Hydration (fluid + electrolyte requirements) Flashcards

(42 cards)

1
Q

What percentage of the adult body is water?

A

50 - 60 %

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2
Q

Lean body tissue is composed of what percentage of water?

A

~ 75 %

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3
Q

What percentage of fat mass is water?

A

~ 5-10 %

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4
Q

What are the very basic overview functions of water in the body?

A

Nutrient transport
Protection
Temperature regulation
Biochemical reactions
Medium for reactions

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5
Q

What is the distribution of fluids throughout a 70 kg male?
Intracellular
Extracellular
Interstitial fluid
Blood plasma
Total

A

Intracellular - 40% / 28L
Extracellular - 20% / 14L
Interstitial fluid - 15% / 10.5L
Blood plasma - 5% / 3.5L
Total - 60% / 42L

percentage of body mass

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6
Q

What are some examples of fluid loss for a sedentary individual?

A

Respiration (breathing out) (200ml)
Skin (Sweat or general perspiration) (600ml)
Faeces (when unwell this can be more) (100ml)
Urine (1300ml)
Total 2200ml

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7
Q

Definition of euhydration

A

Body is in a water balance; losing as much fluid from the body as you are gaining.

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8
Q

What are some examples of fluid gain for a sedentary individual?

A

Drink (1200ml)
Food (700ml)
Metabolic (300ml)
Total - 2200 ml

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9
Q

At any given running speed/exercise intensity what condition would cause the body to sweat more?

A

Hot and humid environment
Lower sweat rates would be seen in a cold and dry climate.

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10
Q

What is the difference between an active and a sedentary individuals fluid losses?

A

The active individual would increase the amount of fluid loss, due to exercise (E.g. losing 1000ml in sweat)

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11
Q

A negative fluid balance is the definition of ……..

A

Dehydrated/hypohydration

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12
Q

Hydration is typically well maintained throughout the day within 1% of body mass, how?

A

This is due to feelings of thirst and hunger.
E.g. during exercise, the body will increase its feelings of thirst and therefore you would seek water.

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13
Q

When is net body water balance often challenged?

A

During periods of high sweat rates

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14
Q

What is the primary way of measuring acute changes body fluids?

A

Measuring changes in body mass (simplest and most sensitive)

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15
Q

At what percentage of reduction of body mass is classified as a 90% chance that the body water deficit are sufficient to be classified as dehydration?

A

Any reduction that is greater than 2% body mass will be sufficient to assume an individual is dehydrated.

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16
Q

What is the best way to achieve a static measure of someone’s physiological index of hydration?

A

Measure their osmolality. This is a measure of the total dissolved particle concentration (in mOsm/kg).
This is a very tightly regulated variable (275-295 milliosmoles/kg of water).

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17
Q

Dynamic measures of hydration:

A

Body mass change (energy balance)
Plasma osmolality
Urine samples - urine density relative to water (water = 1) so therefore Euhydrated = 1.003 - 1.035 (U)

18
Q

Why do we sweat?

A

During exercise our body produces heat.
For every L of O2 consumed 4 kcal of heat is produced and only about 1 kcal is used for mechanical work.
The heat is mostly passed to the core.
Hypothalamus senses increased body temp (thermoreceptors)
Responds by increasing blood flow to the skin and initiating a sweat response.

19
Q

Definition of sweating (key principles)

A

Body’s principle means of preventing excess rises in body temperature during exercise (hyperthermia)
Normal temp = 36-38 C
Exercise temp = 38-40 C

20
Q

Sweating itself does not cool the body it is the function of evaporative cooling, explain?

A

The evaporation of the sweat on the skin draws the heat away.
For 1 L of sweat evaporated, 573 kcal of heat is removed from the body.

21
Q

Why is humidity an issue?

A

Humidity reduces the ability for sweat to readily evaporate from the skin therefore not achieving the expected level of cooling.

22
Q

What component of blood is sweat drawn from?

23
Q

Sweating has what effect on blood?

A

Reduces the plasma volume in the blood and as a result reduces the blood volume.

24
Q

What are the implications of having a lower plasma volume?

A

Blood becomes more viscous and resistant through the blood vessel.
This results in a greater demand from the heart and can cause increased cardiac strain.

25
Explain why sweat is hypotonic.
Sweat contains less particles dissolved within it than the plasma itself. This means you are losing more water than you are particles when you sweat.
26
What is the results of sweat being hypotonic?
The blood becomes more concentrated with particles and the osmolality increases.
27
What happens to blood when you sweat? In terms of osmolarity.
Typically, blood is isotonic but as you sweat the blood becomes more concentrated and osmolality increases causing the blood to become hypertonic. This is a good indication when an individual is dehydrated.
28
What does a BM loss of 1-2% have on performance?
Minimal impact
29
What does a BM loss of 2-3% have on performance?
May degrade aerobic performance Deterioration of sport specific skills Minimal impact on sprint running Minimal cognitive function impact (without heat stress) Reduced cognitive function with heat stress
30
What does a BM loss of >3% have on performance?
Impaired cognitive function without heat stress
31
What does a BM loss of 3-4% have on performance?
Minimal impact on muscle strength or power.
32
What is the advice of water intake pre-event?
2-4 hrs before the event consume 5-10 ml/kg water This may also include some sodium or salty snack If prior to event you are unable to pass urine or urine is dark yellow, drink more.
33
Importance of sodium pre-exercise?
Sodium helps with the reabsorption of water in the kidneys. Therefore, water is retained in the body rather than just passing straight through as urine. Maintains hydration status.
34
What electrolyte is the only one to produce a physiological impact?
Sodium
35
Guidelines for fluid intake during exercise?
Sufficient intake to limit body mass losses to <2% Typical guidelines: 0.4-0.8 L/hr (cool (thermoregulation) and flavourful (increase likelihood to consume)) However, more accurate method would be to measure pre-post weight. >2 hours supplement sodium >1 hour Add CHO
36
Importance of sodium consumption during exercise?
Limits electrolyte losses Minimise the risk of hyponatremia Sodium is relatively palatable; more voluntary reason to address thirst
37
What is the regulatory amount of sodium allowed to be in a sports drink?
20 - 50 mmol/L (460 - 1150 mg/L)
38
What is hyponatremia?
Low blood sodium (<135 mmol/L) Can arise from over drinking fluids more than fluid losses (exacerbated with high sweat sodium losses + low sodium beverages)
39
Who is most vulnerable to hyponatremia?
Recreational athletes; typically women are the greatest at risk.
40
Symptoms of hyponatremia
Dangerous, immediate and needs medical attention - changes in personality (confusion/short-temper) - fatigue - convulsions or seizures - feeling weak - loss of consciousness or coma - low blood pressure - feeling nauseous or vomiting
41
Post exercise fluid intake guidelines
Rapid recovery (<12 h): consume 1.25-1.5 L/kg BM Loss + sodium. Must consume more than sweat loss in order to be hydrated after 6 hours. Longer than 12 hrs, resume normal dietary intake and natural thirst feeling will maintain your water uptake.
42
Importance of sodium uptake post exercise
Restoration of sodium Fluid balance - retention of fluid again