 versus 38.1±0.3°C), T sk (35.3±1.1 versus 35.6±0.9°C), HR (132±20 versus 135±20 bpm) existed (P>0.05). Despite slightly higher SR, there was no statistical difference in TM (1.15±1.13 versus 1.54±0.46 l h(-1); P=0.10) or in LE (1.39±0.52 versus 1.37±0.18 l h(-1); P=0.35) during trials. CONCLUSION When participants exercised with a TM or LE while wearing the air-filled vest, there were no thermoregulatory and physiological differences compared to control trials. In our testing conditions, the air-filled device had little effect on physiological responses during prolonged mild exercise in the heat.