Water balance Flashcards

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1
Q

why does an overweight person have a lower relative water content than a normal weight person

A

Fat is the least well hydrated of all the major tissues

around 10% water whereas others are >70%

If a greater proportion of their body is adipose tissue then a greater proportion of their body has limited water content

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2
Q

in the body what is the ratio of intracellular fluid to extracellular fluid

Name the two type of extracellular fluid

A

2/3 intra : 1/3 extra

intersititial fluid
intravascular fluid

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3
Q

name 3 methods of water entering the body

A

fluid intake
food intake
metabolic water

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4
Q

name 5 methods of water leaving the body

A
urine 
faecal loss 
expired air 
skin loss 
sweat loss
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5
Q

explain the difference between sensible and non-sensible water loss

A

sensible is loss that you can feel/are aware is happening

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6
Q
define the terms:
euhydration 
hyperhydration 
hypohydration 
dehydration
A

a state of water balance

physiological state of excess body water

physiological state of decreased body water content

the process of losing body water

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7
Q

explain why euhydration is never considered to be completely stable

A

fluctuates around a set point

because don’t take water in at the exact point when it is lost, will fluctuate slightly above and slightly below depending on if drinking or not

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8
Q

give the values for the following variables which would indicate that someone is euhydrated

plasma osmolality

urine osmolality

urine specific gravity

A

<290 mosmol/kg

< 700mosmol/kg

<1.02

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9
Q

what senses a change in osmolality and what structure controls the response

A

osmoreceptors

hypothalamus

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10
Q

why do re-hydration strategies aim to manipulate the fall in ADH caused by drinking

A

if can make ADH fall less dramatically then more of the drink will be retained and therefore re-hydration will be more efficient

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11
Q

how can the rate of drinking be manipulated to increase the retention of a drink

A

bolus vs metered drinking

metered produced less urine which suggests that more of the drink is being retained

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12
Q

how can the volume of drink consumed, relative to the amount of water lost in exercise be altered to improve hydration

A

greater volume = better hydration

150% to 200% needed to achieve a net positive fluid balance

no further benefit of increasing from 150% to 200%

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13
Q

how can the addition of solute be used to increase the retention of a drink

A

addition of Na+ = better fluid balance

more Na+ = more drink retained, but also too much will make drink too salty

higher Na+ = increased osmolality = increased adh

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14
Q

how can the addition of macronutrients to drinks increase how well they hydrate someone

A

increasing glucose content from 2% to 10% = better retention of fluid balance

addition of milk protein = better fluid balance
(addition of whey didn’t)

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