The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories...

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The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and Development The University of New Mexico

Transcript of The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories...

Page 1: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

The Importance of HYDRATION

By

Robert Robergs, Ph.D., FASEP, EPCExercise Physiology Laboratories

Exercise Science ProgramDep’t Physical Performance and Development

The University of New Mexico

Page 2: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

100 %

60 %

Total body mass

How Much Water is inthe Body?

Page 3: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

How Much Water is Needed bythe Body?

Beverages = 60%

INTAKE

Moist Foods30%

Metabolism10%

1500 mL

750 mL

250 mL

1500 mL

700 mL

200 mL

OUTPUTSweat 8%

Urine 60%

Skin and Lungs 28%

Feces 4%

2500 mL

Page 4: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Exercise or a Hot or Humid Environment?

1500 mL

OUTPUT

700 mL

200 mL

500 mL

3 L

8 L

2.5 L 11.5 L

Urine

Skin & Lungs

FecesSweat

Normal Heat

Page 5: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Cells

BetweenCells

Blood

~ 35 L

~ 12 L

~ 2.75 L

Where is the Water Located?From Where is it Lost?

Costill & Fink, 1976.

Loss (%)

Cells BetweenCells Blood

For ~ 4% dehydration

50

40

10

Page 6: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Dehydration is quantified by the amount of body weight lost.

For example

Pre-exercise weight = 70.0 kgPost-exercise weight = 68.5 kg

Weight Loss = 1.5 kg

(1.5 / 70 ) x 100 = 2.1 %

Page 7: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Heat Exhaustion

Heat Stroke

Page 8: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

PROBLEM #1It is very difficult to prevent a significant dehydration

~1200 mL/hr

Page 9: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

PROBLEM #2It is very difficult to regulate the kidneys to maintain

hydration

GFR = 120 L/day

~ 99% of this water is reabsorbed

For most beverages, increasing fluid ingestion causes a

decreased effectiveness of water reabsorption

Page 10: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

YESRobergs & Griffin. Sports Med. 26(3):145-167, 1998

Can Pre-exercise Hydration Be Increased?

~ 400 – 700 mL

Page 11: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

How Does Glycerol Work?1. Glycerol hyper-hydration is accompanied by a

decrease in urine volume

Page 12: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Compared,

a. Distilled water (DW)

b. 100 mEq/L NaCl (80 mEq), KCl (20 mEq) solution (EL)

c. Gatorade (CHO-EL)

d. Glycerol hyper-hydration (1.2 g/kg glycerol bolus + 26 mL/kg water) (GBol)

e. Glycerol solution (5.75 g glycerol/100 mL = 5.75 % glycerol) (GSol)

f. d + e (GG)

Study 1

Recent Research (in-review) from Our Laboratory

Page 13: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Subjects and MethodsMale Female Weight (kg) LBM (kg) Body Fat (%)

9 3 73.212.8 62.511.2 14.27.8

DW, EL,CHO-EL, GSol = 4.0, 6.4, 5.2, 5.2, and 5.2 mL/kg GBol = 40% glycerol, 6.4, 5.2, 5.2, and 5.2 mL/kg DW GG = 40% glycerol, 6.4, 5.2, 5.2, and 5.2 mL/kg GSol

Page 14: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Results

Will be presented as two studies:

1. Comparing methods of glycerol ingestion to CHO-EL.

2. Comparing glycerol solution (Gsol) to EL, CHO-EL and DW

Page 15: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Symptoms

0.5 1.0 1.5 2.0 2.5

0

2

4

6

8

10

Time (Hrs)

Blu

rred

Vis

ion

0.5 1.0 1.5 2.0 2.5

0

2

4

6

8

10

Time (Hrs)

Hea

dac

he

Sev

erit

y

0.5 1.0 1.5 2.0 2.5

0.0

2.5

5.0

7.5

10.0 GG

GSol

GBol

CHO-EL

Time (hrs)

Nau

sea

Sev

erit

y

0.5 1.0 1.5 2.0 2.5

0

2

4

6

8

10

Time (hrs)

Hea

dac

he

Sev

erit

y

0.5 1.0 1.5 2.0 2.5

0.0

2.5

5.0

7.5

10.0

Time (hrs)

Vis

ion

0.5 1.0 1.5 2.0 2.5

0

2

4

6

8

10GSol

CHO-EL

EL

DW

Time (Hrs)

Nau

sea

Sev

erit

y

Page 16: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

0 1 2 3 4 50

2

4

6

8

10

12

GGGSolGBol

CHO-EL

*

*

Time (hrs)

Osm

ola

l C

lear

ance

(mO

smo

l/m

in)

Osmolal Clearance

Page 17: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

0 1 2 3 4 50

1

2

3

4

5

6

7

8

9

DW

GSol

EL

CHO-EL

*

Time (hrs)

Osm

ola

l C

lear

ance

(mO

smo

l/m

in)

Osmolal Clearance

Page 18: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Free Water Clearance

0 1 2 3 4 5-10

-6

-2

2

6

10

GGGSol

GBolCHO-EL

*

Time (hrs)

Fre

e W

ater

Cle

aran

ce(m

L/m

in)

Page 19: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Free Water Clearance

0 1 2 3 4 5

-4

-2

0

2

4

6

8

10

12

DW

GSol

EL

CHO-EL*

Time (hrs)

Fre

e W

ater

Cle

aran

ce(m

L/m

in)

Page 20: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

0 1 2 3 4 5-2

-1

0

1

2

GG

GSol

GBol

CHO-EL

*

TIme (hrs)

B

od

y W

eig

ht

(% L

BM

)

Change in Body Water

Page 21: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

0 1 2 3 4 5-2.0

-1.5

-1.0

-0.5

0.0

0.5

1.0

1.5

2.0

DW

GSol

EL

CHO-EL

*

Time (hrs)

B

od

y W

eig

ht

(% L

BM

)

Change in Body Water

Page 22: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

What we recommend to athletes:4-5% (grams/100 mL) glycerol, 4 %

CHO, 4 mEq/L Na+ and K+

eg: glycerol = 1.25 g/mL

1 L of 5% glycerol solution

50 g or 40 mL of glycerol, and add half strength Gatorade to equal 1 L

Drink prior to exercise (1 to 2 L over 2 hrs)

Drink as needed during exercise

Page 23: The Importance of HYDRATION By Robert Robergs, Ph.D., FASEP, EPC Exercise Physiology Laboratories Exercise Science Program Dep’t Physical Performance and.

Thank you